Stamp paper.doc ... I had received the Degree Certificate from Veer Narmad
South Gujarat. University for aforesaid examination, which is lost/stolen/torned ...
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FORMAT OF NOTARIZED AFFIDAVIT TO BE EXECUTED FOR OBTAINING DUPLICATE DEGREE CERTIFICATE
[ON NON JUDICIAL STAMP PAPER OF Rs. 20/-] I under signed, [Surname] ______________________________ [Name] ________________________________ [Father's/Husband's Name] _______________ [Age] ___________ Years [Full Residential Address] __________________________________________ hereby
declare
on
oath
that
I
was
student
of
[Name
College/Department]________________________________________ the
educational Year
Gujarat
University,
__________ Surat.
I
affiliated to Veer
had
of______________________________
appeared
in
of
during
Narmad South the
examination
in March/April-October/November
________________with Seat No. _________ from the _________ Centre. I had received the Degree Certificate / Mark Sheet from Veer Narmad South Gujarat University for aforesaid examination, which is lost/stolen/torned _____________________ (if any other reason, please write) by me and not traceable in spite of my sincere efforts. I will not misuse the Duplicate Degree Certificate / Mark Sheet if it is issued to me and I will return the Original Degree Certificate / Mark Sheet, if I find the same in future. The said affidavit done for getting the Duplicate Degree Certificate/ Duplicate Mark Sheet.
Signature ______________ Place : Date :