Affidavit for different name


I, —–       son of   ——-          resident of          —   do hereby solemnly affirm and declare as under :-

  1. That I am Citizen of India.
  2. That in the ————–Dev Tripathi bears the name of  my policy bond  and  ——Dev  in my other document are same person my date of birth is ——————
  3. That my mistake my name has been mentioned as ———–Dev Tripathi instead of —— Dev  In the said Documents.
  4. This is also to categorically state that —— Dev and ——- Dev Tripathi
    are my name and he is same person.

5.That I therefore request that  release my policy bound fund.

6.That my above statement are true  and correct.





Verified at    Delhi       on this  Wednesday      day of  16-3-  2022 that

the content of the above affidavit are true and correct to the

best of my knowledge and that nothing material has been

concealed there from.




Download in word format



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