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Correction Form

The document is an affidavit for corrections submitted to the Court of Executive Magistrate in Bihar. It includes personal details of the applicant, requests for corrections in documents, and declarations regarding the accuracy of the information provided. The applicant also undertakes to submit necessary documents and acknowledges the legal implications of false statements.

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randhirkumar3896
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101 views3 pages

Correction Form

The document is an affidavit for corrections submitted to the Court of Executive Magistrate in Bihar. It includes personal details of the applicant, requests for corrections in documents, and declarations regarding the accuracy of the information provided. The applicant also undertakes to submit necessary documents and acknowledges the legal implications of false statements.

Uploaded by

randhirkumar3896
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Affidavit for Corrections

The Couut of Executive


Magistrate , *
... (District), Bihar

AFFIDAVIT

{Full Name of the Applicant), Son of


..
Father's Ful Nane) & i or..
(loter's FulB Name) and presentdy residing at Vlage: ...
*i****-*
Post
Folice Siation: ...
-. Pin Code:
Bhar) do bacby solemnBy aftisn ansd deciare as
ander:
. That, I am a citizen of India.

2 That, I have passed he...


Secondary f Iatesmediate/Other)
Exauination, Coniucted by ** **
(BSEE/ erstwhile BiEC} fron
.. ame of Schooi /
College/ institute),
bearing Reil code:
n
.

the year... and


Facuiy. .. (as applicable).

3 Tha the oiiowing detaiis


HIgy Eniered in my document{s)
. MEntion name of
he docuentls} aaá iierefore i
request for correction in the sa d
the foliowing details: documeats(s) as per

afPresentiy entered in y documeni{s } }toTe


Yien on required to be
done in y docuInent(s}
4. That, my photograph is blank / incorrect in the document(s) issued by the Board.
Therefore, I affix my corrcct photograph with this affidavit for correction in the
photograph. I hercby dcclare that if my photograph is found against my identity as
recorded in this affidavit, the Board may cancel all my certificates and take necessary
legal action against me (applicable for correction in the photograph only).

5. That, I am not in the service of Government or Government funded Institution or in


entality of State (applicable for correction in the date of birth only).

6. That, I require duplicate document (s)..


(mention name of duplicate document) required after aforesaid corection(s)

7. That, I ndertake to submit self-åttested photocopies of essential documents for the


aforesaid correction(s) and undertake to produce their original(s) for verification.

8. That, ali statements of this affidavit are true and correct to the best of my
knowledge and belief as explained to me and understood. If found untrue and false,
I will be personally liable to be punished in accordance with law.

Place

Date: Signature of Deponent

I certify the signature ofthe Deponent who has signed before me.

Signature of Advocate

BCI Enrolment No.. ., ******"

AOR No..

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