BEFORE THE REGISTRAR PT.

RAVISHANKAR UNIVERSITY,
RAIPUR IN THE MATTER OF:
CERTTIFICATE OF RESIDENCE: Residing continuously for the last
more than 12 months within the Jurisdiction of Pt. Ravishankar University
Raipur.

AFFIDAVITE
I………………………………………aged…………..Yrs. son/Daughter of
Shri………………………………….Resident of……………………………….
Tehsil and District Durg, (C.G. the deponent do make another and
state on solemn affirmation an under.)

1. That I had appeared and………….. in my last examination

in…....
2. That since then, I was not a regular student of any college, and
I have not appeared in any examination of my any University
so far.
3. That I am residing:
at…………………………………………………….continuously for the
more than 12 months.
4. That I want to appear in…………………..the year ………….as a
private or regular candidate, and for which a certificate of
residence is needed from the Principal of the college affiliated
to the Pt. Ravishankar University in order to forward my
application from this affidavit.

DEPONENT
VERIFICATION
I, above named deponent do hereby verify that the above
information is true to the best of my knowledge and belief, hence
signed at……………….on……………...
WITNESS DEPONENT