AFFIDAVIT FOR DATE OF BIRTH FOR PAN CARD THUMB IMPRESSION

AFFIDAVIT FOR DATE OF BIRTH FOR PAN CARD THUMB IMPRESSION

(When Date of Birth Proof is Not Available – Before Magistrate)

I……………………….………., aged about.............. years, S/O,W/O,D/O of………….………………..……….., residing at …………………………………………………………………………..………………. District…………………………. State…………………, PIN…………………………. , do hereby solemnly affirm and declare as under:

1-That I am an Indian citizen and am applying for a PAN Card in my name.

2-That I do not possess any valid documentary proof of my Date of Birth.

3-That my details are as follows:

Father’s Name: …………………………………………………….

Husband’s Name: ………………………………………………..

Mother’s Name: ……..…………………………………………..

Declared Date of Birth: …………………………………………

Date of Birth in Words: ………………………………………….

4-I want my father’s name, namely …….…………………………………………, on my PAN Card.

5-That my Aadhaar Card No. is ……….……………………………………………..

6-That the Date of Birth and other details stated above are true and correct to the best of my knowledge and belief.

7-That I am an illiterate person and cannot read or write. I use my thumb impression for authentication. The thumb impression affixed on this affidavit is my own.

8-That the contents of this affidavit have been read over and explained to me in Hindi, which is known and understood by me, and after understanding the same, I have affixed my thumb impression.

9-That if any information or document submitted by me is found false, misleading, or forged, I shall be responsible for legal action under the applicable laws.

Left Thumb Impression of

Applicant/Deponent

Name: ………………………………

VERIFICATION