TO WHOMSOEVER IT MAY CONCERN

AFFIDAVIT
I,___________________________S/o, D/o_____________________ Aged:
years, Occu:_________________ R/o____________________________________
______________________do hereby solemnly affirm and state on oath as follows:1.
I am intending to obtain PAN CARD from the Income Tax Dept., in order to
submit the same before the concerned authorities who have directed me to produce
PAN CARD details for their official record.
2.
That as per the record of my School and birth records and as per the memory
my parents/elders my true and correct date of birth is _____________.
3.
Hence, I request the authorities of Income Tax Dept., to record my true and
correct date of birth as ____________in the concerned records wherever necessary
and issue PAN Card in my favour.
4.
I do not claim for any change in my date of birth in future except
__________.
5.

Hence, this sworn affidavit is in lieu of my date of birth certificate.

DEPONENT
VERIFICATION:- Sworn and signed before me by the deponent admitting the
contents of this affidavit on ______________ at ______________.
IDENTIFIED BY:MAGISTRATE
ADVOCATE