I, ______________________________________________, having permanent residence at ___________________________________________________________________ is hereafter referred to as ______________________________________________in this document.
WHEREAS, I ____________________________________________ hereby declare that I was born on ____ day of _______, ______ at _________________, ___________, Taluka ________________, District Pune in the State of Maharashtra and the same is recorded in the office of Registrar, __________________, Taluka ___________________ against serial number ____ on ______________(day of birth registration) and the said authority issued the birth certificate on _______________.
WHEREAS, this affidavit is made to submit before the concerned company/organization, as a declaration of my birth date and place.
Whatever stated in the above paragraphs is true to the best of my knowledge and belief.
(Signature of the affiant)