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CONTENTS - Chandigarh

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SPECIMEN OF AFFIDAVIT FOR GAP YEAR<br />

I, _______________________________________, S/o / D/o Shri ____________________________,<br />

R/o _____________________________________________________________________________, do<br />

hereby solemnly affirm and declare as under :-<br />

1. That I am seeking admission in _____________________________________________________,<br />

<strong>Chandigarh</strong>.<br />

2. That I passed my _______________________ examination during 200______.<br />

3. That during my gap period from _____________________ I did not take part in any political activity.<br />

4. That during my gap period from _______________________________ there is no criminal case<br />

lying pending against me in a Court or Police Station.<br />

5. That due to ____________________________________________________________________,<br />

I had to drop my regular studies for _________ year / years.<br />

6. That I bear a good moral character.<br />

Place :<br />

Dated :<br />

DEPONENT<br />

VERIFICATION<br />

Verified that the contents of above affidavit are true and correct and that nothing has been concealed therein.<br />

Place :<br />

Dated :<br />

(To be submitted in Duplicate)<br />

DEPONENT<br />

SPECIMEN OF AFFIDAVIT FOR SINGLE GIRL CHILD<br />

(On non-Judicial Paper of Rs. 20/- duly attested by 1st Class magistrate)<br />

I, ________________________ (name), father/mother of Miss _____ (full address to be given) resident of<br />

_____________ do hereby, solemnly declare and affirm as under:-<br />

1. That I am a citizen of India.<br />

2. That Miss _______________ born on ___________ is girl child of the deponent.<br />

3. That the deponent has no male child.<br />

4. That the deponent has the following children and none else:<br />

i) Name iii) Sex iii) Date of Birth<br />

5. That neither the deponent nor the aforenamed girl child of the deponent have obtained/availed the benefit<br />

granted under this category, in this University/Institute including its affiliated colleges.<br />

Place :<br />

Dated :<br />

DEPONENT<br />

VERIFICATION<br />

Verified that the contents of above affidavit are true and correct and that nothing has been concealed therein.<br />

Place :<br />

Dated :<br />

DEPONENT<br />

40 DEPARTMENT OF HIGHER EDUCATION, CHANDIGARH ADMINISTRATION PROSPECTUS 2009-10

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