Affidavit Format for loss of transcript/grade-sheet/certificate in English

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                                                                   Affidavit Format

(In case of loss of transcript/grade-sheet/certificate this Affidavit to be written on non-Judicial
Stamp Paper of Rs. 10/-)

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Affidavit of ____________________________________________________________________
I, ________________________________________, date of birth _______________________
son/daughter of Sri/Smt ______________________________________________ and residing at
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
do hereby solemnly declare and affirm as follows :
1) That I am/was a student of Motilal Nehru Engineering collage an Institute during the session
__________________________ to __________________________ perusing the program
_________________________________________________________________________ and
passed the last/ final exam in the session (month and year) ___________________________.
2) I state that I have lost my _____________________________________ transcript/grade-sheet/
degree certificate (ID/ Reg. No. - __________________) given in the year ___________ and if I do
manage to recover or find the original copy of the same, I shall return the duplicate
transcript/grade-sheet/degree certificate to the University authorities.
The above mentioned contents of the affidavit are true and correct to the best of my knowledge
and belief.

Signature of the Deponent
Date:
Place:

Solemnly affirmed at ______________________ on this _______day of _____________ 20___
(Year) And signed his/her name in my presence

Deponent signed before me

Seal of the Notary

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