AFFIDAVIT

I, HAMIDA ANJUM W/o Sh. MOHD RASHID resident of Town/Village MASJID / PEER
LAKKHI SHAH Tehsil AMBALA Distt. AMBALA do hereby Solemnly affirm and declare as
under:-

1. That my DAUGHTER (relation) named ADIBA RAHMAT born on 06-01-2019 at

2:45 PM.

2. That the birth event of ADIBA RAHMAT D/o MOHD RASHID could not be
reported to the concerned Registration Unit at the time of birth due to
ignorancy /negligency on the part of MOHD RASHID.

3. That this birth event has not been registered in any birth & death registration
center in India earlier.

4. That it is prayed that the birth event of ADIBA RAHMAT (name) D/o Sh. MOHD
RASHID may be registered now in the concerned registration center at AMBALA
CITY.

5. The particular of other children ever born from the wedlock of Smt. HAMIDA
ANJUM and Sh. MOHD RASHID are as under:-

Name of Child Sex DOB Place of Birth Registration Status

With Proof
1 AMEER HAMZA M 03-08-2011 Ambala City NA
2 AAMIRA NAAZ F 07-12-2014 Ambala City NA
3 AATIFA MAHSHAR F 08-12-2015 Ambala City NA

Deponent
Verification:
Verified that the contents of this affidavit are true and correct to the best of my
knowledge and belief and nothing has been concealed therein.

Place: Ambala City

Date: ___________ Deponent
 AFFIDAVIT
I, HAMIDA ANJUM W/o Sh. MOHD RASHID resident of Town/Village MASJID / PEER
LAKKHI SHAH Tehsil AMBALA Distt. AMBALA do hereby Solemnly affirm and declare as
under:-

1. That my SON (relation) named AMEER HAMZA born on 03-08-2011 at 01:38 PM.

2. That the birth event of AMEER HAMZA S/o MOHD RASHID could not be
reported to the concerned Registration Unit at the time of birth due to
ignorancy /negligency on the part of MOHD RASHID.

3. That this birth event has not been registered in any birth & death registration
center in India earlier.

4. That it is prayed that the birth event of AMEER HAMZA (name) S/o Sh. MOHD
RASHID may be registered now in the concerned registration center at AMBALA
CITY.

5. The particular of other children ever born from the wedlock of Smt. HAMIDA
ANJUM and Sh. MOHD RASHID are as under:-

Name of Child Sex DOB Place of Birth Registration Status

With Proof
1 AAMIRA NAAZ F 07-12-2014 Ambala City NA
2 AATIFA MAHSHAR F 08-12-2015 Ambala City NA
3 ADIBA RAHMAT F 06-01-2019 Ambala City NA

Deponent
Verification:
Verified that the contents of this affidavit are true and correct to the best of my
knowledge and belief and nothing has been concealed therein.

Place: Ambala City

Date: ___________ Deponent
 AFFIDAVIT
I, HAMIDA ANJUM W/o Sh. MOHD RASHID resident of Town/Village MASJID / PEER
LAKKHI SHAH Tehsil AMBALA Distt. AMBALA do hereby Solemnly affirm and declare as
under:-

1. That my DAUGHTER (relation) named AATIFA MAHSHAR born on 08-12-2015 at

11:28 AM.

2. That the birth event of AATIFA MAHSHAR d/o MOHD RASHID could not be
reported to the concerned Registration Unit at the time of birth due to
ignorancy /negligency on the part of MOHD RASHID.

3. That this birth event has not been registered in any birth & death registration
center in India earlier.

4. That it is prayed that the birth event of AATIFA MAHSHAR (name) D/o Sh.
MOHD RASHID may be registered now in the concerned registration center at
AMBALA CITY.

5. The particular of other children ever born from the wedlock of Smt. HAMIDA
ANJUM and Sh. MOHD RASHID are as under:-

Name of Child Sex DOB Place of Birth Registration Status

With Proof
1 AMEER HAMZA M 03-08-2011 Ambala City NA
2 AAMIRA NAAZ F 07-12-2014 Ambala City NA
3 ADIBA RAHMAT F 06-01-2019 Ambala City NA

Deponent
Verification:
Verified that the contents of this affidavit are true and correct to the best of my
knowledge and belief and nothing has been concealed therein.

Place: Ambala City

Date: ___________ Deponent
 AFFIDAVIT
I, HAMIDA ANJUM W/o Sh. MOHD RASHID resident of Town/Village MASJID / PEER
LAKKHI SHAH Tehsil AMBALA Distt. AMBALA do hereby Solemnly affirm and declare as
under:-

1. That my DAUGHTER (relation) named AAMIRA NAAZ born on 07-12-2014 at

10:15 PM.

2. That the birth event of AAMIRA NAAZ D/o MOHD RASHID could not be reported
to the concerned Registration Unit at the time of birth due to ignorancy
/negligency on the part of MOHD RASHID.

3. That this birth event has not been registered in any birth & death registration
center in India earlier.

4. That it is prayed that the birth event of AAMIRA NAAZ (name) D/o Sh. MOHD
RASHID may be registered now in the concerned registration center at AMBALA
CITY.

5. The particular of other children ever born from the wedlock of Smt. HAMIDA
ANJUM and Sh. MOHD RASHID are as under:-

Name of Child Sex DOB Place of Birth Registration Status

With Proof
1 AMEER HAMZA M 03-08-2011 Ambala City NA
2 AATIFA MAHSHAR F 08-12-2015 Ambala City NA
3 ADIBA RAHMAT F 06-01-2019 Ambala City NA

Deponent
Verification:
Verified that the contents of this affidavit are true and correct to the best of my
knowledge and belief and nothing has been concealed therein.

Place: Ambala City

Date: ___________ Deponent
 AFFIDAVIT
I, MOHD RASHID S/o Sh. ABDUL RAZIQ resident of Town/Village MASJID / PEER
LAKKHI SHAH Tehsil AMBALA Distt. AMBALA do hereby Solemnly affirm and declare as
under:-

1. That my DAUGHTER (relation) named ADIBA RAHMAT born on 06-01-2019 at

2:45 PM.

2. That the birth event of ADIBA RAHMAT D/o MOHD RASHID could not be
reported to the concerned Registration Unit at the time of birth due to
ignorancy /negligency on the part of MOHD RASHID.

3. That this birth event has not been registered in any birth & death registration
center in India earlier.

4. That it is prayed that the birth event of ADIBA RAHMAT (name) D/o Sh. MOHD
RASHID may be registered now in the concerned registration center at AMBALA
CITY.

5. The particular of other children ever born from the wedlock of Smt. HAMIDA
ANJUM and Sh. MOHD RASHID are as under:-

Name of Child Sex DOB Place of Birth Registration Status

With Proof
1 AMEER HAMZA M 03-08-2011 Ambala City NA
2 AAMIRA NAAZ F 07-12-2014 Ambala City NA
3 AATIFA MAHSHAR F 08-12-2015 Ambala City NA

Deponent
Verification:
Verified that the contents of this affidavit are true and correct to the best of my
knowledge and belief and nothing has been concealed therein.

Place: Ambala City

Date: ___________ Deponent
 AFFIDAVIT
I, MOHD RASHID S/o Sh. ABDUL RAZIQ resident of Town/Village MASJID / PEER
LAKKHI SHAH Tehsil AMBALA Distt. AMBALA do hereby Solemnly affirm and declare as
under:-

1. That my SON (relation) named AMEER HAMZA born on 03-08-2011 at 01:38 PM.

2. That the birth event of AMEER HAMZA S/o MOHD RASHID could not be
reported to the concerned Registration Unit at the time of birth due to
ignorancy /negligency on the part of MOHD RASHID.

3. That this birth event has not been registered in any birth & death registration
center in India earlier.

4. That it is prayed that the birth event of AMEER HAMZA (name) S/o Sh. MOHD
RASHID may be registered now in the concerned registration center at AMBALA
CITY.

5. The particular of other children ever born from the wedlock of Smt. HAMIDA
ANJUM and Sh. MOHD RASHID are as under:-

Name of Child Sex DOB Place of Birth Registration Status

With Proof
1 AAMIRA NAAZ F 07-12-2014 Ambala City NA
2 AATIFA MAHSHAR F 08-12-2015 Ambala City NA
3 ADIBA RAHMAT F 06-01-2019 Ambala City NA

Deponent
Verification:
Verified that the contents of this affidavit are true and correct to the best of my
knowledge and belief and nothing has been concealed therein.

Place: Ambala City

Date: ___________ Deponent
 AFFIDAVIT
I, MOHD RASHID S/o Sh. ABDUL RAZIQ resident of Town/Village MASJID / PEER
LAKKHI SHAH Tehsil AMBALA Distt. AMBALA do hereby Solemnly affirm and declare as
under:-

1. That my DAUGHTER (relation) named AATIFA MAHSHAR born on 08-12-2015 at

11:28 AM.

2. That the birth event of AATIFA MAHSHAR d/o MOHD RASHID could not be
reported to the concerned Registration Unit at the time of birth due to
ignorancy /negligency on the part of MOHD RASHID.

3. That this birth event has not been registered in any birth & death registration
center in India earlier.

4. That it is prayed that the birth event of AATIFA MAHSHAR (name) D/o Sh.
MOHD RASHID may be registered now in the concerned registration center at
AMBALA CITY.

5. The particular of other children ever born from the wedlock of Smt. HAMIDA
ANJUM and Sh. MOHD RASHID are as under:-

Name of Child Sex DOB Place of Birth Registration Status

With Proof
1 AMEER HAMZA M 03-08-2011 Ambala City NA
2 AAMIRA NAAZ F 07-12-2014 Ambala City NA
3 ADIBA RAHMAT F 06-01-2019 Ambala City NA

Deponent
Verification:
Verified that the contents of this affidavit are true and correct to the best of my
knowledge and belief and nothing has been concealed therein.

Place: Ambala City

Date: ___________ Deponent
 AFFIDAVIT
I, MOHD RASHID S/o Sh. ABDUL RAZIQ resident of Town/Village MASJID / PEER
LAKKHI SHAH Tehsil AMBALA Distt. AMBALA do hereby Solemnly affirm and declare as
under:-

1. That my DAUGHTER (relation) named AAMIRA NAAZ born on 07-12-2014 at

10:15 PM.

2. That the birth event of AAMIRA NAAZ D/o MOHD RASHID could not be reported
to the concerned Registration Unit at the time of birth due to ignorancy
/negligency on the part of MOHD RASHID.

3. That this birth event has not been registered in any birth & death registration
center in India earlier.

4. That it is prayed that the birth event of AAMIRA NAAZ (name) D/o Sh. MOHD
RASHID may be registered now in the concerned registration center at AMBALA
CITY.

5. The particular of other children ever born from the wedlock of Smt. HAMIDA
ANJUM and Sh. MOHD RASHID are as under:-

Name of Child Sex DOB Place of Birth Registration Status

With Proof
1 AMEER HAMZA M 03-08-2011 Ambala City NA
2 AATIFA MAHSHAR F 08-12-2015 Ambala City NA
3 ADIBA RAHMAT F 06-01-2019 Ambala City NA

Deponent
Verification:
Verified that the contents of this affidavit are true and correct to the best of my
knowledge and belief and nothing has been concealed therein.

Place: Ambala City

Date: ___________ Deponent
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fnukad 06&01&2019 dks ,d yM+dh vkfnck jger
dks tUe ?kj ij gh fn;k gS ftldk vHkh rd iathdj.k
ugha djok;k x;k gS ftldk eq>s iw.kZ :i ls Kku ok
irk gS tks fd mijksDr ysV tUe ?kVuk bUnzkt ij
eSa viuh xokgh 'kiFk&i= ds }kjk is'k dj jgk
gw¡ vkSj mijksDr tUe ?kVuk dk ysV bUnzkt fd;k
tkuk mfpr gSA

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fnukad%& -------------------------------
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dk jgus okyk gw¡ vkSj fuEufyf[kr lR;kfu"BkiwoZd
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fuoklh efLtn @ihj yD[kh 'kkg vEckyk 'kgj us
fnukad 06&01&2019 dks ,d yM+dh vkfnck
vger dks tUe ?kj ij gh fn;k gS ftldk vHkh rd
iathdj.k ugha djok;k x;k gS ftldk eq>s iw.kZ :i
ls Kku ok irk gS tks fd mijksDr ysV tUe ?kVuk
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dj jgk gw¡ vkSj mijksDr tUe ?kVuk dk ysV
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ckr xYr ;k Nqikdj ugha j[kh xbZ gSA
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fnukad%& -------------------------------
C;kudrkZ
 AFFIDAVIT
I, NASEEMA W/o Sh. MAHMOOD resident of Town/Village 388, CHARKHI
MOHALLA Tehsil AMBALA Distt. AMBALA do hereby Solemnly affirm and declare as
under:-

1. That named ADIBA RAHMAT D/o MOHD RASHID (relation) DAUGHTER born on
06-01-2019 at 2:45 PM.

2. That the birth event of ADIBA RAHMAT D/o MOHD RASHID could not be
reported to the concerned Registration Unit at the time of birth due to
ignorancy /negligency on the part of MOHD RASHID.

3. That this birth event has not been registered in any birth & death registration
center in India earlier.

4. That it is prayed that the birth event of ADIBA RAHMAT (name) D/o Sh. MOHD
RASHID may be registered now in the concerned registration center at AMBALA
CITY.

5. The particular of other children ever born from the wedlock of Smt. HAMIDA
ANJUM and Sh. MOHD RASHID are as under:-

Name of Child Sex DOB Place of Birth Registration Status

With Proof
1 AMEER HAMZA M 03-08-2011 Ambala City NA
2 AAMIRA NAAZ F 07-12-2014 Ambala City NA
3 AATIFA MAHSHAR F 08-12-2015 Ambala City NA

Deponent
Verification:
Verified that the contents of this affidavit are true and correct to the best of my
knowledge and belief and nothing has been concealed therein.

Place: Ambala City

Date: ___________ Deponent
 AFFIDAVIT
I, NASEEMA W/o Sh. MAHMOOD resident of Town/Village 388, CHARKHI
MOHALLA Tehsil AMBALA Distt. AMBALA do hereby Solemnly affirm and declare as
under:-

1. That named AMEER HAMZA S/O MOHD RASHID (relation) SON born on 03-08-
2011 at 01:38 PM.

2. That the birth event of AMEER HAMZA S/o MOHD RASHID could not be
reported to the concerned Registration Unit at the time of birth due to
ignorancy /negligency on the part of MOHD RASHID.

3. That this birth event has not been registered in any birth & death registration
center in India earlier.

4. That it is prayed that the birth event of AMEER HAMZA (name) S/o Sh. MOHD
RASHID may be registered now in the concerned registration center at AMBALA
CITY.

5. The particular of other children ever born from the wedlock of Smt. HAMIDA
ANJUM and Sh. MOHD RASHID are as under:-

Deponent
Verification:
Verified that the contents of this affidavit are true and correct to the best of my
knowledge and belief and nothing has been concealed therein.

Place: Ambala City

Date: ___________ Deponent
 AFFIDAVIT
I, NASEEMA W/o Sh. MAHMOOD resident of Town/Village 388, CHARKHI
MOHALLA Tehsil AMBALA Distt. AMBALA do hereby Solemnly affirm and declare as
under:-

1. That named AATIFA MAHSHAR D/O MOHD RASHID (relation) DAUGHTER born
on 08-12-2015 at 11:28 AM.

2. That the birth event of AATIFA MAHSHAR D/o MOHD RASHID could not be
reported to the concerned Registration Unit at the time of birth due to
ignorancy /negligency on the part of MOHD RASHID.

3. That this birth event has not been registered in any birth & death registration
center in India earlier.

4. That it is prayed that the birth event of AATIFA MAHSHAR (name) D/o Sh.
MOHD RASHID may be registered now in the concerned registration center at
AMBALA CITY.

5. The particular of other children ever born from the wedlock of Smt. HAMIDA
ANJUM and Sh. MOHD RASHID are as under:-

Name of Child Sex DOB Place of Birth Registration Status

With Proof
1 AMEER HAMZA M 03-08-2011 Ambala City NA
2 AAMIRA NAAZ F 07-12-2014 Ambala City NA
3 ADIBA RAHMAT F 06-01-2019 Ambala City NA

Deponent
Verification:
Verified that the contents of this affidavit are true and correct to the best of my
knowledge and belief and nothing has been concealed therein.

Place: Ambala City

Date: ___________ Deponent
 AFFIDAVIT
I, NASEEMA W/o Sh. MAHMOOD resident of Town/Village 388, CHARKHI
MOHALLA Tehsil AMBALA Distt. AMBALA do hereby Solemnly affirm and declare as
under:-

1. That named AAMIRA NAAZ D/O MOHD RASHID (relation) DAUGHTER born on
07-12-2014 at 10:15 PM.

2. That the birth event of AAMIRA NAAZ D/o MOHD RASHID could not be reported
to the concerned Registration Unit at the time of birth due to ignorancy
/negligency on the part of MOHD RASHID.

3. That this birth event has not been registered in any birth & death registration
center in India earlier.

4. That it is prayed that the birth event of AAMIRA NAAZ (name) D/o Sh. MOHD
RASHID may be registered now in the concerned registration center at AMBALA
CITY.

5. The particular of other children ever born from the wedlock of Smt. HAMIDA
ANJUM and Sh. MOHD RASHID are as under:-

Name of Child Sex DOB Place of Birth Registration Status

With Proof
1 AMEER HAMZA M 03-08-2011 Ambala City NA
2 AATIFA MAHSHAR F 08-12-2015 Ambala City NA
3 ADIBA RAHMAT F 06-01-2019 Ambala City NA

Deponent
Verification:
Verified that the contents of this affidavit are true and correct to the best of my
knowledge and belief and nothing has been concealed therein.

Place: Ambala City

Date: ___________ Deponent
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fnukad%& -------------------------------
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fuoklh edku uEcj 1228@3] iVsy jksM+]
dkt+hokMk] vEckyk 'kgj dk jgus okyk gw¡ vkSj
fuEufyf[kr lR;kfu"BkiwoZd gyQh;k C;ku djrk gw¡ fd
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1- ;g fd C;kudrkZ dk uke o irk Bhd gSA
2- ;g fd Jhefr gkfenk vatqe iRuh Jh eks0 jkf'kn
fuoklh efLtn @ihj yD[kh 'kkg vEckyk 'kgj us
fnukad 03&08&2011 dks ,d yM+ds vehj getk
dks tUe ?kj ij gh fn;k gS ftldk vHkh rd iathdj.k
ugha djok;k x;k gS ftldk eq>s iw.kZ :i ls Kku ok
irk gS tks fd mijksDr ysV tUe ?kVuk bUnzkt ij
eSa viuh xokgh 'kiFk&i= ds }kjk is'k dj jgk
gw¡ vkSj mijksDr tUe ?kVuk dk ysV bUnzkt fd;k
tkuk mfpr gSA

C;kudrkZ
lR;kiu%&
 ;g fd mDr gyQh;k C;ku ds lHkh rF; esjs iw.kZ
Kku o fo'okl ds vuqlkj lgh o n:Lr gSa blesa dksbZ
ckr xYr ;k Nqikdj ugha j[kh xbZ gSA

LFkku%& vEckyk 'kgj

fnukad%& -------------------------------
C;kudrkZ
 'kiFk&i=

eSa fd eksgEen 'kehe iq= Jh eksgEen Qqjdku

fuoklh edku uEcj 1765] eqr xyh] fVYyk efUnj] nky
cktkj] vEckyk 'kgj dk jgus okyk gw¡ vkSj fuEufyf[kr
lR;kfu"BkiwoZd gyQh;k C;ku djrk gw¡ fd%&
1- ;g fd C;kudrkZ dk uke o irk Bhd gSA
2- ;g fd Jhefr gkfenk vatqe iRuh Jh eks0 jkf'kn
fuoklh efLtn @ihj yD[kh 'kkg vEckyk 'kgj us
fnukad 03&08&2011 dks ,d yM+ds vehj getk
dks tUe ?kj ij gh fn;k gS ftldk vHkh rd iathdj.k
ugha djok;k x;k gS ftldk eq>s iw.kZ :i ls Kku ok
irk gS tks fd mijksDr ysV tUe ?kVuk bUnzkt ij
eSa viuh xokgh 'kiFk&i= ds }kjk is'k dj jgk
gw¡ vkSj mijksDr tUe ?kVuk dk ysV bUnzkt fd;k
tkuk mfpr gSA

C;kudrkZ
lR;kiu%&
;g fd mDr gyQh;k C;ku ds lHkh rF; esjs iw.kZ
Kku o fo'okl ds vuqlkj lgh o n:Lr gSa blesa dksbZ
ckr xYr ;k Nqikdj ugha j[kh xbZ gSA
LFkku%& vEckyk 'kgj
fnukad%& -------------------------------
C;kudrkZ