JOINT DECLARATION BY 5 LOCAL PERSON
We hereby solemnly and sincerely declare that:
…………………………., S/o- ……………………….....,
at ................................,P.O- …………………………. ,
Dist- .............................................,State-West Bengal,
Pin-..................,
His/Her date of birth is ……./……/………. , born at
.....................
That our above statement is true and correct.
Date: / /
Details of the declarant persons:
S. Full Name Address with Signature
No Voter EPIC No
1
2
3
4
5