Precedent No. 78
AFFIDAVIT: DECLARATION OF THE ACTUAL PLACE OF RESIDENCE
I,……………………….. ,
S/o…………………….. ,
aged…………………… years,
residing in …………… ,
do hereby solemnly affirm and declare as under:—
- I purchased the house property bearing No………..
from Shri………………………………………………………
on……………………………………………………………….
- As a consequence of the aforesaid purchase, I am presently residing in
the aforesaid house from…………..
I have no other place of residence in the
State of …………………………….. ………………..
except the residential address mentioned above.
- I am swearing to this affidavit to be produced before the Visa Officer,
American Embassy, for the purpose of procuring Visa for U.S.A.
Sd./.
Deponent
Verification
Verified at……………. ……………………………….on this the… …….day of…. ,20 , that the contents of the above affidavit are true and correct to the best of my knowledge, belief and information and nothing material has been concealed therefrom.
Sd./.
Deponent
Solemnly affirmed and signed before me by the deponent, who is personally known to me, on this the………………………………………….. day of……….. ,20…………..
Sd./.
Notary
