AFFIDAVIT

TO,
The Commissioner Cum Secretary,

Delhi Development Authority,
B-Block, Vikash sadan,
New Delhi-110023
Sub: - Wrong categorization of our colony in “O” Zone.
Dear Sir/Madam,
This is in reference to DDA notification No.F-20 (12)/2013-MP dt. 28.09.2013. With due
respect I would like to bring to your kind notice that RWA of I-605, (Near MTNL Exchange),
Hari Nagar Extn. Badarpur, New Delhi-110044, is registered body (registration No.1329).
All the colonies of Badarpur area have been regularized vide office order No. F.
No.133/UC/UD/Policy /2012(CD-012282066)/556-560 dated 04.09.2012. All the Colonies of
RWA are also registered in Bhagidari Cell, Govt. of Delhi.
In this regard we would like to bring to your kind attention that Mithapur and Jaitpur area has
been categorized in “O” Zone area. The above matter has been brought to your kind notice
many times in the past as well as to other concerned authorities. Once again, we would like to
submit the following in connection with categorization of our colony in “O” Zone. Adjacent to
our colonies there are a lot of colonies and villages like Sehatpur, Ismilepur, Basantpur. There
are residential sector HUDA of Faridabad as well as Mithapur and jaitpur villages of Delhi. In
the nearby place there is Rehabilitation Colonies (J.J. colonies) developed by Delhi
Development Authority itself. Our colony is located around 6-7 KM. away from river Yamuna
bed. The colonies are located on private land. In DDA Open House meeting held at Laxminagar
last year. It has been assured that the matter will be reviewed very soon. In this regard direction
has already been given to DDA to review the Master plan 2021 and put our colonies in
appropriate category.
I have already submitted latter in your office for colonies out of the “O” Zone category on the
fallowing dated.
You are therefore requested to kindly put our colonies out of the “O” Zone category.
With regards & thanks

AFFIDAVIT
I, YOGESH KUMAR SON OF SHRI TULA RAM SHARMA Resident of House

No.B-63, Gali No.10, Gagan Vihar, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm
and declare as under:-
1. That I am Citizen of India.
2. That SMT. ANITA SHARMA is my legally wedded wife & residing with me on the
above mentioned address.
3. That it is my true statement.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 29th day of February 2012, that the contents of this Affidavit are
true and correct to the best of my knowledge and belief and nothing has been concealed therein.
DEPONENT
AFFIDAVIT
I, ANITA SHARMA WIFE OF SHRI YOGESH KUMAR Resident of House No.B-

63, Gali No.10, Gagan Vihar, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under:-
2. That SHRI YOGESH KUMAR is my legally wedded Husband & residing with me on
the above mentioned address.
DEPONENT
VERIFICATION:-
DEPONENT
BOND OF INDEMNITY
[To be executed by the Insurant of the RPLI Policy for the issue of duplicate policy in case
where no assignment or transfer under the Insurance Act or otherwise has been made.]
Known all men by these present that we [A] ………………………………………… holder

and [B] …………………………………… Surety [C] ………………………………………
Surety are held and firmly bound in to the President of India [Hereinafter called the president]
in the sum of Rs. ……………………………… [face value of the policy] of lawful money of
India together with all costs, charges, expenses and damages as hereinafter mentioned to be
paid to the President, his certain attorneys/ successor or assigns for which payment well and
truly to be made we bind our selves, our heirs, executors and administrators and representatives
jointly and every two of us bind ourselves, our heirs, executors, administrators and
representatives jointly, and each of us binds himself his heirs, executors, administrators and
representatives severally firmly by these presents. Sealed with our respective seals dated this
day of ……………………… in the Christian year two thousand and ………………… whereas
on or about the ……………… day of ……………. the said [A]
…………………………………………. Purchased a RPLI policy numbered
R-BH-MZ- ……………………………………. of the face value of Rs. ……………………

bearing a monthly premium of Rs. ……………………. Payable up to the time of the death/ age
of ………………………….. AND WHEREAS THE said [A] ………………………….
………………………… represented to the Postmaster General that the said RPLI policy was
not assigned or mortgaged to any body or disposed of in any other way AND WHEREAS the
said [A] …………………………………………………………. Having applied to the
Postmaster General for the issue of a duplicate of the said RPLI policy bearing identical
number, date and face value the Postmaster General for and on behalf of the President had on
the aforesaid representation of the said [A] ……………………………… Acceded to the said
application and has agreed to issue duplicate of the said policy to be delivered to the said [A]
…………………………………. on execution of this bond, AND WHEREAS it has been
agreed between the said [A] ………………………………………. and the President that for
the better protection of the President the said [A]………………………………………. And
two sufficient sureties should now execute such bond as above written and the said [B]
………………………………………………. And [C]
…………………………………………… have accordingly as such Sureties agreed to execute
the said bond with such condition as hereunder written. NOW THE CINDITION of the above
written bond is such that if the said [A]. his heirs, executors, administrators and representatives
do and shall when required so to pay to the President, his successors or assigns the sum of Rs.
………………… together with all costs between attorney and client and all charges, losses,
damages and expenses that shall or may have been insured by or any of the servants of the
Government by reason for consequent upon payment having been made on the amount due
under the policy on the strength of such duplicate as aforesaid and further if the said [A]
…………………………………………… and [B] ……………………………………. and [C]
……………………………………….. their heirs, executors, administrators and
representatives, shall and do from time to time and all times hereafter will sufficiently save,
defend, deep harmless and indemnified the President his successors and assigns and officers
and servants of the Government and each and every of them of from and against all and all
manner of action and action suits and suits, and other legal proceedings, costs, charges,
damages and expenses whatsoever which shall or may at any time or times hereafter be
brought, commenced or sued by any person or body corporate whomsoever which shall or may
at any time or times hereafter be brought, commenced or sued by any person or body corporate
whomsoever which shall or may at any
time to times hereafter be brought, commenced to be sued by any person or body corporate
whomsoever or whatsoever against or happen or be occasioned to the President, his successors
or assigns or any of the officers or servants of the Government for or on account of, in respect
of, by reason of or consequent upon payment of the amount due under the policy on the
strength of such duplicates as aforesaid than the above written bond shall be void of no effect
otherwise the same shall be and remain in full force and virtue provided always and it is hereby
expressly declared and agreed by the said [A]……………………………………… and [B]
…………………………………………… and [C]…………………………………….. with
and the President his successors and assigns that in the defence and prosecution of any action
suit or other legal proceedings referred to in the foregoing clause for indemnity or maintain in
virtue thereof the President, his successors and assigns shall not responsible or accountable to
the said [A]…………………………………….. and [B]
…………………………………………… and [C]…………………………………………… or
any or either of tem their or either their heirs, executors, administrators, and representatives for
any act omission or mistake in the defence or prosecution of such action suit or other legal
proceedings and that in the defence or prosecution of such action suit or other legal proceeding
the said President, his successors or assigns and his and their officers and servant shall be
required to do such acts and take such steps only, as shall be in that behalf be approved and
advised by the law officers of the Government of India.
Provided further that the liability of the sureties hereunder shall not be impaired
and or discharged by reason of time being granted or any forbearance act or omission of the
President or any person authorized by him (whether with or without the consent or knowledge
of the sureties) not shall it be necessary for the President to sue the said [A]
………………………………………….. before suing the sureties for amounts due hereunder.
Signed, sealed and delivered by the above named [A]
Signed, sealed and delivered by the above named [B]
Signed, sealed and delivered by the above named [C]
In the presence of (two witnesses to sign here)
1.)
2.)
Accepted
For and on behalf
Of the President of India
Asst. Divisional Manager (RPLI)

AFFIDAVIT
I, DHIRENDRA SINGH SON OF SHRI SODHAN SINGH Resident of House No.L-

1/4777, Block L-1, Sangam Vihar, New Delhi-110062, do hereby solemnly affirm and declare
as under:-
Contd…2..
*** 2 ***
1. That I am citizen of India.
2. That I am not able to afford the school fee of my daughter named “SONI TEWATIA”
Class IVth, Admission No.2723.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 15th day of April 2015, that the contents of this Affidavit are
DEPONENT
AFFIDAVIT
I, HIMMAT SINGH RAWAT SON OF SHRI B.S. RAWAT Resident of House

No.2362, Gali No.63, Block E-II, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do
hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 ***
2. That I am working as Driver and earn Rs.2,00,000/-(Rupees Two Lac only), annually.
3. That I am not able to afford the school fee of my son named “SHASHANK RAWAT”
Class XII-A, Admission No.2688 & daughter named “SIMRAN RAWAT” Class XI-B,
Admission No.2899.
4. That my above statements are true to the best of my knowledge and belief.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
1. I, RAHUL KUMAR SON OF SHRI MRITUNJAY SINGH a student from Accurate

Institute of Management & Technology, studying in B.Tech (Mechanical Engineering), Year
IIIrd, Semester 6.
Contd…2..
*** 2 ***
2. As per written requested dated 20.6.2016, NTPC has agreed to allow vocational training
in year 2016, at Badarpur Plan area from ____________ to _______________.
3. I shall follow all the safety rules while undergoing training. In this connection I
undertake to indemnify and agree that NTPC shall not be responsible for any
compensation or damages.
In case of any loss/damage to NTPC by way of accident/mishappening by me during

my saty in company, I further undertake to pay the amount of loss/damage to NTPC on
demand.
Signature of the student with date
Name of the Student :- Rahul Kumar

Address :- I-919, Gali No.19, Hari Nagar Extn. P.O.Badarpur, New
Delhi-110044.
Mobile No:- 9958906046
Witness
1. Signature
Name:-
Address:-
Mobile:-
2. Signature
Name:-
Address:-
Mobile:-
AFFIDAVIT
1. I, SANDEEP SON OF SHRI PURAN SINGH a student from Accurate Institute of

Management & Technology, studying in B.Tech (Mechanical Engineering), Year IIIrd,
Semester 6.
Contd…2..
*** 2 ***
2. As per written requested dated 20.6.2016, NTPC has agreed to allow vocational training
in year 2016, at Badarpur Plan area from ____________ to _______________.
3. I shall follow all the safety rules while undergoing training. In this connection I
undertake to indemnify and agree that NTPC shall not be responsible for any
compensation or damages.
In case of any loss/damage to NTPC by way of accident/mishappening by me during

my saty in company, I further undertake to pay the amount of loss/damage to NTPC on
demand.
Signature of the student with date
Name of the Student :- Sandeep

Address :- J-358, Gali No.15, Arpan Vihar, Jaitpur Extn. P.O.Badarpur,
New Delhi-110044.
Mobile No:- 8447095864
Witness
1. Signature
Name:-
Address:-
Mobile:-
2. Signature
Name:-
Address:-
Mobile:-
AFFIDAVIT
I, KAILASH CHAND SON OF LATE SHRI MADAN LAL Resident of House

No.B-298, Tajpur Pahari, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
2. That I am running my own business and earn Rs.1,20,000/-(Rupees One Lac Twenty
thousand only), annually.
3. That I am not able to afford the school fee of my son named “KUNAL DAIMA” Class
IX-F, Admission No. 4654.
4. That my above statements are true to the best of my knowledge and belief.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, ANKIT KUMAR SON OF SHRI CHARAN SINGH Resident of House No.H-52,

Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd..2..
*** 2 ***
2. That I have passed B.Sc. (Industrial Chemistry) examination in the year of 2015-2016
from University of Delhi.
3. That from 2016 to 2017 & 2017 to 2018, I have not studied in any College, University
or Pvt. Institute & in this prieod I have not involved in any criminal activities.
4. That this period is my gap year.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 23rd day of July 2018, that the contents of this Affidavit are true
and correct to the best of my knowledge and belief and nothing has been concealed therein.
DEPONENT
AFFIDAVIT
I, ASHISH SEMWAL aged about 27 years SON OF MR. JYOTI PRASAD SEMWAL
Resident of House No.114, Shanti Nagar Dhalwala, P.O.Muni Ki Reti, Distt. Tehri Garhwal,
(Uttrakhand), do hereby solemnly affirm and state as follows:-
Contd..2..
*** 2 ***
1. That I am the deponent of this affidavit.
2. That my gaps period are mentioned below:-
From To To Reasons for Gap
Gap Period 1 JUNE-2005 MAY-2006 Back Lock

Gap Period 2 AUG-2012 MAY-2013 Preparing Course in
Networking
3. That this affidavit is required to be produced before the concerned authority of Tata
Consultancy Service (TCS) for necessary purpose.
4. That the facts stated above are true to the best of my knowledge and belief.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 23rd day of January 2017, that the contents of this Affidavit are
DEPONENT
AFFIDAVIT
I, SATYANDER KAMAL SON OF SHRI INDAL SINGH KAMAL Resident of

House No.F-137, Harsh Vihar, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-110044, do
Contd..2..
*** 2 ***
2. That I have passed B.Tech (Civil Enginering) Examination from Dr. A.P.J. Abdul Kalam
Technical University in the year of 2014-2017.
3. That from 2017 to 2019, I have not studied in any College, University or Pvt. Institute
& in this prieod I have not involved in any criminal activities.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 27th day of August 2019, that the contents of this Affidavit are
DEPONENT
AFFIDAVIT
I, ANWAR HUSSAIN SON OF MR. AMANAT HUSSAIN Resident of House

No.K-90/2, Gali No.8, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby
solemnly affirm and declare as under:-
Contd..2..
*** 2 ***
2. That I got failed in 11th Class in the year of 2014-2015 from DAV Sr. Secondary School,
Jangpura, New Delhi-110014.
3. That from 2015 to 2016, I have not studied in any School & I have not involved in any
criminal activities.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NARENDER YADAV SON OF SHRI SHISH PAL SINGH YADAV Resident of

House No.D-II/4, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd..2..
*** 2 ***
2. That I have passed 08th Class in the year of 2010-2011 from Mathura, (U.P.).
3. That from 2011 to 2016, I have not studied in any School & I have not involved in any
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NAVEEN SON OF SHRI PADAM SINGH Resident of House No.A-71, Gali No.1,
Mithapur Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd..2..
*** 2 ***
2. That I have passed 10th Class Examination in the year of 2011-2012 from Govt. Boys Sr.
Sec. School No.2, Molar Band, P.O.Badarpur, New Delhi-110044.
3. That from 2012 to 2016 I have not studied in any School & I have not involved in any
criminal activitie. I was preparing for CET exams in gap period.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 30th day of July 2016, that the contents of this Affidavit are true
DEPONENT
AFFIDAVIT
I, SHUBHAM SON OF SHRI DEVENDER KUMAR Resident of House No.M-58,

Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd..2..
*** 2 ***

2. That I have passed 12th Class Examination in the year of 2014-2015 from CBSE Board
in National Public School, Kalindi Colony, Maharani Bagh, New Delhi.
3. That from 2015 to 2016 I have not studied in any School & I have not involved in any
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, TANUSHKA CHAUDHARY DAUGHTER OF SHRI LUCKY CHAUDHARY

Resident of House No.28, Village Molar Band, P.O.Badarpur, New Delhi-110044, do hereby
Contd..2..
*** 2 ***
1. That I have passed 12th Class Examination from Delhi Public School, Vasant Kunj, New
Delhi, successfully in the educational year of 2015-2016.
2. That I could not take admission in any school/college or Educational Institution in the
Educational year of 2016- August 2017 to till date due to preparation of Entrance Exam.
3. That in between the said period there is no criminal offence alleged has been committed
by me and I have not been penalized in any court of Law.
4. That the said contents of this affidavit are true and correct to the best of my knowledge
and belief.
DEPONENT
VERIFICATION
Verified that the said contents of this affidavit are true and correct to the best of my knowledge
and belief and nothing has been concealed there from.
DEPONENT
AFFIDAVIT
I, GANESH RAI SON OF SHRI RAM NANDAN Resident of House No.N-447, Amar
Market, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd..2..
*** 2 ***
2. That my son named “SOHAN” has passed 10th Class Examination in the year of
2015-2016 from CBSE Board in Govt. Boys Sr. Sec. School No.2, Molar Band, New
Delhi-110044.
3. That from 2016 to 2017, my son has not studied in any School & he has not involved in
any criminal activities.
4. That this period is his gap year.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 01st day of July 2017, that the contents of this Affidavit are true
DEPONENT
AFFIDAVIT
I, SWETA PRAJAPATI DAUGHTER OF SHRI RAM KEWAL PRAJAPATI Resident

of House No.D-II/356, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
affirm and declare as under:-
Contd..2..
*** 2 ***
2. That I have passed 12th Class in the year of 2012-2013 from CBSE Board, Delhi.
3. That from 2013 to 2015 I have not studied in any University due to lack of money, & I
have not involved in any criminal activities.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAGHUNANDAN SON OF SHRI BASU MAHTO Resident of House No.F-110,

Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare
as under:-
Contd..2..
*** 2 ***
2. That I had to pay Rs.20/- annually to Delhi Bhawan and Sannirman Shramik Kalyan
Board.
3. That due to lack of knowledge I Could not pay the above said annuall amount to the
said Delhi Bhawan and Sannirman Shramik Kalyan Board.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 30th day of October 2018, that the contents of this Affidavit are
DEPONENT
AFFIDAVIT
I, MANSI DAUGHTER OF SHRI NARENDER KUMAR SINGH Resident of House

No.J-121/2, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
2. That I have passed 12th Class in the year of 2017-2018 from CBSE Board, Delhi.
3. That from 2018 to 2019 I have not studied in any University & I have not involved in
any criminal activities.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
Affidavit of SAJAN PANDEY SON OF SHRI SATYA NARAYAN PANDEY Resident

of House No.B-534, Gali No.7, Khadda Colony, Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-
110044, aged about 33 years, hereinafter called the deponent, on solemn affirmation.
Contd…2
**2**
I, the deponent named above, do hereby solemnly affirm and sincerely state as follows:-
1. That I have agreed to be a member of The Sahu Co-operative Urban Thrift & Credit Society
Ltd., Delhi.
2. That my Election Identity Card No.WGL0987875.
3. That the all information furnished by me on my application for membership of the said society
are true and correct.
4. That I have read & understood well the Bye-laws and other rules of the said society and promise
to follow them.
5. That I shall abide by any alteration, deletion or addition in the Bye-laws and rule of the said
society.
6. That I am neither a member of any other co-operative Credit Society or Co-operative Bank and
nor take the same until resignation from The Sahu Co-operative Urban Thrift & Credit Society
Ltd.
7. That I do not carry any business parallel to the business of the society and further promise not to
do the same until resignation from the membership of the Society.
8. That I shall not resign, in any case from membership of the Society before one year.
9. That I shall immediately inform the society about any change of address in my residence or
business/ service.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 03 rd day of June 2014, that the contents of this Affidavit are true and
correct to the best of my knowledge and belief and nothing has been concealed therein.
DEPONENT
AFFIDAVIT
I, RAJ KUMAR UPADHYAY SON OF SHRI RAMA SHANKAR UPADHYAY

Resident of House No.M-75, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, aged
about 43 years, do hereby solemnly affirm and declare as under:-
Contd..2.
** 2 **
1. That my Aadhaar Card No.5187 4375 5626.
2. That I am working as a teacher in Purvanchal Public School at B-433/6, Jaitpur Extn.

Part-II, P.O.Badarpur, New Delhi-110044, and earn from it Rs.25,000/- (Rupees Twenty
Five Thousand only) per month, which makes Rs.3,00,000/-(Rupees Three Lac only),
per annum.
3. That I am not a member of any other Thrift & Credit Society/ Co-operative Bank.
4. That I am neither a member of any other co-operative Credit Society or Co-operative

Bank and nor take the same until resignation from The Sahu Co-operative Urban Thrift
& Credit Society Ltd.
5. That I shall abide by all terms of the bank.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 19th day of January 2017, that the contents of the above
affidavit are true to the best of my knowledge and nothing has been concealed therein.
DEPONENT
AFFIDAVIT
I, BASANTI DEVI WIFE OF SHRI AKSHAYVAR RAM Resident of House

No.C-34, Saurabh Vihar, Hari Nagar Extn. Jaitpur, P.O.Badarpur, New Delhi-110044, aged
about 43 years, do hereby solemnly affirm and declare as under:-
Contd..2.
** 2 **
2. That I am running my own cosmetic shop at R-2/5, Hari Nagar Extn. Saurabh Vihar,
Jaitpur, P.O.Badarpur, New Delhi-110044, and earn from it Rs.10,000/- (Rupees Ten
Thousand only) per month, which makes Rs.1,20,000/-(Rupees One Lac Twenty
thousand only), per annum.

Bank and nor take the same until resignation from Dhan Kalyan Co-operative Thrift &
Credit Society.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 07th day of November 2017, that the contents of the above
DEPONENT
AFFIDAVIT
I, VIJAY YADAV SON OF SHRI RANDHIR YADAV Resident of House No.F-

363/A, Gali No.8A, Prince Colony, Hari Nagar Extn. Part-III, P.O.Badarpur, New
Delhi-110044, do hereby solemnly affirm and declare as under:-
Contd..2.
** 2 **
1. That I am residing at the above address for last many years.
2. That I am working as a Manager with OSR Logistics at 809, Ansal Class Q Tower,
J-Block Market, Rajouri Garden, New Delhi, since 2011 and my gross monthly income
of Rs.20,000/- (Rupees Twenty thousand only).
3. That I am not a member of any other Thrift & Credit Society and have not taken any
loan from any other T/C Society/Bank/Financial Institution or individual as on date nor
will take any till the entire loan amount plus interest thereon is paid to the Jai Dhan
Lakshmi Co-operative (U) Thrift & Credit Society Ltd., West Vinod Nagar, Delhi.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 09th day of July 2019, that the contents of the above affidavit
are true to the best of my knowledge and nothing has been concealed therein.
DEPONENT
AFFIDAVIT
I, Ramkesh Chaprana S/O Sh. Inder Singh age 57 Years, Chairman of the Green Valley
Public School Educational Society running the Green Valley Public School, do hereby solemnly
affirm and sincerely state that:-
Contd…2..
*** 2 ***
1. That Green Valley Public School Educational Society is a registered Society under the
Society Act 1860 vide No.S/29222 of 1996.
2. That the Green Valley Public School Educational Society
3. That no member of the School Management Committee is related to each other.
4. That the school is run as a community service and not as a business and that
commercialization does not take place in the school in any shape whatsoever.
5. That no part of income from the institution shall be diverted to any individual in the
Society, School Management Committee or to any other person. The savings, if any,
after meeting the recurring and non-recurring expenditure and contributions to
developmental, depreciation and contingency funds may be further utilized for
promoting the school.
6. That school is not paying any charges towards using name, motto, logo or any other
non-academic activities to any other institution, organization or body organization.
7. The school is not sponsoring candidates for Board’s Examination of any other
school/Branch, which is not affiliated to the Board.
The above-mentioned facts are true and correct to the best of my knowledge,
information and belief.
Signature of the Deponent
VERIFICATION
Verified at Delhi on this 09 th day of July, 2019 that the contents of my affidavit are true and
Signature of the Deponent

AFFIDAVIT
Affidavit of SHRI MANGAL SON OF SHRI GAYA PRASAD MAURYA Resident of House
No.M-106/C, Saurabh Vihar, Jaitpur, Near Bhim Rao Ambedkar Murti, P.O.Badarpur, New
Delhi-110044, aged about 34 years, hereinafter called the deponent, on solemn affirmation.
Contd…2
**2**
I, the deponent named above, do hereby solemnly affirm and sincerely state as follows:-
Ltd., Delhi.
2. That my D.L. No.DL-0320090058491(P).
to follow them.
society.
Ltd.
business/ service.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 15th day of October 2016, that the contents of this Affidavit are true and
DEPONENT
AFFIDAVIT
I, MANGAL SON OF SHRI GAYA PRASAD MAURYA Resident of House

No.M-106/C, Saurabh Vihar, Jaitpur, Near Baba Bhim Rao Ambedkar Murti, P.O.Badarpur,
New Delhi-110044, do hereby solemnly affirm and declare as under:-
Contd..2.
** 2 **
1. That my D.L. No.DL-0320090058491(P).
2. That I am running my own business of Photography through the name & style M/s
MANGAL MOVIES at M-106/C, Saurabh Vihar, Jaitpur, Near Baba Bhim Rao
Ambedkar Murti, P.O.Badarpur, New Delhi-110044, and earn from it Rs.20,000/-
(Rupees Twenty thousand only) per month, which makes Rs.2,40,000/-(Rupees Two
Lac Forty Thousand only). Per annum

DEPONENT
VERIFICATION :-
Verified at Delhi on this 15th day of October 2016, that the contents of the above
DEPONENT
AFFIDAVIT
Affidavit of RAJBALA WIFE OF SHRI PAVAN KUMAR Resident of House No.N-524,

Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-44, aged about 32 years, hereinafter called the
deponent, on solemn affirmation.
**2**
I, the deponent named above, do hereby solemnly affirm and sincerely state as follows :
Ltd., Delhi.
2. That my Voter I.D. Card No.WGL0406918.
to follow them.
society.
Ltd.
business/ service.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 12 th day of December 2013, that the contents of this Affidavit are true
DEPONENT
AFFIDAVIT
I, RAJBALA WIFE OF SHRI PAVAN KUMAR Resident of House No.N-524, Saurabh Vihar,
Jaitpur, P.O.Badarpur, New Delhi-44, aged about 32 years, do hereby solemnly affirm and declare as
under:-
Contd..2.
** 2 **
1. That my Voter I.D. Card No.WGL0406918.
2. That I run my own business in the name and style of M/s KAVISH EXIM SERVICES at
N-524, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-44.
3. That my monthly income is Rs.16,000/-(Rupees Sixteen thousand only), from rent,

which Comes to Rs.1,92,000/- per annum.

DEPONENT
VERIFICATION :-
Verified at Delhi on this 12th day of December 2013, that the contents of the above
DEPONENT
AFFIDAVIT
Affidavit of SHRI RANJEET KUMAR SON OF SHRI HEM RAJ SINGH Resident of House
No.QN-2, Police Colony, Shakarpur, Type-2, Laxmi Nagar, New Delhi-92, aged about 31 years,
hereinafter called the deponent, on solemn affirmation.
**2**
Ltd., Delhi.
2. That my I Card No.IPS0265421.
to follow them.
society.
Ltd.
business/ service.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 03rd day of September 2012, that the contents of this Affidavit are true
DEPONENT
AFFIDAVIT
Affidavit of SHRI RANJEET KUMAR SON OF SHRI HEM RAJ SINGH Resident of House
No.QN-2, Police Colony, Shakarpur, Type-2, Laxmi Nagar, New Delhi-92, aged about 31 years,
hereinafter called the deponent, on solemn affirmation.
**2**
Ltd., Delhi.
2. That my I Card No.IPS0265421.
to follow them.
society.
Ltd.
business/ service.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 03rd day of September 2012, that the contents of this Affidavit are true
DEPONENT
AFFIDAVIT
I, RAGHUNATH PANDEY SON OF SHRI LAL BACHAN PANDEY Resident of House
No.I-55, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, aged about 44 years, do hereby solemnly
Contd..2.
** 2 **
2. That I am working as Estate Manager with SKIPPER CONRNER at 88, Nehru Place,
FLAT OWNERS & OCCUPANTS ASSOCIATION, B-9, Skipper Corner, 88, Nehru
Place, New Delhi-110019, and earn Rs.15,000/- (Rupees Fifteen thousand only) per
month & I am also work part time job in K.C. Clinic, at 373, Sant Nagar, East of
Kailash, New Delhi-110065, and earn Rs.10,000/- (Rupees Ten thousand only), per
month which makes Rs.3,00,000/- (Rupees Three Lac only), per annum.

DEPONENT
VERIFICATION :-
Verified at Delhi on this 05th day of May 2014, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I, AMIT KUMAR SON OF SHRI RAJ KUMAR Resident of House No.A-96/8, Om

Nagar, Mithapur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:-

2. That I have passed 12th Class in the year of 2012-2013 from C.B.S.E. Board, Delhi.
3. That from 2013 to 2014 I have not studied in any Govt. or Private Institute & I have not
involved in any criminal activities.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 14th day of June 2014, that the contents of this Affidavit are true
DEPONENT
AFFIDAVIT
I, TAPAN CHAKROBARTHY SON OF SHRI NIRANJAN CHAKROBARTHY

Resident of C/o Shri Subhash Sharma, Village Hari Nagar, P.O.Badarpur, New Delhi-44, do
2. That my son namely “SURAJ CHAKROBARTHY” has passed 05th Class in the year
of 2008-2009 from Green Valley Public School, Hari Nagar, Badarpur, New Delhi-44.
3. That from April 2009 to March 2010 my son has not studied in any Govt. or Private
School & he has not involved in any criminal activities.
4. That this period is the gap year of my son.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SHASHI BHUSHAN SINGH SON OF SHRI NARENDRA KUMAR SINGH Resident of

House No.C-32, Saurabh Vihar, Near Chaukan Mandir, Jaitpur Road, P.O.Badarpur, New Delhi-44, do
1. That I had an advance Registration for priority allotment of a plot in Santour City-II, Dehradun/
Santour City Haridwar, a project of M/s Octagon Builders & Promoters (P) Ltd. a real estate developer
company (said Company) vide Receipt No. …………………
2. That I have not yet availed the allotment of any property from the said company.
3. That due to my personal necessity, I have requested the company to cancel the aforesaid
advance Registration Receipt. And adjust the amount in the name of Shashi Bhushan Singh son of Shri
Narendra Kumar Singh Resident of House No.C-32, Saurabh Vihar, Near Chaukan Mandir, Jaitpur
Road, P.O.Badarpur, New Delhi-44.
4. That on cancellation of my Receipt and/ or advance Registration by the said company, I or my

legal heirs shall have no right, claim or interest left on the said Receipt and /or advance Registration.
DEPONENT
(Seller)
VERIFICATION
Verified that the contents of Para 1 to 4 of above affidavit are true to the best of my knowledge
and belief and nothing material has been concealed there from.
DEPONENT
(Seller)
(Dealer)
Witness:
AFFIDAVIT
I, RANJEET KUMAR SINGH SON OF LATE SHRI LAXMAN PRASAD SINGH Resident of
House No.R-100, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly
advance Registration Receipt. And adjust the amount in the name of Ranjeet Kumar Singh son of Late
Shri Laxman Prasad Singh Resident of House No.R-100, Saurabh Vihar, Hari Nagar Extn.
P.O.Badarpur, New Delhi-44.

DEPONENT
(Seller)
VERIFICATION
DEPONENT
(Seller)
(Dealer)
Witness:
AFFIDAVIT
I, RAJESH KUMAR SON OF LATE SHRI INDER SINGH Resident of Gate No.3, Shiv Farm,
Hari Nagar, Jaitpur Road, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare as
under:-
advance Registration Receipt. And adjust the amount in the name of Rajesh Kumar son of Late Shri
Inder Singh Resident of Gate No.3, Shiv Farm,Hari Nagar,Jaitpur Road,P.O.Badarpur,New Delhi-44.

DEPONENT
(Seller)
VERIFICATION
DEPONENT
(Seller)
(Dealer)
Witness:
AFFIDAVIT
I, SATISH CHANDRA SON OF SHRI BENCHEY LAL Resident of House No.D-

1A, Prince Colony, Ismailpur Road, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-44, do
hereby solemnly affirm and declare as under :-
Contd…2.
** 2 **
1. That my correct & exact date of birth is 03.03.1968 (03 rd day of March Nineteen
Hundred Sixty Eight).
2. That I belong to JATAV Caste since birth which is declare the S.C. by the Govt.
3. That I have been residing in NCT of Delhi by birth.
4. That I have not been issued the S.C. Certificate in my name from Delhi or out of Delhi.
5. That I am enclosed my Brother’s S.C. Certificate bearing Sl.

No.SC/5/52/619/8/10/2003/728, issued on dated 08.10.2003, issued by Sub Divisional
Magistrate, Tughlakabad Institutional Area, Near Batra Hospital, M.B. Road, Saket,
New Delhi.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 08th day of May 2014, that the contents of this affidavit, are true
DEPONENT
AFFIDAVIT

Contd…2.
** 2 **
1. That the correct & exact date of birth of my son/ daughter namely “DEEKSHA
GAUTAM” is 23.09.2000 (23rd day of September Two Thousand Niane).
4. That my son/daughter has not been issued the S.C. Certificate in his/her own name from
Delhi or out of Delhi.
New Delhi.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT

Contd…2.
** 2 **
1. That the correct & exact date of birth of my son/ daughter namely “DEEKSHA
GAUTAM” is 23.09.2000 (23rd day of September Two Thousand Niane).
4. That my son/daughter has not been issued the S.C. Certificate in his/her own name from
Delhi or out of Delhi.
New Delhi.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, HARI SINGH SON OF SHRI SHIV CHARAN Resident of House No.1/10, Saurabh
Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare as
under :-
1. That my correct & exact date of birth is 20.08.1956 (20 th day of August Nineteen
Hundred Fifty Six).
2. That I belong to JATAV CHAMAR Caste since birth which is declare the S.C. by the
Govt.
4. That I have not been issued the S.C. Certificate in my name from Delhi or out of Delhi.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 26th day of December 2013, that the contents of this affidavit,
are true and correct to the best of my knowledge and belief and nothing has been concealed
therein.
DEPONENT
AFFIDAVIT
I, HAR NARENDRA PAL SINGH SON OF SARDAR CHANAN SINGH Resident of House
No.B-361/11D, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under :-
1. That the correct & exact date of birth of my son/daughter namely “PREET KAUR” is
04.01.1999 (04th day of January Nineteen Hundred Ninety Nine).
2. That I belong to MALLAH Caste since birth which is declare the S.C. by the Govt.

4. That my son/daughter has not been issued the S.C. Certificate from Delhi or out of
Delhi.
5. That I am enclosed my S.C. Certificate vide S.C. Certificate No.8442, issued on

12.08.1980, which was issued in my name issued by Deputy Commissioner Delhi.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 26th day of July 2013, that the contents of this affidavit, are true
DEPONENT
AFFIDAVIT
I, HAR NARENDRA PAL SINGH SON OF SARDAR CHANAN SINGH Resident of House
No.B-361/11D, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under :-
1. That the correct & exact date of birth of my son/daughter namely “BALVINDAR
SINGH” is 25.12.1996 (25th day of December Nineteen Hundred Ninety Six).
2. That I belong to MALLAH Caste since birth which is declare the S.C. by the Govt.

4. That my son/daughter has not been issued the S.C. Certificate from Delhi or out of
Delhi.
5. That I am enclosed my S.C. Certificate vide S.C. Certificate No.8442, issued on

12.08.1980, which was issued in my name issued by Deputy Commissioner Delhi.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 26th day of July 2013, that the contents of this affidavit, are true
DEPONENT
AFFIDAVIT OF MANAGING COMMITTEE
In the matter of Registration of a Cooperative Society in the name & style of RIDHI
SIDHI COOPERATIVE URBAN THRIFT & CREDIT SOCIETY LTD., at B-272, A-Block,
Meethapur Extn. Badarpur, New Delhi-44, under the Delhi Cooperative Societies Act, 2003.
(1). Shri D.D. Parashar President

(2). Shri hariom Sharma Vice-President
(3). Shri Hem Chand Singhal Treasurer
(4). Shri Tarun Kumar Garg Secretary
(5). Shri Dharam Pal Member Managing Com.
(6). Shri Manoj Jha - do –
(7). Shri Suresh Upadhyay - do –
(8). Smt. Kanta Sharma - do –
(9). Smt. Suman Sharma - do –
Contd…2.
** 2 **
That we the members of the Managing Committee of the aforesaid Society do hereby
solemnly affirm & declare that we shall not engage ourselves in similar business as carried out
by the aforesaid Society.
(1). Shri D.D. Parashar President

(2). Shri hariom Sharma Vice-President
(3). Shri Hem Chand Singhal Treasurer
(4). Shri Tarun Kumar Garg Secretary
(5). Shri Dharam Pal Member Managing Com.
(6). Shri Manoj Jha - do –
(7). Shri Suresh Upadhyay - do –
(8). Smt. Kanta Sharma - do –
(9). Smt. Suman Sharma - do –
VERIFICATION :-
Verified at Delhi/New Delhi on this 24th day of December 2009, that the contents of the
above affidavit are true and correct to the best of my knowledge and belief.
DEPONENTS
MODEL RESOLUTION FOR FORMING A COOPERATIVE SOCIETY
A Meeting of the General Body of the Promotors members of Society held on

20.12.2009, at 11:00 A.M. in the Gagan Public School, 55 members out of 70 members
attended the meeting. Following resolutions were passed unanimously.
1. Resolved that A Thrift & Credit Cooperative Society by formed to promote the
economic interest of the persons joining the Society.
2. Resolved that the Name of the Society shall be THE RIDHI SIDHI COOPERATIVE
URBAN THRIFT & CREDIT SOCIETY LTD.
3. Resolved that Registered Address of the Society shall be B-272, A-Block, Meethapur
Extn. Badarpur, New Delhi-44.
4. Resolved that Area or operation of the Society shall be N.C.T. of Delhi.
5. Resolved that the value of one Share in the Society shall be Rs.500/- each and
Admission Fee will be Rs.100/- which shall not be refundable in any case.
6. Resolved that liability of a member shall be Ten time of the paid-up Share-Capital.
Contd…2.
** 2 **
7. Resolved that following members of the Management were elected unanimously.
(1) Shri D.D.Parashar President

(2) Shri Hariom Sharma Vice-President
(3) Shri Hem Chand Singhal Treasurer
(4) Shri Tarun Kumar Garg Secretary
(5) Shari Dharam Pal Member Managing Com.
(6) Shri Manoj Jha -do-
(7) Shri Suresh Upadhyay -do-
(8) Smt. Kanta Sharma -do-
(9) Smt. Suman Sharma -do-
8. Resolved that Shri Hem Chand Singhal Treasurer of the Society is authorized to deposit
the Share Capital collected from the members in the Delhi State Coop-Bank in suspense
account in the name of the proposed Society.
9 Resolved that Shri D.D.Parashar President and Shri Tarun Kumar Garg Secretary are
further autho0rised to sign any addition or cuttings in the Bye-laws of the Society and
they are also authorized to represent the Society before Registrar Coop. Societies, Delhi
regarding registration matter.
The Meeting ended with thanks of the Chair.
SECRETARY (PRESIDENT)
AFFIDAVIT OF SECRETARY
I, TARUN KUMAR GARG SON OF SHRI RAJENDER PARSHAD GARG Resident

of House No.B-3A, Badarpur Extn. Badarpur Border, New Delhi-44, do hereby solemnly and
declare as under:-
1. That I am the elected Secretary of the proposed Cooperative Society which will in the
name & style of the RIDHI SIDHI COOPERATIVE URBAN THRIFT & CREDIT
SOCIETY LTD. which has been formed to promote economic, social/cultural interest of
all the promoter members.
2. That the following are the members of the said proposed Society (list attached).
3. That all promoter members of the proposed Society are solvent & accept the liability to
the extent of Ten time of their paid up Share Money in the event of any deficiency at the
time of winding up of the Society at any time when called upon to do so.
4. That all the promoter members are the residents of Delhi & actual workers of their
trade.
5. That details of the property given by all the promoter members of the Society in their
individual affidavit are correct to the best of my knowledge & belief.
Contd…2.
** 2 **
6. Then none of the promoter members of the Society is a member of any other society of
the same type.
7. That no promoter member of the proposal Society is a member of the family of any
other promoter member as defined in Section 5 of Delhi Coop. Societies Act 2003.
8. That information given by the promoter members in the application form is correct to
the best of my knowledge.
DEPONENT
VERIFICATION :-
Verified at New Delhi on this 22nd day of December 2009, that the contents of the above
affidavit are true & correct to the best of my/our knowledge & belief.
DEPONENT
AFFIDAVIT
I, SATISH KUMAR THAKUR SON OF SHRI PARSHURAM THAKUR Resident of
House No.J-66, Gali No.4, Arpan Vihar, Jaitpur Extn. Part-I, P.O.Badarpur,New Delhi-110044,
do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 ***
2. That presently I am residing with my family on the above mentioned address for last
Three years.
3. That my correct and exact date of birth is 02.11.1988, (02 nd day of November Nineteen
Hundred Eighty Eight).
4. That I have not involved in any criminal activities & no any criminal case filed against
me in any Police Station.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 13th day of November 2015, that the contents of this affidavit
therein.
DEPONENT
AFFIDAVIT
I, SUMAN KUMARI WIFE OF SHRI SANJEEV KUMAR Resident of House
No.2449B, Gali No.65, Block E-II, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do
Contd…2..
*** 2 ***
2. That presently I am residing with my family on the above mentioned address.
3. That my father name is Shri Ram Pramod Singh & mother name is Late Smt. Anita
Sinha.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 23rd day of April 2018, that the contents of this affidavit are true
DEPONENT
AFFIDAVIT
I, KUMARI BANDANA WIFE OF SHRI SANTOSH KUMAR Resident of House
No.3474/A, Gali No.80, Block E-II, IIIrd 60’ Road, Molar Band Extn. P.O.Badarpur, New
Contd…2..
*** 2 ***
2. That presently I am residing with my family on the above mentioned address.
3. That my father name is Shri Ravindra Singh & mother name is Smt. Sunita Sinha.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 23rd day of April 2018, that the contents of this affidavit are true
DEPONENT
AFFIDAVIT
I, RAMA DEVI WIFE OF SHRI SUSHIL KUMAR Resident of House No.D-II/19,

Gali No.1, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
2. That my correct and exact date of birth is 10.02.1960, (10 th day of February Nineteen
Hundred Sixty).
DEPONENT
VERIFICATION :-
Verified at Delhi on this 03rd day of January 2019, that the contents of this affidavit are
DEPONENT
AFFIDAVIT
I, PREM SINGH SON OF SHRI MANIK CHAND Resident of House No.N-158,

Hari Nagar Extn. Part-III, Near Attar Singh Public School, P.O.Badarpur, New Delhi-110044,
Contd…2..
*** 2 ***
2. That my correct and exact date of birth is 15.03.1966 (15th day of March Nineteen
Hundred Sixty Six).
DEPONENT
VERIFICATION :-
Verified at Delhi on this 07th day of December 2018, that the contents of this affidavit
therein.
DEPONENT
AFFIDAVIT
I, SUNITA WIFE OF SHRI PREM SINGH Resident of House No.N-158, Hari Nagar
Extn. Part-III, Near Attar Singh Public School, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***
2. That my correct and exact date of birth is 30.09.1968 (30 th day of September Nineteen
DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT
I, ANUPA VISHKARMA DAUGHTER OF SHRI SURAJ DEEN VISHKARMA

Resident of House No.F-199A, Harsh Vihar, Hari Nagar Extn. P.O.Badarpur, New
Contd…2..
*** 2 ***
2. That presently I am residing at House No.F-199A, Harsh Vihar, Hari Nagar Extn.
3. That my permanent address is H.No.754, Ambedkar Basti, R.K. Puram, Sect.1, South
West Delhi-110022, where my mother’s resides.
4. That both address belongs to me.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 13th day of April 2017, that the contents of this affidavit are true
DEPONENT
AFFIDAVIT
I, KAMLESH VERMA SON OF SHRI JAGARNATH VERMA Resident of House

No.T-7, Sanjay Colony, Sehatpur, Distt. Faridabad, Haryana, do hereby solemnly affirm and
declare as under:-
1. That SHRI R.D. VERMA S/O SH.SUDAMA VERMA & MISS MAMTA VERMA D/O
SHRI R.D.VERMA are the Partners of the firm namely “M/s DIGITAL COMPUTER
SOLUTION”, at E-39/A, Ground floor, Jawahar Park, Khanpur, New Delhi-62.
2. That I am running the Business of the said Firm as Chief Executive.
3. That I have not taken any Loan from any Bank or Society against the said Firm.
4. That I have fully responsible for every thing in the said firm & the above said Partners
will not responsible for the same.

DEPONENT
VERIFICATION :-
are true and correct to the best of my knowledge and belief, and nothing has been concealed
therein.
DEPONENT
AFFIDAVIT
I, GAJRAJ SINGH SON OF LATE SHRI LALTA PRASAD Resident of House No.A-
388, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
1. That I drawn N.R.A.from management’s share of provident fund Rs…………….. on
…………………….. during my service period.
2. That I have drawn management’s share of provident fund amounting to Rs……………

on ……………..and total Gratuity amounting to Rs………………… on dated
……………….
3. That I have not been in employment in any Government/commercial establishment after

my retirement till today and I shall inform as and when I join any employment.
4. I have been in employment in not employed since …………….. and drawning monthly
salary of Rs……………..in total.
5. That I am not drawing any kind of pension from any State/Central Govt. Department
Military Department.
6. That I am drawing pension/family pension amounting to Rs…………………………

(Name of Deptt.).
7. That I have drawn a sum of Rs…………. Dated…………… from RPFC. In case I will
drawn any amount from RPFC in future. I shall deposite the same in Pension Cell (HQ).
8. If any excess payment is paid to me, the same can be recovered from my Pension at any
time.
9. That I shall abide by C.C.S. Pension Rules, 1972, as amended from time to time.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 28th day of March 2016, that the contents of this affidavit are
true and correct to the best of my knowledge and belief, and nothing has been concealed
therein.
DEPONENT
AFFIDAVIT
I, JAGAT SINGH SON OF SHRI RAMJI LAL Resident of House No.2919, Gali
No.69, Block E-II, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 **
2. That LATE SMT. SARITA DAUGHTER OF SHRI JAGAT SINGH was my

deceased daughter, who had died on 14.4.2015 at Home.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 20th day of January 2017, that the contents of this affidavit are
DEPONENT
AFFIDAVIT/N.O.C.
I, MAHAVIR SINGH SON OF SHRI SHANKAR LAL Resident of House No.25, Gali
No.3, F-Block, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2..
*** 2 **
2. That I am the legal owner of Built up House No.25, Situated at Gali No.3,
F-Block, Molar Band Extn. P.O.Badarpur, New Delhi-110044.
3. That SHRI CHANDRA BHAN SINGH CHAHAR is my real brother & he is running
his own business in the name and style of M/s SAI ENTERPRISES at my above said
premises.
4. That I shall have no objection if my brother wants to open a new current account
in the name and style of M/s SAI ENTERPRISES on my above mentioned address.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 22nd day of September 2018, that the contents of this affidavit
therein.
DEPONENT
AFFIDAVIT/N.O.C.
I, SUSHMA SHUKLA WIFE OF RAM KUMAR SHUKLA Resident of House

No.R-11/5, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 **
2. That I am the legal owner of Built up House No.R-11/5, Saurabh Vihar, Jaitpur,
3. That SHRI ALOK KUMAR SHUKLA is running his own business in the name and
style of M/s SHUKLA DAIRY at my above said premises.
4. That I shall have no objection if SHRI ALOK KUMAR SHUKLA shall apply to
take FSSAI license from the concerned authority on my above mentioned
address.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT/N.O.C.
I, MAHAVIR NANDI (ADVOCATE) SON OF SHRI SHIVRAM NANDI R/o

Chamber No.70, at 1439, Old Court Compound, Kashmere Gate, Delhi-110006, do hereby
Contd…2..
e-Stamp Certificate No.IN-DL72146218768893N
*** 2 **
2. That I am the General Secretary of KASHMERE GATE BAR

ASSOCIATION at 1439/96, Old Court, Kashmere Gate, Delhi-110006.
3. That SHRI RAVINDER KUMAR SON OF RAJPAL is the occupier of Seat

No.17, at 1439, Old Court Kashmere Gate, Delhi-110006, for last thirty years.
4. That I shall have no objection if Shri Ravinder Kumar shall apply to take new
electric connection at Seat No.17, at 1439, Old Court Kashmere Gate, Delhi-
110006, from the concerned authority.

DEPONENT
VERIFICATION :-
Verified at Delhi on this 16th day of October 2015, that the contents of this affidavit are
DEPONENT
AFFIDAVIT
I, RANJEET KUMAR SON OF SHRI HEM RAJ SINGH Resident of House No.QN-
2, Police Colony, Shakarpur, Type-2, Laxmi Nagar, Delhi-92, do hereby solemnly affirm and
declare as under:-
Conted..2.
** 2 **
1. That I am working in B.P. Priti Vihar, Delhi-92, Designation Supervisor.
2. That my monthly income is Rs.10,000/-(Rupees Ten thousand only), which Comes to

Rs.1,20,000/- per annum.
& Credit Society Ltd..
DEPONENT
VERIFICATION :-
Verified at Delhi on this 03rd day of September 2012, that the contents of the above
DEPONENT
AFFIDAVIT
I, MANI LAL GUPTA SON OF SHRI BABU LAL GUPTA Resident of House No.A-
293/A, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under:-
Contd..2.
** 2 **
1. That my Election Card No.WGL0749424.
2. That I am working as an investigator with TNS INDIA Pvt. Ltd. At 1899A, Kotla
Mubarakpur, South Extn. Part-I, New Delhi-110003.
3. That my monthly income is Rs.20,000/-(Rupees Twenty thousand only), which Comes

to Rs.2,40,000/- per annum.

DEPONENT
VERIFICATION :-
Verified at Delhi on this 14th day of August 2013, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I, SUJEET KUMAR SINGH SON OF SHRI HEM RAJ SINGH Resident of House
No.QN-2, Police Colony, Shakarpur, Type-2, Laxmi Nagar, Delhi-92, do hereby solemnly
Conted..2.
** 2 **
1. That I am working in S.T.C.S. 2141/59, Nai Wala Karol Bagh, New Dellhi-110005,
Designation Mangier .
2. That my monthly income is Rs.15,000/-(Rupees Fifteen thousand only), which Comes

to Rs.1,80,000/- per annum.

DEPONENT
VERIFICATION :-
Verified at Delhi on this 03rd day of September 2012, that the contents of the above
DEPONENT
AFFIDAVIT
I, ALOK KUMAR JHA (President of AROGYA YOGA BHARTI at K-210, Jaitpur

Extn. Badarpur, New Delhi-110044), Resident of House No.L-81, Jaitpur Extn. Part-I,
P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as under:-
1. That I/We wish to open Current Account in State Bank of India, Branch Air Force
Station, Tughlakabad, New Delhi-110044.
2. That I/We am/are the President of a society “AROGYA YOGA BHARTI” at K-210,
Jaitpur Extn. Badarpur, New Delhi-110044, bearing Regn. No.S/66850/2009.
3. That I/We have no Current Account in any Thrift & Credit Society/ Co-operative Bank
and any other Bank.
4. That I/we have not borrowed any loan from any bank or any other financial institution
and shall not raise any loan from any other bank or any other financial institution
without the written permission from this bank for the same purpose.
5. That I/We shall abide by all terms of the bank.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 08th day of February 2018, that the contents of the above
DEPONENT
AFFIDAVIT
I, AMIT SON OF SHRI SINGH RAJ Resident of House No.I-1017, Gali No.21, Hari
Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2..
*** 2 ***
1. That I/We wish to open Current Account in Allahabad Bank, Jaitpur Branch New Delhi-
110044.
2. That I/We am/are the Proprietor of a firm M/s AMIT at I-1017, Gali No.21, Hari Nagar
Extn. P.O.Badarpur, New Delhi-110044.
3. That I/We have no Current Account in any Thrift & Credit Society/ Co-operative Bank
and any other Bank.
4. That I/we have not borrowed any loan from any bank or any other financial institution
and shall not raise any loan from any other bank or any other financial institution
without the written permission from this bank for the same purpose.
5. That I/We shall abide by all terms of the bank.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 01st day of December 2017, that the contents of the above
DEPONENT
AFFIDAVIT
I, BHUPENDRA ACHARYA son of Shri Moom Bahadur Acharya of Proprietor of M/s

Om Sai International of B/2/2324, 3rd Floor, Vasant Kunj, New Delhi-110070, do hereby
1. That I the proprietor of the firm M/s Om Sai International, the applicant in the above
proceedings, I am fully conversant with the facts of my firm’s application for
registration of trade marks GLOBAL SHINE LOGO and also competent and authorized
to swear this affidavit for and on behalf of my firm.
2. That my firm is engaged in the business of manufacturing & trading of item

preparations for washing and cleaning our body surfaces and glasses of automobiles
vehicles including glass cleaner, car body shiner, polish, car shampoo, car wax, dash
board shiner, tyre polish rust remover, preparations car fresheners as included in class 3
etc. for the past four years.
3. That on 01/04/2005, my firm honestly and bonafidely adopted the said trade mark
GLOBAL SHINE LOGO knowing well that there was no such or similar trade mark in
use and/or existence in respect of said goods only.
Contd…2.
** 2 **
4. That my firm has used said trade mark continuously and extensively since it’s adoption
in the year 2005. It has established a good trade and carried out voluminous sales of
said goods under the said trade mark. I give below the year wise sales in of my firm for
the goods covered by the trade mark GLOBAL SHINE LOGO
PERIOD AMOUNT
(Rs.)
2005.2006 7,50,255/-
2006.2007 10,65,350/-
2007.2008 15,20,225/-
2008-2009 20,04,372/-
5. I say that the trade mark GLOBAL SHINE LOGO is exclusively identified and
associated with the said goods of my firm among the public and trade. My firm has
practically distributed the said goods bearing the said trade mark through out the
country. The trade mark is capable to distinguish GLOBAL SHINE LOGO the goods of
my firm.
6. I submit that I have neither heard nor come across any goods under Trade marks of cited
applications. The goods under the cited marks are quite different from my reputated
trade mark GLOBAL SHINE LOGO for the goods.
7. In the circumstances, I submit that application of my firm for registration of trade mark
GLOBAL SHINE LOGO may be accepted in of the register and ordered to be
advertised in the trade marks journal at an early date.
DEPONENT
Verification :
I, BHUPENDRA ACHARYA, the above named deponent, do hereby verify that the
contents of my above affidavit are true and correct to the best of my knowledge and belief and
nothing material has been concealed therein.
Verified at Delhi on this 07th day of December 2009.

DEPONENT
AFFIDAVIT/N.O.C.
I, AMAR SINGH SON OF LATE SHRI JASODH SINGH Resident of House No.169,
Panchsheel Colony, Part-II, Ismailpur Extn. Tehsil & Distt. Faridabad, Haryana, do hereby
1. That MS MANJU RAWAT is my real daughter and her date of birth is 18.11.1984, (18 th
day of November Nineteen Hundred Eighty Four).
2. That she is Major and she is free to take all decision for herself.
3. That I have no objection if she want to marry to her choice person.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 29th day of September 2009, that the contents of this affidavit
are true & correct to the best of my knowledge and belief and nothing has been concealed
therein.
DEPONENT
AFFIDAVIT
I, RANJEET KUMAR SINGH SON OF SHRI NAVAL KISHORE SINGH Resident

of House No.D-2/226, Gali No.5, Hari Nagar Extn. Near Chhota Gurudwara, P.O.Badarpur,
New Delhi-44, (vide Aadhaar Card No.9706 2674 3847), do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
i). That I am married to RUKMANI KUMARI DAUGHTER OF SHRI YOGENDRA

KUMAR SINGH Resident of House No.D-2/226, Gali No.5, Hari Nagar Extn. Near
Chhota Gurudwara, P.O.Badarpur, New Delhi-44, according to the Hindu Rites and I
am Hindu (Religion) by birth /conversion.
Ii). That the marriage was solemnized on 22.06.2003 at Home Town, Chhapra, Bihar.
iii). That my date of birth is 01.04.1983.
iv). That prior of this marriage I was Unmarried.
v). That my wife and I are not related to each other within the prohibited degree of
relationship.
vi). That I am Indian Citizen.
DEPONENT
VERIFICATION :-
Verified at New Delhi on this 17th day of September 2018 that the contents of the above
affidavit are true to the best of my knowledge and belief.
DEPONENT
AFFIDAVIT
I, RUKMANI KUMARI DAUGHTER OF SHRI YOGENDRA KUMAR SINGH

Resident of House No.D-2/226, Gali No.5, Hari Nagar Extn. Near Chhota Gurudwara,
P.O.Badarpur, New Delhi-44, (vide Aadhaar Card No.9833 4064 3961), do hereby solemnly
Contd…2..
*** 2 ***
i). That I am married to RANJEET KUMAR SINGH SON OF SHRI NAVAL KISHORE
SINGH Resident of House No.D-2/226, Gali No.5, Hari Nagar Extn. Near Chhota
Gurudwara, P.O.Badarpur, New Delhi-44, according to the Hindu Rites and I am Hindu
(Religion) by birth /conversion.
Ii). That the marriage was solemnized on 22.06.2003 at Home Town, Chhapra, Bihar.
relationship.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, BALJEET SINGH SON OF LATE SHRI MAKHAN SINGH Resident of Village

Salarpur, Distt. Karnal, Haryana, do hereby solemnly affirm and declare as under:-
1. That I am donating my kidney to my Brother Shri Amarjeet Singh son of Late Shri
Makhan Singh aged 26 years at my free will and choice without any pressure or undue
influence from any side. Neither I have sold nor I have bargained for this above said
donation.
Signature of recipient
DEPONENT
VERIFICATION :-
Verified at this 10th day of September 2009, that the contents of the above said affidavit
are true and correct to the best of my knowledge and belief and nothing material has been
concealed therein.
DEPONENT
AFFIDAVIT
I, BALJEET SINGH SON OF LATE SHRI MAKHAN SINGH Resident of Village

Salarpur, Distt. Karnal, Haryana, do hereby solemnly affirm and declare as under:-
1. That I am donating my kidney to my Brother Shri Amarjeet Singh son of Late Shri
Makhan Singh aged 26 years at my free will and choice without any pressure or undue
influence from any side. Neither I have sold nor I have bargained for this above said
donation.
Signature of recipient
DEPONENT
VERIFICATION :-
Verified at this 10th day of September 2009, that the contents of the above said affidavit
are true and correct to the best of my knowledge and belief and nothing material has been
concealed therein.
DEPONENT
DECLARATION/AFFIDAVIT
I, RAKESH KUMAR SON OF SHRI P.R. THAKUR Resident of House No.C1/506,

Aya Nagar Colony, Phase-IV, New Delhi-110047, do hereby solemnly affirm and declare as
under:-
Contd…2..
*** 2 ***
2. That I am running my own business from the name and style of M/s Kumar General
Store at Shiv Enclave, Ismailpur, Faridabad, Haryana & Auto Driving Part time, and
earn Rs.15,000/- per month i.e. Rs.1,80,000/- annually.
3. That I have no any source of income moreover above.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 16th day of May 2016, that the contents of this affidavit are true
DEPONENT
I, PARIMAL MANDAL SON OF SHRI SITA RAM MANDAL Resident of House

No.F-365/1, Gali No.8A, Prince Colony, Tanki Road, Hari Nagar Extn. Part-III, P.O.Badarpur,
Contd…2..
*** 2 ***
2. That the actual and correct date of birth of my son/daughter named “PREETI LATA
MANDAL” is 24.04.2002 (24th day of April Two thousand Two), who is studying in
XIth class, Section-E, Sarvodaya Kanya Vidyalaya, Molar Band, New Delhi-110044.
3. That I am working as Private Service, and earn Rs.96,000/- annually.
5. That his/her mother’s name is “MRS. JHUMA RANI MANDAL”.

DEPONENT
VERIFICATION :-
Verified at Delhi on this 13th day of February 2019, that the contents of this affidavit are
DEPONENT
I, PREM KUMAR SHARMA SON OF SHRI LAL BIHARI Resident of House

No.2086, Gali No.60-C, Block E-II, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do
Contd…2..
*** 2 ***
2. That the actual and correct date of birth of my son/daughter named “NISHA” is
_____________ ( ),
who is studying in VIIIth class, Section-C, Govt. Girls Sr. Sec. School No.1, Badarpur,
New Delhi-110044.
5. That his/her mother’s name is “MRS. PRATIMA DEVI”.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, RAJU SON OF SHRI RATAN LAL Resident of House No.D-2-156, Hari Nagar
Extn. Part-III, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2..
*** 2 ***
2. That I am working as Private Service, and earn Rs.1,50,000/- annually.
DEPONENT
VERIFICATION :-
DEPONENT
I, ASHOK PANDEY SON OF SHRI DUTH NATH PANDEY Resident of House

Contd…2..
*** 2 ***
2. That the actual and correct date of birth of my son/daughter named “SEJAL PANDEY”
is 17.05.2005 (17th day of May Two thousand Five), who is studying in VIIIth class,
Section-C, Govt. Girls Sr. Sec. School No.1, Badarpur, New Delhi-110044.
5. That his/her mother’s name is “MRS. KUSUM PANDEY”.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, AKSHAY KUMAR VERMA SON OF SHRI GOKUL SINGH MAHTO Resident of

House No.I-1097, Gali No.30, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***
2. That I am working as Supervisor with GOKUL OFFSET PVT. LTD. at Okhla, Phase-II,
New Delhi-110020.
3. That my monthly income Rs.8,000/- per month i.e. Rs.96,000/- annually.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 13th day of August 2019, that the contents of this affidavit are
DEPONENT
I, USHA DEVI WIFE OF SHRI NAGENDRA GIRI Resident of House No.G-126, Gali
No.3, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
many years.
3. That I am working as Tailor at Home & my actual income from all sources is
Rs.1,44,000/- (Rupees One Lakh Forty Four thousand only) annually.
DEPONENT
VERIFICATION :-
DEPONENT
I, KRISHAN CHANDER MAURYA SON OF SHRI HAR CHAND Resident of

House No.C-12, Saurabh Vihar, Hari Nagar Extn. Near Gupta Medical, P.O.Badarpur, New
Contd…2..
*** 2 ***
2. That the actual and correct date of birth of my son/daughter named “ANCHAL
MAURYA” is 07.2.2003 (07th day of February Two thousand Three), who is studying in
Xth, Sect-C, in Govt. Girls, Sr. Sec. School, No.3, Badarpur, New Delhi-110044.
3. That I am working as Private Service, and earn Rs.8,000/- per month i.e. Rs.96,000/-
annually.
DEPONENT
VERIFICATION :-
DEPONENT
I, SHIV KUMAR SON OF NIHAL SINGH Resident of House No.J-117A, Saurabh

Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
2. That the correct and exact date of birth of my son/daughter namely “ARCHANA
SINGH” is 07.12.2002 (07th day of December Two thousand Two), who is studying in
class Xth, Sect-B, in Kastoorba Balika Vidyalaya, Ishwar Nagar, New Delhi.
3. That I am working as Private Service, and earn Rs.12,000/- per month i.e. Rs.1,44,000/-
annually.
DEPONENT
VERIFICATION :-
DEPONENT
I, MANIK CHAND GUPTA SON OF SHRI JANAK DEV GUPTA Resident of House
No.L-57B, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***
annually.
DEPONENT
VERIFICATION :-
DEPONENT
I, VIJAY KUMAR GUPTA SON OF MOHAN GUPTA Resident of House

No.I-987/22, Hari Nagar Extn. Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
2. That I am a bonafide resident of Delhi and staying at the above shown address.
3. That my son namely is DEEPAK KUMAR GUPTA.
4. That I am working as Vegetable Shopkeeper at Delhi, and earn Rs.6,000/-(Rupees Six

thousand only) per month i.e. Rs.72,000/- annually.
6. That my actual name is VIJAY GUPTA but by mistake my name has mentioned as
VIJAY KUMAR GUPTA in my son’s school certificate.
7. That VIJAY GUPTA & VIJAY KUMAR GUPTA are the name of same person.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 23rd day of July 2015, that the contents of this affidavit are true
DEPONENT
I, SUDHIR KUMAR SON OF SHRI MANMOHAN DASS Resident of House

No.I-626/3, Jaitpur, Saurabh Vihar, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
2. That I am father of PRAKARTI BANSAL.
3. That me and my daughter’s actual name are SUDHIR KUMAR AND PRAKARTI
BANSAL.
4. That in my child transfer certificate issued by Bharat Public School, Jaitpur, mentioned
as SUDHIR BANSAL AND PRAKRATI BANSAL instead of SUDHIR KUMAR AND
PRAKARTI BANSAL
5. That I hereby declare that both the name SUDHIR KUMAR AND SUDHIR BANSAL
pertain to one and same person. Also PRAKRATI BANSAL & AND PRAKARTI
BANSAL pertain to one and same person.
6. That this is my true and correct statement.
DEPONENT
VERIFICATION :-
DEPONENT
I, DEVENDER GIRI SON OF SHRI HARI GIRI Resident of House No.O-103,

declare as under:-
Contd…2..
*** 2 ***
2. That my family annual income from all sources is Rs.7,500/- per month i.e. Rs 90,000/-
annually.

DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, KRISHNA NAND SON LATE SHRI RAMANAND Resident of House No.A-142,

Gali No.5, Numberdar Colony, Shakti Vihar, P.O.Badarpur, New Delhi-44, do hereby solemnly
Cont.. 2..
**2**
1. That my father SHRI RAM NIWAS SINGH is working /engaged as Work Assistant,
with M.T.N.L at Nehru Place, New Delhi-110019, and his income/salary is Rs.19,100/-
per month.
2. That my father/mother is unemployed /retired, employed in Government/Govt.

undertaking/Public Sector/Private Sector or self employed as mentioned above.
3. That I and my parents do not own/do own property which is located at House No.M-
22, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, built up in 100
Sq.Yds. and the rental income there of is Rs. Nil.
4. That total annual income of my parents is Rs.2,29,200 /- from all sources and does not
exceed to Rupees Two Lac Fifty thousand, as prescribed in the scheduled of
Government of India (Rule of exclusion) for reservation for other backward classes.
5. That I have complied with the guidelines and instructions for issue of O.B.C. certificate
if any submission or information is found to be false or incomplete now or at any stage,
I understand that if issued me O.B.C. certificate is liable to be cancelled.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, SHASHI DAUGHTER OF SHRI RAM NIWAS SINGH Resident of House No.M-

22, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm
Cont..2..
**2**
1. That I belong to KURMI Caste which is O.B.C. in the list of NCT of Delhi at S.No.33.
2. That I have been ordinarily residing in NCT of Delhi since 1992.
3. That I am a Student/unemployed/employed as Student and my annual income is abount

Rs. Nil.
4. That my father/mother is unemployed/employed as Govt. Employee, earning

Rs.2,29,200/- p.a.
5. That I and my parents do not belong to creamy layer as mentioned in schedule of Govt.
of India, Dept. of personnel & Training O.M. N.O 36012/22/93-ESTT. (SCT) dated
08.09.1993.
6. That I and my parents do not own/do own Agricultural land in Delhi or anywhere
measuring Nil.
7. That I and my parents do not own/do own property in Delhi located at House
No.M-22, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, built up in 100
Sq.Yds.
8. That I have not been issued O.B.C. certificate from Delhi or any other state/Union
Territory.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, HARENDRA SINGH SON OF SHRI RAJA RAM PRASAD Resident of House

No.I-1113, Gali No.28, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly
Cont.. 2..
**2**
1. That I am running my own business in the name and style of M/s KUSHWAHA
MEDICOS at Shop No.1, Plot No.49/A, Block I, Hari Nagar Extn. Badarpur, New
Delhi-110044, and my income/salary is Rs.16,667/-per month.
2. That I am unemployed /retired, employed in Government/Govt. undertaking/Public

Sector/Private Sector or self employed as mentioned above.
3. That I and my parents do not own/do own property in Delhi or anywhere measuring Nil.
and the rental income there of is Rs. Nil.
4. That my total annual income is Rs.2,00,000 /- from all sources.
I understand that if issued O.B.C. certificate to my daughter MS. SPARSH SINGH
whose d.o.b. is 01.8.1999, is liable to be cancelled.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 22nd day of February 2016, that the contents of this affidavit are
DEPONENT
AFFIDAVIT
I, HARENDRA SINGH SON OF SHRI RAJA RAM PRASAD Resident of House

Cont..2..
**2**
1. That I belong to KOERI (KUSHWAHA) Caste which is O.B.C. in the list of Govt. of
India at S.No.__.
2. That I have been ordinarily residing in NCT of Delhi since by birth.
3. That I am running my own business in the name and style of M/s KUSHWAHA
MEDICOS at Shop No.1, Plot No.49/A, Block I, Hari Nagar Extn. Badarpur, New
Delhi-110044, and my annual income is abount Rs.2,00,000/-(Rupees Two Lac only).
4. That I am unemployed/employed as Self-Employee, earning Rs.2,00,000/- p.a.
08.09.1993.
measuring Nil.
8. That my daughter MS. SPARSH SINGH whose d.o.b. is 01.08.1999, has not been
issued O.B.C. certificate from Govt. of India.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, PREETI DAUGHTER OF SHRI RAJ KUMAR Resident of Village Hari
Nagar, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare as under:-
1. That my father SHRI RAJ KUMAR is working as/engaged as Shopkeeper and his
income/salary is Rs.3,000/-per month.

2. That my father/mother is employed as mentioned above.
3. That I and my parents do not own/do own property which is located at Khasra No.656,
Village Hari Nagar, P.O.Badarpur, New Delhi-44, built up in 100 Sq.Yds. and the rental
income there of is Rs. Nil.
Contd…2..
*** 2 **
4. That total annual income of my parents is Rs.36,000/-from all sources and does not
exceed to Rupees Two Lac Fifty thousands, as prescribed in the scheduled of
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, NIKHIL KUMAR SINGH SON OF SHRI HARENDRA SINGH Resident of House

Contd…2..
*** 2 ***
1. That my father HARENDRA SINGH is running his own business in the name and style
of M/s KUSHWAHA MEDICOS at Shop No.1, Plot No.49/A, I-Block, Hari Nagar
Extn. Badarpur, New Delhi-44, and his income/salary is Rs.16,667/-per month.
2. That my father/mother is employed/unemployed/retired employed in Government/Govt.

3. That I and my parents do not own any property, and the rental income there of is Rs.
Nil.
4. That total annual income of my parents is Rs.2,00,000/- from all sources and does not
exceed to Rupees Four Lac Fifty thousands, as prescribed in the scheduled of
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, NIKHIL KUMAR SINGH SON OF SHRI HARENDRA SINGH Resident of House

Contd…2..
*** 2 ***
1. That I belong to KOERI (KUSHWAHA) Caste which is O.B.C. in the list of NCT of
Delhi at S.No.____.
2. That I have been ordinarily residing in NCT of Delhi by birth.

Rs. Nil.
4. That my father/mother is unemployed/employed as Self Employee, earning

Rs.2,00,000/- p.a.
08.09.1993.
measuring Nil.
Territory.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, NASIM ALI SON OF MR. SHAMIM ALI Resident of House No.R-19/4, Saurabh
Vihar, Jaitpur, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare as under:-
1. That I am working /engaged as Private Service at Nehru Place, New Delhi-19, and his
2. That I am employed/unemployed/retired employed in Government/Govt.

3. That I and my parents do not own/do own property which is located at House
No.R-19/4, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-44, built up in 25 Sq. Yds.
and the rental income there of is Rs. Nil.
4. That my total annual income is Rs.96,000/- from all sources and does not exceed to
Rupees Four Lac Fifty thousands, as prescribed in the scheduled of Government of
India (Rule of exclusion) for reservation for other backward classes.
I understand that if issued to my son/daughter O.B.C. certificate is liable to be
cancelled.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 07th day of June 2014, that the contents of this affidavit are true
DEPONENT
AFFIDAVIT
I, KRISHNA NAND SON OF LATE SHRI RAMANAND Resident of House No.142,

Block A, Gali No.5, Nambardar Colony, Shakti Vihar, P.O.Badarpur, New Delhi-44, do hereby
Contd…2.
** 2 **
1. That I am working /engaged as Private Service and my income/salary is Rs.6,000/-per

month.

No.142, Gali No.5, Numberdar Colony, Shakti Vihar, P.O.Badarpur, New Delhi-44,
built up in 50 Sq.Yds. and the rental income there of is Rs. Nil.
I understand that if issued to me is liable to be cancelled.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, KRISHNA NAND SON OF LATE SHRI RAMANAND Resident of House No.142,

Block A, Gali No.5, Nambardar Colony, Shakti Vihar, P.O.Badarpur, New Delhi-44, do hereby
Contd…2.
** 2 **
1. That I belong to YADAV (AHIR) Caste which is O.B.C. in the list of NCT of Delhi at
S.No.3.
2. That I have been ordinarily residing in NCT of Delhi since by birth.
3. That I am an employed and my annual income is abount Rs.72,000/-(Rupees Seventy

Two Thousand only).
4. That I am unemployed/employed as Private Service, earning Rs.72,000/- p.a.
08.09.1993.
measuring Nil.
No.142, Block A, Gali No.5, Numberdar Colony, Shakti Vihar, P.O.Badarpur, New
Delhi-44, built up in 50 Sq. Yds.
Territory.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, SHYAMA NAND SON OF LATE SHRI RAM PARKASH Resident of House

No.142, Block A, Gali No.5, Nambardar Colony, Shakti Vihar, P.O.Badarpur, New Delhi-44, do
Contd…2.
** 2 **

month.

No.142, Gali No.5, Numberdar Colony, Shakti Vihar, P.O.Badarpur, New Delhi-44,
built up in 50 Sq.Yds. and the rental income there of is Rs. Nil.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, SHYAMA NAND SON OF LATE SHRI RAM PARKASH Resident of House

No.142, Block A, Gali No.5, Nambardar Colony, Shakti Vihar, P.O.Badarpur, New Delhi-44, do
Contd…2.
** 2 **
S.No.3.
3. That I am an employed and my annual income is abount Rs.96,000/-(Rupees Ninety Six

Thousand only).
08.09.1993.
measuring Nil.
No.142, Block A, Gali No.5, Numberdar Colony, Shakti Vihar, P.O.Badarpur, New
Delhi-44, built up in 50 Sq. Yds.
Territory.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, SHARIF KHAN SON OF LATE MR. ARAS ALI Resident of House

No.D-131/4, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm
1. That I am working /engaged as Private Service at Nehru Place, New Delhi-19, and his

No.D-131/4, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-44, built up in 108
cancelled.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, SHARIF KHAN SON OF LATE MR. ARAS ALI Resident of House

No.D-131/4, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm
1. That I belong to MANIHAR Caste which is O.B.C. in the list of NCT of Delhi at
S.No.____.
3. That I am an employed and my annual income is abount Rs. 96,000/-(Rupees Ninety

Six thousand only).
08.09.1993.
measuring Nil.
No.D-131/4, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-44, built up in 108 Sq.
Yds.
8. That my daughter named “SHAGUFTA” whose d.o.b. is 04.05.1998 has not been issued
O.B.C. certificate from Delhi or any other state/Union Territory.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, U.K. SHARMA SON OF SHRI GAURI SHARMA Resident of House No.B-3/10,

Jaitpur Extn. Part-II, Kalindi Kunj Road, P.O.Badarpur, New Delhi-44, do hereby solemnly
Contd…2.
** 2 **
1. That I am working /engaged as Private Service as Salesmen work and my income/salary

is Rs.7,000/-per month.

No.B-3/10, Jaitpur Extn. Part-II, Kalindi Kunj Road, P.O.Badarpur, New Delhi-44, built
up in 50 Sq.Yds. and the rental income there of is Rs. Nil.
cancelled.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 27th day of July 2015, that the contents of this affidavit are true
DEPONENT
AFFIDAVIT

Contd…2.
** 2 **
1. That I belong to BADHAI Caste which is O.B.C. in the list of NCT of Delhi at
S.No.____.
2. That I have been ordinarily residing in NCT of Delhi since 24.09.1990.
3. That I am an employed and my annual income is abount Rs.84,000/-(Rupees Eighty

Four Thousand only).
4. That I am unemployed/employed as Private Service as Salesmen, earning Rs.84,000/-

p.a.
08.09.1993.
measuring Nil.
up in 50 Sq. Yds.
8. That my son named “SAURABH SHARMA” whose D.O.B. is 31.12.2001 has not been
issued O.B.C. certificate from Delhi or any other state/Union Territory.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, SONU SON OF SHRI MANGE RAM Resident of House No.I-432, Gali No.12A,
Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare as
under:-
Contd…2.
** 2 **

month.

No.I-432, Gali No.12A, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, built up in 47
DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT
I, SONU SON OF SHRI MANGE RAM Resident of House No.I-432, Gali No.12A,
under:-
Contd…2.
** 2 **
1. That I belong to SAINI Caste which is O.B.C. in the list of NCT of Delhi at S.No.__.
3. That I am an employed and my annual income is abount Rs.72,000/-(Rupees Seventy

Two Thousand only).
08.09.1993.
measuring Nil.
No.I-432, Gali No.12A, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, built up in 47
Sq. Yds.
Territory.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT

Contd…2.
** 2 **
1. That I am working /engaged as Private Service as Salesmen work and my income/salary

is Rs.7,000/-per month.

up in 50 Sq.Yds. and the rental income there of is Rs. Nil.
cancelled.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT

Contd…2.
** 2 **
1. That I belong to BADHAI Caste which is O.B.C. in the list of NCT of Delhi at
S.No.____.
2. That I have been ordinarily residing in NCT of Delhi since 24.09.1990.
3. That I am an employed and my annual income is abount Rs.84,000/-(Rupees Eighty

Four Thousand only).
4. That I am unemployed/employed as Private Service as Salesmen, earning Rs.84,000/-

p.a.
08.09.1993.
measuring Nil.
up in 50 Sq. Yds.
8. That my daughter named “SHWETA SHARMA” whose D.O.B. is 17.02.1999 has not
been issued O.B.C. certificate from Delhi or any other state/Union Territory.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, PREETI DAUGHTER OF SHRI RAJ KUMAR Resident of Village Hari

1. That I belong to GURJAR Caste which is O.B.C. in the list of NCT of Delhi at S.No.24.

Rs. Nil.
4. That my father/mother is unemployed/employed as Shopkeeper, earning Rs.36,000/-

p.a.
Contd…2.
** 2 **
08.09.1993.
measuring Nil.
7. That I and my parents do not own/do own property in Delhi located at Khasra No.656,
Village Hari Nagar, P.O.Badarpur, New Delhi-44, built up in 100 Sq.Yds.
Territory.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, RAMANAND RAM SON OF SHRI YADU NANDAN RAM Resident of House

No.192/A, Gali No.5, Lakhpat Colony, Part-II, Mithapur Extn. P.O.Badarpur, New
1. That I am working as Labour Work and my income/salary is Rs.4,000/-per month.
2. That I am employed as mentioned above.
Delhi-44, built up in 50 Sq.Yds. and the rental income there of is Rs. Nil.
4. That my total annual income is Rs.48,000/-from all sources and does not exceed to
Rupees Two Lac Fifty thousands, as prescribed in the scheduled of Government of India
(Rule of exclusion) for reservation for other backward classes.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, RAMANAND RAM SON OF SHRI YADU NANDAN RAM Resident of House

1. That I belong to KUMHAR Caste which is O.B.C. in the list of NCT of Delhi at
S.No.____.

Rs. Nil.
4. That my father/mother is unemployed/employed as Shopkeeper, earning Rs.36,000/-

p.a.
Contd…2.
** 2 **
08.09.1993.
measuring Nil.
Village Hari Nagar, P.O.Badarpur, New Delhi-44, built up in 100 Sq.Yds.
Territory.
DEPONENT
VERIFICATION :-
DEPONENT
I, RANG LAL PAL SON OF SHRI RAM KUMAR PAL Resident of House No.N-209,
Gali No.8, Amar Market, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044,
Contd…2.
** 2 **
2. That I belong to GADARIA Caste which is OBC community in the list of NCT of
Delhi.
3. That I am working as Private Service and earn Rs.8,000/- per month which comes
Rs.96,000/- (Rupees Nine Six thousand only), per annum.
4. That my son/daughter named “VIJAY PAL” whose d.o.b. is 19.12.2004, who is

studying in Xth Class, Sect-A, in K.K.C. QUETTA D.A.V. SR. SEC. SCHOOL,
Nizamuddin, New Delhi-110013.
5. That his/her mother’s name is MRS. SUSHMA DEVI.
DEPONENT
VERIFICATION :-
DEPONENT
I, KAMLESH KUMAR SON OF SHRI RAM VILAS SHAH Resident of House

No.L-35, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2.
** 2 **
2. That I belong to Teli Caste which is OBC community in the list of NCT of Delhi.
Rs.96,000/- (Rupees Ninety Six thousand only), per annum.
4. That my son/daughter named “MOHIT KUMAR” whose d.o.b. is 08.06.2000, who is

studying in Xth Class, Sect-A, in Govt. Boys Sr. Sec. School No.4, Sarojini Nagar, New
Delhi-110023.

DEPONENT
VERIFICATION :-
DEPONENT
I, SANJAY PAYLA SON OF SHRI RAGHUBIR SINGH Resident of House

No.267, Village & P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2.
** 2 **
2. That I belong to GUJAR Caste which is OBC community in the list of NCT of Delhi.
Rs.72,000/- (Rupees Seventy Two thousand only), per annum.
4. That I have no any source of income.
DEPONENT
VERIFICATION :-
DEPONENT
I, RAM LALIT SON OF SHRI CHHEDI LAL Resident of House No.D-48, Jaitpur
Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2.
** 2 **
Rs.1,20,000/- (Rupees One Lakh Twenty thousand only), per annum.
DEPONENT
VERIFICATION :-
DEPONENT
I, MAMTA WIFE OF PARAMJEET SINGH Resident of House No.A-27, Saurabh

declare as under:-
Contd…2.
** 2 **
2. That I belong to GUJAR Caste which is OBC community in the list of NCT of Delhi.
Rs.36,000/- (Rupees Thirty Six thousand only), per annum.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, KAMLESH KUMAR SON OF SHRI RAM VILAS SHAH Resident of House

No.L-35, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2.
** 2 **
2. That I belong to Teli Caste which is OBC community in the list of NCT of Delhi.
Rs.96,000/- (Rupees Ninety Six thousand only), per annum.
4. That my son/daughter named “BHAVNA KUMARI” whose d.o.b. is 19.08.2002, who is

studying in VIIIth Class, Sect-__, in Govt. Girls Sr. Sec. School No.1, Molar Band,
New Delhi-110044.
DEPONENT
VERIFICATION :-
DEPONENT
I, CHANDRAMA YADAV SON OF SHRI SRI BHAGWAN YADAV Resident of

House No.278, Gali No.7, Shakti Vihar, A-Block, Mithapur, P.O.Badarpur, New
Contd…2.
** 2 **
2. That I belong to YADAV Caste which is OBC community in the list of NCT of Delhi.
Rs.60,000/- (Rupees Sixty thousand only), per annum.
4. That my son/daughter named “AKASH YADAV” whose d.o.b. is 12.10.2002, who is

studying in VIIIth Class, Sect-__, in Govt. Boys Sec. School No.3, Molar Band, New
Delhi-110044.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 23rd day of September 2015, that the contents of this affidavit
therein.
DEPONENT
I, CHANDRAMA YADAV SON OF SHRI SRI BHAGWAN YADAV Resident of

House No.278, Gali No.7, Shakti Vihar, A-Block, Mithapur, P.O.Badarpur, New
Contd…2.
** 2 **
2. That I belong to YADAV Caste which is OBC community in the list of NCT of Delhi.
Rs.60,000/- (Rupees Sixty thousand only), per annum.
4. That my son/daughter named “DEEPAK YADAV” whose d.o.b. is 02.02.2001, who is

studying in VIIIth Class, Sect-__, in Govt. Boys Sec. School No.3, Molar Band, New
Delhi-110044.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, JAGPAL SINGH SON OF SHRI PRAHLAD SINGH Resident of House No.M-11,

Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare as
under:-
Contd…2.
** 2 **
Rs.90,000/- (Rupees Ninety thousand only), per annum.
3. That my son/daughter named “GEETANJALI” whose d.o.b. is 13.07.1999, who is

studying in XIth Class, Sect-__, in Rai Sinha Bengali School, Govindpuri, C.R. Park,
New Delhi-110019.
DEPONENT
VERIFICATION :-
DEPONENT
I, RAJENDRA SINGH YADAV SON OF SHRI RAM KARAN YADAV Resident of

House No.L-116A, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do
Contd…2.
** 2 **
1. That I am working as a private service and earn Rs.8,000/- per month which comes
Rs.96,000/- (Rupees Nine Six thousand only), per annum.
2. That my son/daughter named “ABHISHEK YADAV” who is studying in IXth Class,

Sect-C, in Govt. Boys Sr. Sec. School No.4, Sarojini Nagar, New Delhi-110023.
3. If any stage: it is found that the information given by me is false/not true. All benefits
given to the student under welfare schemes could be withdrawn and legal action as
deemed fit, may be taken against me or my ward.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, RADHEY SHYAM SON OF LATE SHRI VED RAM Resident of House No.94, Gali
No.3, Harijan Basti, Mithapur, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under:-
1. That my annual income from all sources is Rs.36,000/-(Rupees Thirty Six thousands
only), per annum.
2. That my son/daughter named “KUMARI RITU” who is studying in 07th Class,

Section-B, in Sarvodaya Kanya Vidhyalaya, Molar Band, New Delhi-44.
given to the student who belonging to the minority communities” could be withdrawn
and legal action as deemed fit, may be taken against me or my ward.
DEPONENT
VERIFICATION :-
DEPONENT
I, NASIM SON OF LATE MR. SABBIR AHMAD Resident of House No.D-270, Gali
No.5, Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2.
** 2 **

many years.
3. That my family annual income from all sources is Rs.75,000/-(Rupees Seventy Five
4. That I belong to Idrishi Caste (Muslim Religion) which is belonging minority

communities notified by Central Government.
5. That the actual name of my son/daughter named “MAHAK” whose D.O.B. is

17.08.2001, who is studying in XIth Class, Section-__, in Govt. Girls Sr. Sec. School
No.2, Molar Band, New Delhi-110044.
6. That his/her mother’s name is MRS. MOHISANA.
given to the student under the scheme of Sr. Sec. Scholarship for students belonging to
the minority communities” could be withdrawn and legal action as deemed fit, may be
taken against me or my ward.
DEPONENT
VERIFICATION :-
DEPONENT
I, MD. UMAR SON OF MD. SAHID AHMAD Resident of House No.B-64, Ekta
Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2.
** 2 **

many years.
3. That my family annual income from all sources is Rs.72,000/-(Rupees Seventy Two
4. That I belong to Dhuniya Caste (Muslim Religion) which is belonging minority

5. That the actual name of my son/daughter named “TABASSUM” whose D.O.B. is

11.5.2000, who is studying in XIth Class, Section-C, in Govt. Girls Sr. Sec. School
6. That his/her mother’s name is MRS. SAYERA ALAM.
DEPONENT
VERIFICATION :-
DEPONENT
I, SAGIR KHAN SON OF MR. ALI MOHD. Resident of House No.G-98, Saurabh
declare as under:-
Contd…2.
** 2 **

many years.
4. That I belong to Sheikh Abbasi Caste (Muslim Religion) which is belonging minority
5. That the actual name of my son/daughter named “SAHIL” whose D.O.B. is

29.12.2001, who is studying in IXth Class, Section-H, in Govt. Boys Sr. Sec. School
No.2, Badarpur, New Delhi-110044.
6. That his/her mother’s name is MRS. ASGARI.
DEPONENT
VERIFICATION :-
DEPONENT
Contd…2.
** 2 **
I, GAINDA LAL SON OF SHRI BANKEY LAL Resident of House No.I-223,

Gali No.10, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
many years.
3. That my family annual income from all sources is Rs.40,000/-(Rupees Forty thousand
only), per annum.
4. That I belong to Kumhar Caste (Hindu Religion) which is belonging to OBC

5. That the actual name of my son/daughter named “ASHWANI” whose D.O.B. is

02.05.2002, who is studying in Xth Class, Section-F, in Govt. Boys Sr. Sec. School
6. That his/her mother’s name is MRS. SOMVATI.
given to the student under the scheme of Higher Secondary Scholarship for students
belonging to the minority communities” could be withdrawn and legal action as deemed
fit, may be taken against me or my ward.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 15TH day of July 2017, that the contents of this affidavit are true
DEPONENT
I, MOHD. SAKIR SON OF MOHD. SATTAR Resident of House No.M-200, Saurabh

declare as under:-
Contd…2.
** 2 **
many years.
3. That my family annual income from all sources is Rs.36,000/-(Rupees Thirty Six
4. That I belong to Sheikh Siddiqui Caste (Muslim Religion) which is belonging minority
5. That the actual name of my son/daughter named “MOHD. TOSIR” whose D.O.B. is
28.07.2002, who is studying in IXth Class, Section-I, in Govt. Boys Sr. Sec. School
6. That his/her mother’s name is MRS. BORIDA KHATOON.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, MD. MUSTFA SON OF MD. SHAHID Resident of House No.C-134, New Friends
Colony, Taimoor Nagar, East of Kailash, New Delhi-110065, do hereby solemnly affirm and
declare as under:-
Contd…2.
** 2 **
many years.
3. That my family annual income from all sources is Rs.70,000/-(Rupees Seventy

4. That I belong to Sheikh Caste (Muslim Religion) which is belonging minority
5. That the actual name of my son/daughter named “SHAHIN PARVEEN” whose D.O.B.
is 04.01.2004, who is studying in VIIth Class, in Sarvodaya Kanya Vidyalaya, New
Friends Colony, Taimoor Nagar, East of Kailash, New Delhi-110065.
6. That his/her mother’s name is MRS. RAKIBA KHATOON.
DEPONENT
VERIFICATION :-
DEPONENT
I, MOHD. AFJAL ANSARI SON OF MR. HASIM ANSARI Resident of House

No.S-94, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
many years.
3. That my family annual income from all sources is Rs.48,000/-(Rupees Forty Eight
4. That I belong to Ansari Caste (Muslim Religion) which is belonging minority
5. That the actual name of my son/daughter named “ASIYANA ANSARI” whose D.O.B.
is 10.02.2005, who is studying in VIIth Class, Section-A, in Govt. Girls. Sr. Sec. School
6. That his/her Mother’s name is MRS. SHAHJAHAN.
given to the student under the scheme of “Pre-Metric Scholarship for students belonging
to the minority communities” could be withdrawn and legal action as deemed fit, may
be taken against me or my ward.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, VISHNU KUMAR SAHU SON OF SHRI KAUSHAL PRASAD SAHU Resident of

House No.C-24, Gali No.2, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do
hereby solemnly affirm and declare as nder:-
Contd…2.
** 2 **
many years.
3. That my family annual income from all sources is Rs.84,000/-(Rupees Eighty Four
4. That I belong to SAHU Caste (Hindu Religion) which is belonging OBC communities
notified by Central Government.
5. That the actual name of my son/daughter named “HARSH SAHU” whose D.O.B. is
14.07.2001, (14th day of July Two thousand One), who is studying in IXth Class,
Section-N in Govt. Boys Sr. Sec. School No.1, Molar Band New Delhi-110044.
6. That his/her Mother’s name is MRS. SUKUMAR KALI.
given to the student under the scheme of “Sr. Sec. Scholarship for students belonging to
the OBC communities” could be withdrawn and legal action as deemed fit, may be
DEPONENT
VERIFICATION :-
DEPONENT
I, ABDUL MOIZ KHAN SON OF MR. ABDUL AZIZ KHAN Resident of House
No.H-15, Gali No.6, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby
solemnly affirm and declare as nder:-
Contd…2.
** 2 **
many years.
4. That I belong to Khan Caste (Muslim Religion) which is belonging minority
5. That the actual name of my son/daughter named “TARANA KHAN” whose D.O.B. is
06.07.2003, (06th day of July Two thousand Three), who is studying in IXth Class,
Section-I in Govt. Girls Sr. Sec. School No.1, Molar Band, New Delhi-110044.
6. That his/her Mother’s name is MRS. NOOR JAHAN KHATOON.
given to the student under the scheme of “Hr. Sec.” Scholarship for students belonging
DEPONENT
VERIFICATION :-
DEPONENT
I, MD. HAZRAT MARUF CHISTI SON OF MR. PEER ABUL HASAN CHISTI
Resident of House No.K-122/11, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New
Delhi-110044, do hereby solemnly affirm and declare as nder:-
Contd…2.
** 2 **
many years.
4. That I belong to Chisti Caste (Muslim Religion) which is belonging minority

5. That the actual name of my son/daughter named “UMAR CHISTI” whose D.O.B. is
07.01.2009, (07th day of January Two thousand Nine), who is studying in IVth Class,
Section-B in MCD Primary School, Jaitpur, New Delhi-110044.
given to the student under the scheme of “Primary” Scholarship for students belonging
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, SHABANA BEGUM WIFE OF MR. MUKHTAR AHMAD Resident of House

No.R-53/5, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
many years.

5. That the actual name of my son/daughter named “MIRAJ” whose D.O.B. is

20.08.2005, (20th day of August Two thousand Five), who is studying in Vth Class,
Section-G in MCD Primary School, Jaitpur, New Delhi-110044.
given to the student under the scheme of “Primary” Scholarship for students belonging
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, MOHD. LAL BABU SON OF MD. ISHA MIYAN Resident of House No.C-63,
Harsh Vihar, Hari Nagar, Part-III, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
and declare as nder:-
Contd…2.
** 2 **
many years.
3. That my family annual income from all sources is Rs.80,000/-(Rupees Eighty thousand
only), per annum.

5. That the actual name of my son/daughter named “SAHANA” whose D.O.B. is

06.03.2000, (06th day of March Two thousand), who is studying in Xth Class, Section-K
in Govt. Girls Sr. Sec. School No.1, Molar Band, New Delhi-110044.
6. That his/her Mother’s name is MRS. TAIROON NISHA.
given to the student under the scheme of “Higher Secondary Scholarship for students
DEPONENT
VERIFICATION :-
DEPONENT
I, AFTAB ALI SON OF MOHD. HADIS Resident of House No.R-19/4, R-Block,

declare as nder:-
Contd…2.
** 2 **
many years.
4. That I belong to Siddiqui Caste (Muslim Religion) which is belonging minority

5. That the actual name of my son/daughter named “KHUSHBOO” whose D.O.B. is

22.05.1999, (22nd day of May Nineteen Hundred Ninety Nine), who is studying in Xth
Class, Section-B in Govt. Girls Sr. Sec. School No.2, Molar Band, New Delhi-110044.
6. That his/her Mother’s name is MRS. SAYADA KHATOON.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 31st day of January 2018, that the contents of this affidavit are
DEPONENT
I, AFTAB ALI SON OF MOHD. HADIS Resident of House No.R-19/4, R-Block,

declare as nder:-
Contd…2.
** 2 **
many years.

5. That the actual name of my son/daughter named “SUHANA” whose D.O.B. is

05.05.2005, (05th day of May Two thousand Five), who is studying in VIIth Class,
Section-B in Govt. Girls Sr. Sec. School No.2, Molar Band, New Delhi-110044.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 31st day of January 2018, that the contents of this affidavit are
DEPONENT
I, AFTAB ALI SON OF MR. HADIS MIYAN Resident of House No.R-19/4, Saurabh
declare as nder:-
Contd…2.
** 2 **
many years.

5. That the actual name of my son/daughter named “KHUSHBU” whose D.O.B. is
22.05.1999, (22nd day of May Nineteen Hundred Ninety Nine), who is studying in IXth
Class, Section-D in Govt. Girls Sr. Sec. School No.2, Molar Band, New Delhi-110044.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, IDRISH SON OF MR. MASITULLA Resident of House No.A-1098/13, Jaitpur

Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
nder:-
Contd…2.
** 2 **
many years.
3. That my family annual income from all sources is Rs.60,000/-(Rupees Sixty thousand
only), per annum.
4. That I belong to Abbasi Caste (Muslim Religion) which is belonging minority

5. That the actual name of my son/daughter named “SUHAIL” whose D.O.B. is
09.12.2005, (09th day of December Two thousand Five), who is studying in Vth Class,
Section-C in SDMC Primary School, Jaitpur No.2, New Delhi-110044.
6. That his/her Mother’s name is MRS. NASREEN.
given to the student under the scheme of “Primary Scholarship for students belonging to
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, IDRISH SON OF MR. MASITULLA Resident of House No.A-1098/13, Jaitpur

Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
nder:-
Contd…2.
** 2 **
many years.
3. That my family annual income from all sources is Rs.60,000/-(Rupees Sixty thousand
only), per annum.
4. That I belong to Abbasi Caste (Muslim Religion) which is belonging minority

5. That the actual name of my son/daughter named “SAIFUL” whose D.O.B. is
08.12.2004, (08th day of December Two thousand Four), who is studying in Vth Class,
Section-C in SDMC Primary School, Jaitpur No.2, New Delhi-110044.
6. That his/her Mother’s name is MRS. NASREEN.
given to the student under the scheme of “Primary Scholarship for students belonging to
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, NAZREEN WIFE OF MR. KAMRUDDIN Resident of House No.R-8, Gali No.2,

Hari Nagar Extn. Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
affirm and declare as nder:-
Contd…2.
** 2 **
many years.
4. That I belong to Saifi Caste (Muslim Religion) which is belonging minority
5. That the actual name of my son/daughter named “SANA SAIFI” whose d.o.b. is
15.01.2003, (15th day of January Two thousand Three), who is studying in VIIth Class,
Section-A, in Govt. Girls Secondary School No.3, Molar Band, New Delhi-110044.
given to the student under the scheme of “Higher Sr. Scholarship for students belonging
DEPONENT
VERIFICATION :-
Verified at Delhi on this 03rd day of November 2015, that the contents of this affidavit
therein.
DEPONENT
I, KALLAN SON OF MR. WAZIR KHAN Resident of House No.D-II/220, Gali No.5,
nder:-
Contd…2.
** 2 **
many years.
3. That I am working Private Service & my family annual income from all sources is
Rs.80,000/-(Rupees Eighty Thousand only), per annum.
4. That I belong to Sheikh Mansoori Caste (Muslim Religion) which is belonging minority
5. That the actual name of my son/daughter named “MEENA” whose D.O.B. is
01.08.2000, who is studying in IXth Class, Section-J, in Govt. Girls Sr. Sec. School
6. That his/her Mother’s name is MRS. SHABRA.
given to the student under the scheme of “Sr. Sec. scholarship for students belonging to
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, NAWAB HUSSAIN SON OF MR. AZIMULLAH KHAN Resident of House

No.C-110, Hari Nagar Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
many years.
Thousand only), per annum.
4. That I belong to Sakka Abbasi (Muslim Religion) which is belonging minority

5. That the actual name of my son/daughter named “TARANNUM” whose D.O.B. is
01.04.1998 who is studying in XIIth Class, Section-A, in Govt. Girls Sr. Sec. School,
Tajpur Pahari, New Delhi-44.
6. That his/her mother’s name is MRS. PARVEEN BEGUM.
given to the student under the scheme of “Higher Sec. Scholarship for students
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, NAWAB HUSSAIN SON OF MR. AZIMULLAH KHAN Resident of House

No.C-110, Hari Nagar Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
many years.
4. That I belong to Sakka Abbasi (Muslim Religion) which is belonging minority

5. That the actual name of my son/daughter named “AAFREEN” whose D.O.B. is
13.01.2001 who is studying in Xth Class, Section-C, in Govt. Girls Sec. School No.3,
Molar Band, New Delhi-110044.
6. That his/her mother’s name is MRS. PARVEEN BEGUM.
given to the student under the scheme of “Higher Sec. Scholarship for students
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, MD. JUBER SON OF MD. MOEEM Resident of House No.O-107, Saurabh Vihar,
Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as nder:-
Contd…2.
** 2 **
many years.
Rs.72,000/-(Rupees Seventy Two Thousand only), per annum.
4. That I belong to Rain Caste (Muslim Religion) which is belonging minority
5. That the actual name of my son/daughter named “TARANNUM” whose D.O.B. is

05.03.2004, (05th day of March Two thousand Four), who is studying in VIth Class,
Section-I, in Govt. Girls Sr. Sec. School No.2, Molar Band, New Delhi-44.
6. That his/her Mother’s name is MRS. SANJIDA KHATOON.
given to the student under the scheme of “Higher Sec. scholarship for students
DEPONENT
VERIFICATION :-
DEPONENT
I, MOHD. MUKHTIYAR SON OF MOHD. ISMAIL Resident of House No.R-53,

Gali No.5, Hari Nagar Extn. Saurabh Vihar, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
many years.
Rs.48,000/-(Rupees Forty Eight Thousand only), per annum.

5. That the actual name of my son/daughter named “FARZANA” whose D.O.B. is
24.08.2002, (24th day of August\ Two thousand Two), who is studying in 08 th Class,
Section-D, in Govt. Sr. Sec. School No.2, Molar Band, New Delhi-44.
6. That his/her Mother’s name is MRS. SHABANA BEGUM.
given to the student under the scheme of “Higher Sec. scholarship for students
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, PAAN MOHAMMAD SON OF MR. JHAKKAR MIYAN Resident of House No.O-

213A, Gali No.1, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do
hereby solemnly affirm and declare as nder:-
Contd…2.
** 2 **
many years.
4. That I belong to Idrishi Caste (Muslim Religion) which is belonging to minority

5. That the actual name of my son named “ANJUM PARVEEN” whose D.O.B. is
08.08.1997 (08th day of August Nineteen Hundred Ninety Seven), who is studying in
XIth Class, Section P, in Govt. Girls, Sr. Sec. School No.2, Molar Band, New
Delhi-44.
6. That his/her Mother’s name is MRS. SEHRA KHATOON.
given to the student under the scheme of “Sr. Sec. scholarship for students belonging to
DEPONENT
VERIFICATION :-
Verified at Delhi on this 01st day of December 2014, that the contents of this affidavit
therein.
DEPONENT
I, SANJAY KUMAR GUPTA SON OF LATE SHRI JAGDISH SHAH Resident of

House No.L-232, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
many years.
3. That I am working as Driver & my family annual income from all sources is
Rs.95,000/-(Rupees Ninety Five thousand only), per annum.
DEPONENT
VERIFICATION :-
DEPONENT
I, AKBAR ALI SON OF MR. BUDDHA KHAN Resident of House

No.91/436, Aali Vihar, Pusta Road, New Delhi-110076, do hereby solemnly affirm and declare
as nder:-
Contd…2.
** 2 **
many years.
4. That I belong to Syed Caste (Muslim Religion) which is belonging minority

5. That the correct & exact date of birth of my son/daughter named “SALMAN ALI” is
07.06.2001, (07th day of June Two thousand One), who is studying in VIIIth Class,
Section-A, in R.K.G. Sarita Vihar, Madanpur Khadar, New Delhi-110076.
6. That his/her Mother’s name is “MRS. JAMEELA”.
given to the student under the scheme of Higher Secondary scholarship for students
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, NAWAB ALVI SON OF MR. MEHMOOD ALVI Resident of House No.F-

108, Gali No.4, Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
2. That I am working as private service and my annual income from all sources is
Rs.65,000/-(Rupees Sixty Five Thousand only), per annum.
3. That I belong to Alvi Caste (Muslim Religion) which is belonging minority

4. That the correct & exact date of birth of my son/daughter named “ASIF ALVI” is
02.11.1999, (02nd day of November Nineteen Hundred Ninety Nine), who is studying in
Xth Class, Section-I in Govt. Boys Sr. Sec. School No.2, Molar Band, New Delhi-
110044.
5. That his/her Mother’s name is “MRS. NAGINA ALVI”.

given to the student under the scheme of Pre-metric scholarship for students belonging
DEPONENT
VERIFICATION :-
DEPONENT
I, RAM BACHAN YADAV SON OF SHRI MAKHAI RAM YADAV Resident of

House No.J-81, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
Rs.60,000/-(Rupees Sixty Thousand only), per annum.
3. That the correct & exact date of birth of my son/daughter named “JYOTI YADAV” is
29.10.1996, (29th day of October Nineteen Hundred Ninety Six), who is studying in
XIth Class, Section-I in Govt. Boys Sr. Sec. School No.2, Molar Band, New Delhi-
110044.
5. That his/her Mother’s name is “MRS. NAGINA ALVI”.

given to the student under the scheme of Pre-metric scholarship for students belonging
DEPONENT
VERIFICATION :-
DEPONENT
I, MUSHARRAF AHMAD SON OF MR. ZAHOOR AHMAD Resident of House

No.B-137, Gali No.4, Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
2. That my family annual income from all sources is Rs.60,000/-(Rupees Sixty Thousand
only), per annum.
3. That I belong to Salmani Caste (Muslim Religion) which is belonging minority

4. That the correct & exact date of birth of my son/daughter named “ALTAF RAZA” is
28.12.1998, (28th day of December Nineteen Hundred Ninety Eight), who is studying in
XIIth Class, Section-B in Sarvodaya Bal Vidyalaya No.1, Molar Band, New Delhi-
110044.
5. That his/her Mother’s name is “MRS. MEHROON NISHA”.

DEPONENT
VERIFICATION :-
DEPONENT
I, SHAHNAZ AMIRUDDIN SON OF MR. ALI RAZA Resident of House No.O-392,

Contd…2.
** 2 **

4. That the correct & exact date of birth of my son/daughter named “KAMRUDDIN” is
15.01.2001, (15th day of January Two thousand One), who is studying in IXth Class,
Section-B in Govt. Boys Sr. Sec. School No.2, Molar Band, New Delhi-
110044.
5. That his/her Mother’s name is “MRS. RAZIYA KHATOON”.

DEPONENT
VERIFICATION :-
DEPONENT
I, KAMRUDDIN SON OF MR. ASGAR ALI Resident of House No.R-7/4, Hari Nagar
Extn. Saurabh Vihar, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare
as under:-
Contd…2.
** 2 **
Rs.50,000/-(Rupees Fifty Thousand only), per annum.

4. That the correct & exact date of birth of my son/daughter named “SAJID SIDDIQUI”
is 20.10.2000, (20th day of October Two thousand), who is studying in IXth Class,
110044.
5. That his/her Mother’s name is “MRS. RAJINA BEGUM”.

DEPONENT
VERIFICATION :-
DEPONENT
I, MOHD. NAZIR SON OF MOHD. RAHEEM MIYAN Resident of House

No.N-434, Amar Market, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-
110044, do hereby solemnly affirm and declare as under:-
Contd…2.
** 2 **

4. That the correct & exact date of birth of my son/daughter named “MOHD. SAMEER”
is 15.08.2000, (15th day of August Two thousand), who is studying in IXth Class,
110044.
5. That his/her Mother’s name is “MRS. NASEEMA BEGUM”.

DEPONENT
VERIFICATION :-
DEPONENT
I, AKBAR ALI SON OF MR. BUDDHA KHAN Resident of House No.91/436, Aali
Village, P.O.Sarita Vihar, New Delhi-110076, do hereby solemnly affirm and declare as under:-
Contd…2.
** 2 **

4. That the correct & exact date of birth of my son/daughter named “PARVEEN” is
01.05.1999, (01st day of May Nineteen Hundred Ninety Nine), who is studying in XIth
Class, Section-N, Sarvodaya Kanya Vidyalaya, Madanpur Khadar, P.O.Sarita Vihar,
New Delhi-110076.
5. That his/her Mother’s name is “MRS. JAMILA BEGUM”.

given to the student under the scheme of “Sr.-Sec. scholarship for students belonging to
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, AKBAR ALI SON OF MR. BUDDHA KHAN Resident of House No.91/436, Aali
Village, P.O.Sarita Vihar, New Delhi-110076, do hereby solemnly affirm and declare as under:-
Contd…2.
** 2 **

4. That the correct & exact date of birth of my son/daughter named “SAINA” is
12.07.1997, (12th day of July Nineteen Hundred Ninety Seven), who is studying in XIth
Class, Section-G, Sarvodaya Kanya Vidyalaya, Madanpur Khadar, P.O.Sarita Vihar,
New Delhi-110076.
5. That his/her Mother’s name is “MRS. JAMILA BEGUM”.

DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, MOHAMMAD IRFAN SON OF MR. MANPHOOL KHAN Resident of House

No.B-112A, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2.
** 2 **
2. That my annual income from all sources is Rs.96,000/-(Rupees Ninety Six Thousand
only), per annum.
3. That I belong to Saifi Caste (Muslim Religion) which is belonging minority
4. That the correct & exact date of birth of my son/daughter named “AMMAN SAIFI” is
12.09.2000, (12th day of September Two Thousand), who is studying in IX th Class,
Section- , in Govt. Boys Sr. Sec. School No.3, Molar Band, New Delhi-44.
5. That his/her Mother’s name is “MRS. NILOPHAR SAIFI”.
DEPONENT
VERIFICATION :-
DEPONENT
I, MOHD. RASHID SON OF MR. NATHU KHAN Resident of House No.R-3/5,

1. That I am working Private Service & my annual income from all sources is Rs.48,000/-
(Rupees Forty Eight thousand only), per annum.
2. That I belong to Mansoori (Muslim) Caste which is belonging minority communities

3. That my son/daughter named “ASHAN” whose d.o.b. is 05.6.2000, who is studying in

IXth Class, Section-A, in Govt. Boys Sr. Sec. School No.2, Molar Band, New Delhi-44.
4. That his/her Mother’s name is “MRS. ANISHA BEGAM”.

given to the student under the scheme of “Pre-metric scholarship for students belonging
DEPONENT
VERIFICATION :-
DEPONENT
I, NAZRUDDIN SON OF MR. ALAMDIN Resident of House No.N-443/15, Amar

Market, Saurabh Vihar, P.O.Badarpur New Delhi-44, do hereby solemnly affirm and declare as
under:-
1. That I am working as Labour Work & my annual income from all sources is Rs.66,000/-
(Rupees Sixty Six thousand only), per annum.
2. That I belong to Sheikh Idrishi (Muslim) Caste which is belonging minority

3. That my son/daughter named “SANIYA KHATOON” whose d.o.b. is 20.1.2005, who

is studying in Vth Class, Section-D, in MCD Primary School, Jaitpur, P.O.Badarpur,
New Delhi-44.
4. That his/her Mother’s name is “MRS. NAZIA”.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 22nd day of August 2014, that the contents of this affidavit are
DEPONENT
I, NAZRUDDIN SON OF MR. ALAMDIN Resident of House No.N-443/15, Amar
Market, Saurabh Vihar, P.O.Badarpur New Delhi-44, do hereby solemnly affirm and declare as
under:-
1. That I am working as Labour Work & my annual income from all sources is Rs.66,000/-
(Rupees Sixty Six thousand only), per annum.
2. That my son/daughter named “SHAEENA KHATOON” whose d.o.b. is 24.7.2007,

who is studying in IInd Class, Section-C, in MCD Primary School, Jaitpur,
3. That his/her Mother’s name is “MRS. NAZIA”.
DEPONENT
VERIFICATION :-
DEPONENT
I, NAVEEN KUMAR SON OF SHRI RAMESH CHANDRA Resident of House No.D-

II/77, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare as
under:-
Contd…2..
*** 2 **
1. That “NAITIKA TREHAN” has born on 12.09.2013, (12 th day of September Two
thousand Thirteen), and I am her father.
2. That my daughter has born in Delhi at Home/Nursing Home, ESI Hospital, Maa
Anandmayi Marg, Okhla, New Delhi-110020.
3. That the Registrar of Birth & Death has issued a Certificate of Birth of my daughter,
bearing regn. No.MCDOLIR-0113-005797283, dated of regn. 20.09.2013.
4. That I & my family annual income from all sources is Rs.96,000/-(Rupees Ninety Six
5. That I have One daughter & the daughter to whom I am making the application is on the
First at serial (first/second/third).
6. That I have been living in Delhi for last 15 years or residing more then 02 years and my
proper address as under (along with date) since 2012:-
(I) House :- House No.D-II/77, Hari Nagar Extn. P.O.Badarpur, New Delhi-
44.
Contd…3.
** 3 **
(a) Permanent address :- House No.D-II/77, Hari Nagar Extn. P.O.Badarpur, New
Delhi-110044.
(b) Present address :- House No.D-II/77, Hari Nagar Extn. P.O.Badarpur, New
Delhi-44.
Mobile No.9911433780.
7. That her Mother’s name MRS. POOJA.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, KISHORE KUMAR SON OF SHRI RAVINDER PRASAD GUPTA Resident of

House No.I-460, Gali No.3, Hari Nagar Extn. Near CGM Public School, P.O.Badarpur, New
Contd…2..
*** 2 **
1. That “BHAWNA” has born on 03.07.2007, (03rd day of July Two thousand Seven), and
I am her father.
2. That my daughter has born in Delhi at Home/Nursing Home at Waliya Nursing Home,
Sarita Vihar, New Delhi-110076.
bearing regn. No.07141870, date of regn. 09.07.2007.
4. That I & my family annual income from all sources is Rs.96,000/-(Rupees Ninety Six
thousand only), per annum which is less then Rs.1,00,000/-(Rupees One Lac only).
(I) House :- House No.I-460, Gali No.3, Hari Nagar Extn. Near CGM Public School,
Contd…3.
** 3 **
(a) Permanent address :- House No.I-460, Gali No.3, Hari Nagar Extn.
Near CGM Public School, P.O.Badarpur, New Delhi-110044.
(b) Present address :- House No.I-460, Gali No.3, Hari Nagar Extn.
Near CGM Public School, P.O.Badarpur, New Delhi-110044.
Mobile:- 9910519022.
7. That my daughter namely “BHAWNA” is the student of VIth Class, Sect-B, in

Sarvodaya Kanya Vidyalaya, Molar Band, New Delhi-110044, and her Student
I.D.No.20190118770 & School I.D.No.1925037.
8. That his/her Mother’s name is SMT. SANGEETA DEVI.
DEPONENT
VERIFICATION :-
DEPONENT
I, JANARDAN PRASAD SON OF SHRI INDER DEV RAM Resident of House

No.M-181, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 **
1. That “ROSHNI KUMARI” has born on 20.03.2003, (20th day of March Two thousand
Three), and I am her father.
2. That my daughter has born in Delhi at Home/Nursing Home, House No.M-50, Saurabh
Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044.
bearing regn. No.MCDOLIR-0110-004554610 date of regn. 19.11.2010.
4. That I & my family annual income from all sources is Rs.60,000/-(Rupees Sixty
5. That I have Two daughter & the daughter to whom I am making the application is on
the First at serial (first/second/third).
(I) House :- House No.M-181, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New
Delhi-110044.
Contd…3.
** 3 **
(a) Permanent address :- House No.M-181, Saurabh Vihar, Hari Nagar
(b) Present address :- House No.M-181, Saurabh Vihar, Hari Nagar

Mobile:- 9911359327.
7. That my daughter namely “ROSHNI KUMARI” is the student of IXth Class, Sect-E,
Govt. Girls Sr. Sec. School No.2, Molar Band, New Delhi-110044, and her Student
I.D.No.20150011033 & School I.D.No.1925053.
8. That his/her mother’s name is MRS. SONA DEVI.
DEPONENT
VERIFICATION :-
DEPONENT
I, SANJAY KUMAR GUPTA SON OF SHRI PURSHOTTAM DASS Resident of

House No.D-140, Gali No.4, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New
Contd…2.
** 2 **
1. That “MANISHA GUPTA” has born on 16.05.1997, (16 th day of May Nineteen
Hundred Ninety Seven), and I am her father.
2. That my daughter has born in Delhi at Home/Nursing Home, House No.D-140, Gali
No.4, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44.
bearing regn. No.1149, dated of regn. 28.07.1997.
4. That I & my family annual income from all sources is Rs.75,000/-(Rupees Seventy Five
Thousand only), per annum which is less then Rs.1,00,000/-(Rupees One Lac only).
0Ist at serial (first/second/third).
6. That I have been leaving in Delhi for last 20 years or residing more then 12 years and
my proper address as under (along with date) since 2002:-
(I) House :- House No.D-140, Gali No.4, Saurabh Vihar, Hari Nagar Extn.
(a) Permanent address :- House No.D-140, Gali No.4, Saurabh Vihar, Hari Nagar
(b) Present address :- House No.D-140, Gali No.4, Saurabh Vihar, Hari Nagar
Mobile No.9899025177.
7. That my daughter namely “MANISHA GUPTA” is the student of 12 th Class in Govt.

Girls Sec. School No.3, Badarpur, New Delhi-44, and her I.D.No.20110111965&
School I.D.No.1925248.
8. That her Mother’s name MRS. SUNITA GUPTA.

DEPONENT
VERIFICATION :-
Verified at Delhi on this 01st day of September 2014, that the contents of this affidavit
therein.
DEPONENT
I, PRAVEENDRA KUMAR SON OF LATE SHRI OMKAR SINGH Resident of

House No.C-44, Jaitpur Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
1. That “ISHITA” has born on 31.05.2013, (31st day of May Two thousand Thirteen), and I
am her father.
2. That my daughter has born at Nurshing Home/Home, House No.C-44, Jaitpur Extn.
bearing regn. No.MCDOLIR-0113-005728746, date of regn. 05.08.2013
4. That I & my family annual income from all sources is Rs.84,000/-(Rupees Eighty Four
5. That I have one daughter & the daughter to whom I am making the application is on the
01st at serial (first/second/third).
Contd…2.
** 2 **
(I) House :- House No.C-44, Jaitpur Extn. P.O.Badarpur, New Delhi-44.
(a) Parmanent Address :- House No.C-44, Jaitpur Extn. P.O.Badarpur, New Delhi-
44.
(b) Present Address :- House No.C-44, Jaitpur Extn. P.O.Badarpur, New

Delhi-44.
Mobile No.9953553786.
7. That her mother’s name is “MRS. PRAVEENDRA KUMAR”.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, MEELU RAM SON OF SHRI SANT RAM Resident of Village Hari Nagar,
Contd…2.
** 2 **

2. That I am actual owner and in possession of a LMV (MARUTI SWIFT LDI BSIV),
bearing Regn. No.DL1CX-5928, Chassis No.MA3FHEB1S00D60348, Engine
No.D13A-3128868, Colour Arctic White, Model 27.11.2017, made by Maruti Suzuki
India Ltd.
3. That the Original Key (bearing Key No.TP5380), of my above said vehicle has been
lost at anywhere, and is not traceable, after that the information of lost of above said
key submitted online which LR No.2736302/2017, on 28.12.2017, Police Station
Crime Branch, Delhi.
4. That in case the said Key shall found then the same shall be surrendered without
misused. And I may kindly issue me new key.
5. That the above statements are true and correct to the best of my knowledge and belief.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, ANUPAMA KUMARI JHA DAUGHTER OF SHRI BIJAY KUMAR JHA Resident

of House No.I-281/7, Hari Nagar Extn. Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
2. That I have passed matriculation feom CBSE Ajmer, but my matriculation certificate &
mark sheet has been lost and is not traceable. That in case the said School Certificate is
found then the same shall be surrendered without misused. And I may kindly issue me
Duplicate School Certificate from the said School.
3. That in future I fully responsible for the same.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, AJENDER SINGH SON OF SHRI SHYAM SINGH Resident of House No.I-636B,

Hari Nagar Extn. Near MTNL Telephone Exchange, P.O.Badarpur, New Delhi-110044, do
Contd…2.
** 2 **
2. That I was studying in 09th class, in the year of 1998, in Govt. Boys Sr. School at Molar
Band, Badarpur New Delhi-110044.
3. That my School Leaving Certificate of the said school has been lost and is not traceable.
That in case the said SLC shall found then the same shall be surrendered without
misused. And I may kindly issue me Duplicate School Leaving Certificate.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 01st day of August 2015, that the contents of this affidavit are
therein.
DEPONENT
AFFIDAVIT
I, USHA RANI WIFE OF SHRI ANIL KUMAR Resident of House No.279/7, Hari
Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 ***
1. That my daughter name GAURI KUMARI has a saving account under my guardianship
bearing A/c No.50341513467 in Allahabad Bank, Branch Jaitpur, New Delhi-44.
2. That my daughter’s Pass Book of the above mentioned account has been lost and is not
traceable. That in case the said Pass Book is found then the same shall be surrendered
without misused. And kindly issue a new Pass Book to my daughter.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, NAGWATI WIFE OF LATE SHRI DAYA NARAYAN Resident of House No.C-65,

Gali No.4, Hari Nagar Extn. Part-II, Jaitpur, P.O.Badarpur, New Delhi-44, do hereby solemnly
Contd…2..
*** 2 ***
1. That my daughter name SHIVANI has a saving account under my guardianship bearing
A/c No.2961262062, in Central Bank of India, Branch 150, Badarpur, Mathura Road,
New Delhi-44.
2. That my daughter’s Pass Book of the above mentioned account has been lost and is not
traceable. That in case the said Pass Book is found then the same shall be surrendered
without misused. And kindly issue a new Pass Book to my daughter.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, RENU BALA WIFE OF SHRI SUBHASH CHAND Resident of House No.D-43,

Gali No.2, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
1. That I have a saving account bearing A/c No.1178434030, in Central Bank of India,
Branch Green Valley Public School, Jaitpur Road, Hari Nagar, P.O.Badarpur, New
Delhi-44.
2. That my Pass Book of the above mentioned account has been lost and is not traceable.
That in case the said Pass Book is found then the same shall be surrendered without
misused. And kindly issue me a new Pass Book.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, ROHIT GABA SON OF SHRI SUBHASH CHAND Resident of House No.D-43,

Contd…2..
*** 2 ***
1. That I am a citizen of India.
2. That I am the proprietor of M/s ROHIT ENTERPRISES at D-43, Gali No.2, Saurabh
Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, and holding a current a/c from my
above said firm name vide a/c No.4147201000408, in which I am authorized signatory
for all kinds of operations.
3. That now I have appointed to my father SUBHASH CHAND for all kind of future
transactions for my above current a/c, on my behalf.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, DEEPSHIKHA RANI DAUGHTER OF SHRI JASWANT SINGH Resident of

House No.I-1133/29, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
1. That I have a saving account bearing A/c No.3423759193, in Central Bank of India,
Branch Green Valley Public School, Jaitpur Road, Hari Nagar, P.O.Badarpur, New
Delhi-44.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, KALICHARAN SON OF SHRI KISHAN SWAROOP Resident of House

No.D-II/178, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2..
*** 2 ***
1. That I have a saving account bearing A/c No.50333688564, in Allahabad Bank, Branch
Jaitpur, P.O.Badarpur, New Delhi-44.
DEPONENT
VERIFICATION:-
and correct to the best of my knowledge and belief, and nothing has been concealed therein.
DEPONENT
AFFIDAVIT
I, PRAVEEN KUMAR PANDEY SON OF SHRI CHANDER SHEKHAR Resident of

House No.F-125, Madrasi Colony, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby
Contd…2..
*** 2 ***
2. That I have sold my Double Storey Built up House No.F-125, land measuring 60
Sq.Yds. (23’x 23’.5”), with all roof rights, Part of Khasra No.689/719, Situated at F-
Block, Madrasi Colony, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, to SHRI
MANOJ KUMAR JAIN & SHRI MOHIT KUMAR JAIN SONS OF SHRI
BHUPENDER KUMAR JAIN Both Resident of House No.A-69, Saurabh Vihar, Hari
Nagar Extn. P.O.Badarpur, New Delhi-110044, in which I have received a cheque of
Rs.5,00,000/- Rupees Five Lakh only), bearing Cheque No.000006, on 7.1.2018, drawn
on Bank of Baroda, Branch Bhogal, New Delhi-110014, from Shri Manoj Kumar Jain
which is got dishonoured due to signature mismatch, after that the I have received the
said payment Rs.5,00,000/- through RTGS on 10.01.2018, and previous dishonoured
cheque No.000006 has misplaced by me at anywhere and is not traceable.
3. That in case the above said cheque No.000006, shall found then the same shall be
surrendered without misused to the said purchaser.
4. That in future I fully responsible against Cheque No.000006, on 7.1.2018, drawn on

Bank of Baroda, Branch Bhogal, New Delhi-110014.
5. That I shall not claim, title any interest in Double Storey Built up House No.F-125, land
measuring 60 Sq.Yds. (23’x 23’.5”), with all roof rights, Part of Khasra No.689/719,
Situated at F-Block, Madrasi Colony, Hari Nagar Extn. P.O.Badarpur, New
Delhi-110044.
6. That in future I shall return the above lost cheque No.000006, to Shri Maoj Kumar Jain.
then I will receive the above said affidavit from Shri Manoj Kumar Jain.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
DECLARATION
I, DEVRAJ SINGH SON OF LATE SHRI CHANDRU SINGH Resident of House

No.364, Sapera Gali, Village Aali, P.O.Sarita Vihar, New Delhi-110076, do hereby solemnly
Contd…2..
*** 2 ***
2. That I have received a sum of Rs.2,26,500/- (Rupees Two Lakh Twenty Six thousand
Five hundred only), from Smt. Ranjana Tiwari wife of Shri Binod Tiwari Resident of
House No.A-356, Gali No.4, Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-110044.
3. That I shall not claim, title any interest in Built up House No.A-356, land measuring
28.5 Sq.Yds. with all roof rights, Fitted with Electric Connection, Part of Khasra
No.246, Situated in the area of Village Jaitpur, and abadi known as A-Block, Gali No.4,
Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-110044 & Smt. Ranjana Tiwari became
the absolute owner of the said property.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
WITNESSES:-
1.
2.
AFFIDAVIT
I, GHANSHYAM PODDAR SON OF SHRI LAXMI PODDAR Resident of House

No.N-346, Gali No.13, Amar Market, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New
Contd…2..
*** 2 ***
2. That my Drving License had forfeited at Ram Tula Marg, Moti Bagh Fly Over by
Traffice Police during driving Fort Fiesta vehicle bearing Regn. No.UP-16-CT-5929, on
23.11.2016, due to jumping Red Light, in which I had received a challan from the traffic
inspector.
3. That the above said challan has been lost at anywhere, and is not traceable. That in case
the said challan shall been found then the same shall be surrendered without misused.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, RAHUL JOSHI SON OF SHRI RAMESH CHAND JOSHI Resident of House

No.H-32,A, Kalkaji, New Delhi-110019, do hereby solemnly affirm and declare as under:-
2. That I have booked a Maruti Alto K10 VXI on 26.7.2014, at Rohan Motors and paid
Rs.5,000/- (Rupees Five thousand only) as a booking amount.
3. That the acknowledgement slip of the said booking has been lost at anywhere, and is not
traceable. That in case the said acknowledgement Slip will found then the same shall be
surrendered without misused to ROHAN MOTORS.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, MANOJ KUMAR SON OF SHRI RAM SHANKAR Resident of House No.118,

Chit Bhawan, Etawah-206003, (U.P.) & presently residing at House No.K-203, Arpan Vihar,
as under:-
Contd…2.
** 2 **
2. That I have deposited a Demand Draft of Rs.10,000/- in JMD Consultants, at 310A, R-

21, 22 & 23, Khaneja Complex, Shakarpur, Delhi-110092, as a Security deposit which
acknowledgement slip had been received by me.
3. That the said acknowledgement slip of the said Demand Draft has been lost at
anywhere, and is not traceable. That in case the said acknowledgement Slip will found
then the same shall be surrendered without misused to JMD Consultants. And I may
kindly return me the above said demand draft. And in future I will not apply for the
same.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 02nd day of May 2016, that the contents of this affidavit are true
DEPONENT
AFFIDAVIT
I, MUKESH KUMAR GOYAL SON OF SHRI PRAHLAD RAM Resident of House
No.A-471, Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
2. That the actual & correct name of my father is “PRAHLAD RAM” which is mentioned
in my all ID but by mistake my father name has mentioned as “PRAHLADRAMA” in
my PAN Card having No.CSJPM6564L.
3. That I wish to change/rectify my father name as PRAHLAD RAM instead of

PRAHLADRAMA in my PAN Card.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT/N.O.C
I, SUNIL KUMAR SON OF LATE SHRI RATAN SINGH Resident of House

No.K-62/1, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly
Contd…2..
*** 2 ***
2. That my mother had a gas connection bearing Consumer No.13170, S.V. No.500832512
on 17.2.1999, of M/s Oorja Agencies, Shop No.8 & 9, Nagar Market, Tanki Road,
Mithapur Chowk, P.O.Badarpur, New Delhi-110044, agency of Bharat Gas, who had
died on 19.7.2008, at Home.
3. That I have no objection if the above said gas agency shall transfer the above said
connection in the name of my real brother name SHRI PAWAN KUMAR.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 02nd day of March 2015, that the contents of this affidavit are
therein.
DEPONENT
AFFIDAVIT/N.O.C
I, KIRAN THAPA SON OF SHRI HARI THAPA Resident of House No.I-451, Gali
No.12-A, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
2. That I have a gas connection bearing Consumer No.20028, S.V. No.509863976 on

05.4.2004, of M/s Oorja Agencies, Shop No.8 & 9, Nagar Market, Tanki Road,
Mithapur Chowk, P.O.Badarpur, New Delhi-110044, agency of Bharat Gas.
3. That I am not able to use gas facility because I live in abroad for last many years.
connection in the name of my wife SMT. ASHA DEVI.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, GURDEEP KAUR WIFE OF LATE SHRI SARWAN SINGH Resident of House

No.498, Gali No.2, Santosh Colony, Near Post Office, Village Jaitpur, P.O.Badarpur, New
Contd…2..
*** 2 ***
2. That my husband has a gas connection bearing Consumer No.12621, S.V. No.2515939
on 27.11.1996, of M/s Anand Ga Service Distt. Of Bharat Gas, at 426/1, Old Mehrauli
Road, Badarpur, New Delhi-110044, agency of Bharat Gas & he is permanently
residing at his home for last many years.
3. That I am requesting to the concern authority kindly transfer the above said gas
connection in my name.
4. That the voucher slip of said Connection has been lost at anywhere, and is not traceable.
That in case the said voucher Slip will found then the same shall be surrendered without
misused.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT/N.O.C
I, MAYA DEVI WIFE OF LATE SHRI JATAN SINGH Resident of House No.H-78A,
Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
2. That I have has a gas connection bearing Consumer No._______, S.V.

No.__________________ on ____________, of M/s Oorja Agencies, Shop No.8 & 9,
Nagar Market, Tanki Road, Mithapur Chowk, P.O.Badarpur, New Delhi-110044, agency
of Bharat Gas.
connection in the name of my real son name SHRI JITENDER KUMAR.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, MANOHAR KUMAR MISHRA SON OF SHRI B.N. MISHRA Resident of House

No.O-517, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
1. That I have a Gas Connection bearing consumer No.89909408 S.V.

No.______________ on _______________, of Oorja Agencies at Shop No.8 & 9,
Nagar Market, Tanki Road, Mithapur Chowk, Badarpur, New Delhi-110044, agency of
Bharat Gas.
2. That the voucher slip of said Connection has been lost at anywhere, and is not traceable.
That in case the said voucher Slip will found then the same shall be surrendered without
misused.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, KULDEEP KASHYAP SON OF SHRI VEER SINGH Resident of House No.J-

453, Arpan Vihar, Jaitpur Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under:-
1. That I was made a Demand Draft of Rs.5,500/-(Rupees Five thousand Five hundred),
bearing Draft No.21071998, on dated 17.09.2009, drawn on Punjab National Bank,
Branch Lajpat Nagar, New Delhi-24, in the name of The Principal of PGDAV College.
2. That my above said Demand Draft has been lost and is not traceable. That in case the
said Demand Draft is found then the same shall be surrendered without misused. And I
may kindly issue me a Duplicate Demand Draft in above said name.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, NARENDRA KUMAR JHA SON OF LATE SHRI SURYA NARAYAN JHA

Resident of House No.I-463, Gali No.12B, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do
1. That I have a Telephone Connection, bearing Telophone No.26660185 Consumer

No.2083293727, issued by Mahanagar Telephone Nigam Limited Delhi in my name.
2. That my regn. slip of the above said Telephone connection has been lost and is not
traceable. That in case the said regn. Slip is found then the same shall be surrendered
without misused. And I may kindly issue me the Security deposit.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, HEENA ASGAR WIFE OF MR.MOHD. ASGAR Resident of Baba Sudas Colony,

Tilpat, Distt.Faridabad, Haryana, do hereby solemnly affirm and declare as under:-
1. That I have purchased a Plot No. land measuring 50 Sq.Yds. vide Khewat
No.277, Khatoni No.388, Mustatil No.16, Killa No.18/2, 19, 20, 21, 22, 23, 24/1 & Mustatil
No.22, Killa No.1, 2, 3, 4 & 5/2, Situated in the area of Village Agwanpur, and abadi known as
Nikhil Vihar, Tehsil & Distt.Faridabad, Haryana, from SHRI RAKESH SON OF SHRI MAN
SINGH Resident of House No.1237, Ekta Enclave, Sehatpur, Tilpat Road, Distt. Faridabad,
Haryana, on the basis of Installments vide Installment Slip as under:-
Slip No.941 on dated 08.01.2007, Rs.15,000/-

Slip No.1718 on dated 01.04.2008, Rs32,000/
Contd…2.
*** 2 **
2. That the above said slips has been lost at anywhere, if found then I will return to SHRI
RAKESH SON OF SHRI MAN SINGH, and I have received the total amount of the
slip from SHRI RAKESH.
3. That now SHRI RAKESH became absolute owner of the above said property.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 08th day of 2009, that the contents of this affidavit are true and
correct to the best of my knowledge and belief, nothing has been concealed therein.
DEPONENT
POWER OF ATTORNEY
Know all men by these present that I JAKIR KHAN SON OF MR.MAHMOOD
KHAN, Proprietor of M/s B.K.POWER CONTROL, at I-254, Jaitpur Extn. P.O.Badarpur, New
Delhi-44, do hereby nominate and constitute and appoint my son MR.FAHEEM KHAN SON
OF MR.JAKIR KHAN Resident of House No.I-254, Jaitpur Extn. P.O.Badarpur, New Delhi-
44, as my true and lawful Attorney to do the following acts, deeds and things in my name and
on my behalf.
Whereas the said Attorney is fully authorized to open the Bank Account in any Bank, to
lookafter, supervision or Maintain the said account in respect of my Firm M/s B.K.POWER
CONTROL, at I-254, Jaitpur Extn. P.O.Badarpur, New Delhi-44.
Contd…2.
** 2 **
And Whereas I Jakir Khan do hereby agree to ratify and confirm all and whatever my
said attorney shall do, executed or perform or cause to be done, executed or performed in
exercise of the power or authority herein above conferred upon or otherwise expressed or
intended.
And Whereas I Jakir Khan solemnly affirm that my counsel on my instructions has
drafted the above ‘Power of Attorney’ and the contents of the ‘Power of Attorney’ have been
read out to me in Hindi, which are fully understood by me.
IN WITNESSES whereof I, Jakir Khan has hereunto signed or subscribed and seal on
this 30th day of June 2009, first above written in the presence of the following witnesses.
WITNESSES :-
1.
‘EXECUTANT’
2.
AFFIDAVIT
I, MEENA WIFE OF SHRI CHANDER BHAN YADAV Resident of House No.278,
Gali No.7, Shakti Vihar, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd..2..
*** 2 ***
2. That I am not doing any Labour work/ Govt. Employee or Self Employee.
3. That my annual income from all sources including my family is Rs.36,000/-(Rupees

Thirty Six thousand only), per annum.
4. That I have not taken any Financial help pension in Delhi Govt. of MCD or NDMC or
any other Govt. Sector.
5. That I do hereby declare that if my above said statement is proved false at any stage
Govt. may take legal action against me.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
OLD AGE PENSION
I, MAHIPAL SINGH SON OF LATE SHRI VIJAY PAL SINGH Resident of House
No.L-393, Gali No.17, Near Baba Pradhan House, Saurabh Vihar, Jaitpur, P.O.Badarpur, New
Contd..2..
*** 2 ***
1. That I am 60 years old & my d.o.b. is 15.5.1956.


DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
OLD AGE PENSION
I, YADU NATH SINGH SON OF SHRI PADAM SINGH BHADORIA Resident of

House No.98, Gali No.28, Molar Band Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly
1. That I am 67 years old.

Sixty thousand only), per annum.

DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
OLD AGE PENSION
I, SATYAWATI WIFE OF SHRI YADU NATH SINGH Resident of House No.98,

Gali No.28, Molar Band Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under:-

Sixty thousand only), per annum.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
OLD AGE PENSION
I, RAJDEV MAURYA SON OF LATE SHRI SUKHRAJ Resident of House No.A-95,

Ekta Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under:-

Thirty Six thousands only), per annum.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
OLD AGE PENSION
I, DHANWATI DEVI WIFE OF SHRI RAJDEV MAURYA Resident of House No.A-

95, Ekta Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm

Thirty Six thousands only), per annum.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
WIDOW PENSION
I, REKHA JAIN WIFE OF LATE SHRI JAI KUMAR JAIN Resident of House
No.1/1, Gali No.1, Block G, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***
1. That I am 55 years old & my date of birth is 22.6.1962.

3. That I am widow & my husband had died on 15.03.2016, & my actual income from all
sources is Rs.48,000/-(Rupees Forty Eight thousand only), per annum and I have no any
source of income.
6. That I shall not re-marriage in future and still not re-marriage.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SURAJ KASHYAP SON OF SHRI CHANDRA PAL KASHYAP Resident of

House No.D-II/363, Gali No.3, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***
2. That my correct and exact date of birth is 13.01.1996 (13 th day of January
Nineteen Hundred Ninety Six).
3. That presently & permanently I am residing on the above mentioned address with
my family since 2001.
4. That I have no any Domicile or Residence certificate in NCT of Delhi.
5. That I had not applied or obtained Certificate of Domicile or Residence from

other Place/State.
6. That I intend to make Delhi a permanent place of residence.
7. That I do not claim of any other place other than Delhi.
8. That all the facts are correct and nothing has been concealed.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 05th day of April 2016, that the contents of this affidavit
are true and correct to the best of my knowledge and belief and nothing has been
concealed therein.
DEPONENT
AFFIDAVIT
I, SANJAY SON OF SHRI MANGE RAM Resident of House No.I-432, Gali No.12A,
under:-
Contd…2..
*** 2 ***
2. That my correct and exact date of birth is 12.01.1979 (12 th day of January
Nineteen Hundred Seventy Nine).
my family since 1991.
4. That I have no any Domicile or Residence certificate in NCT of Delhi.
5. That I had not applied or obtained Certificate of Domicile or Residence from

other Place/State.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 04th day of December 2015, that the contents of this
affidavit are true and correct to the best of my knowledge and belief and nothing has
been concealed therein.
DEPONENT
AFFIDAVIT
I, SUKHVEER SHARMA SON OF GANGI RAM SHARMA Resident of

House No.N-302, Gali No.13, Amar Market, Saurabh Vihar, Jaitpur, P.O.Badarpur, New
Contd…2..
*** 2 ***
my family for last 20 years.
3. That my son namely “LOKESH SHARMA” has no any Domicile or Residence
certificate in Delhi State.
4. That I had not applied or obtained Certificate for my above said child of
Domicile or Residence from other Place/State.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 30th day of April 2015, that the contents of this affidavit
concealed therein.
DEPONENT
AFFIDAVIT
I, SATVEER SINGH SON OF SHRI LALMAN SINGH Resident of House

No.I-264, Gali No.4, Gyan Mandir Road, Jaitpur Extn. P.O.Badarpur, New Delhi-44, do
2. That presently I am residing on the above mentioned address with my family, &
permanent resident of Village & P.O.Baijua Khas, Tehsil Shikohabad, Distt.
Firozabad, (U.P).
3. That my son named “DEEPAK SINGH” has applied for his domicile certificate
from (U.P) & he didn’t get the said certificate yet.
4. That when I receive the said Domicile Certificate then I will provide to College.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 09th day of July 2013, that the contents of this affidavit
concealed therein.
DEPONENT
AFFIDAVIT
I, DAL CHAND GUPTA SON OF SHRI PREM RAJ GUPTA Resident of House No.49,
Near Golden Public School, Surya Vihar, Part-3, Sect-91, Faridabad, Haryana-121013, Gali
No.14, Vinay Nagar, Agwanpur, Tehsil & Distt. Faridabad, Haryana, do hereby solemnly affirm
Cont..2..
**2**
2. That the correct and exact date of birth of my Grand daughter namely “AAKIRTI” is
08.12.2012, (08th day of December Two thousand Twelve).
3. That due to unavoidable circumstances, his/her parents could not apply and get the birth
certificate of above said child from the office of Registrar (Birth). So have no
documentary proof in support of his/her date of birth.
4. That I will not change his/her date of birth in future.
5. That the above named boy/daughter is my Grand daughter & He/She is residing under
my guardianship.
6. That his/her mother’s name is “SMT. SEEMA” & father’s name is “SHRI DHEERAJ
GUPTA”.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 31st day of August 2019, that the contents of this affidavit are
DEPONENT
AFFIDAVIT
I, ASHOK MAURYA SON OF SHRI MAHESH MAURYA Resident of House No.K-
178/459, Gali No.10, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, (vide Aadhaar
Card No.7090 8050 9045), do hereby solemnly affirm and declare as under:-
Contd..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “PRACHI” is
30.07.2011, (30th day of July Two Thousand Eleven) & her Aadhaar Card No.7852 0184
7820.
3. That I declare that “PRACHI” is my real daughter.
4. That my daughter “PRACHI” namely is not recorded/ entered in food & supply
records in Delhi yet. Whenever name adding will start in food & supply office, I will
enter my daughter’s name in my food card.
5. That I, my wife NIRMA(aadhaar Card No.3854 6475 6532) & daughter “PRACHI”
are under the EWS category.
6. That I take oath and solemnly declare/ affirm that the particulars furnished by me above
are correct and that I have not concealed of misrepresented any facts.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MAMTA WIFE OF SHRI PRAVEEN PANDEY Resident of House No.K-126,
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “PRARTHANA
PANDEY” is 22.09.2007, (22nd day of September Two Thousand Seven).
3. That his/her Father’s name is “SHRI PRAVEEN PANDEY”.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 22nd day of October 2019, that the contents of this affidavit are
DEPONENT
AFFIDAVIT
I, DINESH CHOUDHARY SON OF LATE SHRI SUSHIL CHOUDHARY Resident of

House No.B-4, Gali No.2, Jaitpur Extn. Part-I, Near Main Gyan Mandir Road, P.O.Badarpur,
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “SUHANI” is
04.10.2008, (04th day of October Two Thousand Eight). Due to unavoidable
circumstances, his/her parents could not apply and get the birth certificate of above said
child from the office of Registrar (Birth). So have no documentary proof in support of
his/her date of birth.
3. That his/her Moher’s name is “SMT. ATISUNDARI DEVI”.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, RAJU SON OF SHRI RATAN LAL Resident of House No.D-2-156, Hari Nagar Extn.
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “SIMRAN” is
23.08.2009, (23rd day of August Two Thousand Nine). Due to unavoidable
3. That his/her Mother’s name is “SMT. SANJU”.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, PRAMOD CHAUDHARY SON OF SHRI VIDESH CHAUDHARY Resident of

House No.J-109, Gali No.6, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “ADITYA
CHAUDHARY” is 10.07.2014, (10th day of July Two Thousand Fourteen). Due to
unavoidable circumstances, his/her parents could not apply and get the birth certificate
of above said child from the office of Registrar (Birth). So have no documentary proof
in support of his/her date of birth.
3. That his/her Mother’s name is “MRS. ARCHANA CHAUDHARY”.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 02nd day of July 2018, that the contents of this affidavit are true
DEPONENT
AFFIDAVIT
I, ASHRAF KHAN SON OF MR. MUSLIM Resident of House No.467, Gali No.9,
Tanki Road, Om Nagar, Mithapur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “FARIN” is
29.04.2012, (29th day of April Two Thousand Twelve). Due to unavoidable
3. That his/her Mother’s name is “MRS. JAINAB BANO”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SANJIV THAKUR SON OF SHRI BINDESHWAR THAKUR Resident of House

No.D-II-364, Gali No.3, Hari Nagar Extn. Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “ANUBHAV
THAKUR” is 09.11.2006, (09th day of November Two Thousand Six). But due to
3. That I will not change his/her name in future.
4. That his/her Mother’s name is “MRS. POONAM PRIYA”.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, MUKARRAM ALI SON OF MD. ELIYAS Resident of House No.R-95/5, Saurabh

Vihar, Hari Nagar Extn. P.O.Badapur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “MD.
ARSALAAN” is 23.01.2013, (23rd day of January Two thousand Thirteen). Due to
3. That his/her Mother’s name is “SMT. NUSRAT JAHAN”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, BHARAT KUMAR SAW SON OF SHRI VINOD SAW Resident of House No.2674,
Block E-II, Gali No.67, Molar Band Extn. P.O.Badapur, New Delhi-110044, do hereby
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “AMIT KUMAR
SAW” is 10.06.2013, (10th day of June Two thousand Thirteen). Due to unavoidable
3. That his/her Mother’s name is “SMT. PARMILA DEVI”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, KIRAN DEVI WIFE OF SHRI AKHILESH SHARAN Resident of House No.H-64,

declare as under:-
Cont..2..
**2**

2. That the correct and exact date of birth of my son/daughter namely “SUHANI
YADAV” is 05.02.2012, (05th day of February Two thousand Twelve). Due to
3. That his/her Father’s name is “SHRI AKHILESH SHARAN”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, USHA DEVI WIFE OF SHRI KAMLESH KUMAR Resident of House No.H-112,

Cont..2..
**2**

2. That the correct and exact date of birth of my son/daughter namely “SUMIT KUMAR”
is 07.02.2013, (07th day of February Two thousand Thirteen). Due to unavoidable
3. That his/her Father’s name is “SHRI KAMLESH KUMAR”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, BHOLA NATH JHA SON OF LATE SHRI KAPOOR CHANDRA JHA Resident of
House No.E-29, Gali No.8, Hari Nagar Extn. Part-II, P.O.Badarpur, New Delhi-110044, do
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “AMIT KUMAR
JHA” is 15.11.2000, (15th day of November Two thousand). Due to unavoidable
circumstances, I could not apply and get the birth certificate of above said child from
the office of Registrar (Birth). So have no documentary proof in support of his/her date
of birth.
3. That his/her Mother’s name is “SMT. BHARTI JHA”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SANJEEV KUMAR SON OF LATE SHRI YOGENDRA KUMAR Resident of House

No.D-II/137, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “GIRIRAJ
KUMAR” is 06.02.2006, (06th day of February Two Thousand Six). Due to unavoidable
4. That his/her Mother’s name is “SMT. LALITA DEVI”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, ZAHID HUSSAIN SON OF LATE MR. AHMAD HUSSAIN Resident of House

No.A-1098, Gali No.13, Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “ARSH
HUSSAIN” is 05.05.2009, (05th day of May Two Thousand Nine). Due to unavoidable
4. That his/her Mother’s name is “MRS. FARZANA BEGUM”.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 01st day of October 2016, that the contents of this affidavit are
DEPONENT
AFFIDAVIT
I, YOGENDRA SINGH SON OF SHRI CHANDRA BHUSHAN SINGH Resident of

House No.N-73/2, Amar Market, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “SUMIT SINGH”
is 03.09.2004, (03rd day of September Two thousand Four). Due to unavoidable
3. That his/her Mother’s name is “SMT. KANTI DEVI”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAJA RAM THAKUR SON OF SHRI UDAY CHAND THAKUR Resident of House
No.N-346/13, Amar Market, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “MAHESH
THAKUR” is 30.12.2006, (30th day of December Two thousand Six). Due to
3. That his/her Mother’s name is “SMT. NEELAM DEVI”.

DEPONENT
`
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, KISHORE KUMAR SON OF SHRI RAVINDER PRASAD GUPTA aged 38 years,

Resident of House No.I-460, Gali No.3, Hari Nagar Extn. Near C.G.M. Public School,
Contd...2..
**2**
1. That my correct and exact date of birth is 19.07.2015, (19th day of July Two thousand
Fifteen) & I was born at Home/House No.D-II/375A, Gali No.3, Hari Nagar Extn.
2. That I have not obtained any Birth Certificate from any Government agency/department
in India.
3. All supporting documents are genuine and nothing has been concealed.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, ANU JHA DAUGHTER OF SHRI GIRJANAND JHA aged 27 years, Resident of

House No.F-108/1, Harsh Vihar, Hari Nagar Extn. Part-III, Near Krishna Garden,
Contd...2..
**2**
1. That my correct and exact date of birth is 15.03.1992, (15 th day of March Nineteen
Hundred Ninety Two) & I was born at Home/House No.F-108/1, Harsh Vihar, Hari
Nagar Extn. Part-III, Near Krishna Garden, P.O.Badarpur, New Delhi-110044.
in India.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SUNIL SON OF SHRI RAMESH CHAND Resident of House No.B-151, Village Hari
Contd...2..
**2**
1. That the correct and exact date of birth of my son/daughter namely “PRITHVI” is
19.09.2011, (19th day of September Two thousand Eleven) & he/she was born at Home.
2. That I have not obtained any Birth Certificate of my said son/daughter from any
Government agency/department in India.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, KAMAL KUMAR BANSAL SON OF SHRI RAKESH KUMAR BANSAL Resident

of House No.I-745/15, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd...2..
**2**
1. That the correct and exact date of birth of my son/daughter namely “NAITIK
BANSAL” is 10.12.2008, (10th day of December Two thousand Eight) & he/she was
born at Home.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, KAMAL KUMAR BANSAL SON OF SHRI RAKESH KUMAR BANSAL Resident

of House No.I-745/15, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd...2..
**2**
1. That the correct and exact date of birth of my son/daughter namely “KUSHAGRA
BANSAL” is 24.08.2011, (24th day of August Two thousand Eleven) & he/she was born
at Home.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SONU JHA SON OF SHRI CHANDRA KANT JHA Resident of House No.L-87,
Contd...2..
**2**
1. That the correct and exact date of birth of my son/daughter namely “SAKSHI” is
20.09.2013, (20th day of September Two thousand Thirteen) & he/she was born at
V.M.M.C. & Safdarjung Hospital, New Delhi.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, ASHOK KUMAR SON OF SHRI HARDEV PRASAD resident of House No.O-54,

declare as under:-
Contd...2..
**2**
1. That the correct and exact date of birth of my son/daughter namely “MAHESH” is
20.06.2002, (20th day of June Two thousand Two) & he/she was born at Home, House
No.O-54, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, SARVAN SINGH SON OF SHRI RAMESH PRASAD SINGH resident of House

No.K-114/A, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd...2..
**2**
1. That the correct and exact date of birth of my son/daughter namely “AYUSH KUMAR
SINGH” is 10.12.2009, (10th day of December Two thousand Nine) & he/she was born
at Safdarjung Hospital, New Delhi.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, KAHKASHA ROSHAN DAUGHTER OF MR. ALI HUSSAIN age 20 years resident

of House No.B-256, Ekta Vihar, Jaitpur Extn. Part-I, Gyan Mandir Road, P.O.Badarpur, New
Contd...2..
**2**
1. That my correct and exact date of birth is 15.08.1996, (15th day of August Nineteen
Hundred Ninety Six) & I was born at Home House No.B-256, Ekta Vihar, Jaitpur Extn.
Part-I, Gyan Mandir Road, P.O.Badarpur, New Delhi-110044.
in India.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MRITUNJAY NARAYAN JHA SON OF LATE SHRI VEDANAND JHA resident of

House No.H-211/33A, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do
Contd...2..
**2**
1. That the correct and exact date of birth of my son/daughter name “ANUBHAV JHA” is
16.04.2013, (16th day of April Two thousand Thirteen) & He/She was born at V.M.M.C.
& Safdarjung Hospital, New Delhi-110020.
2. That my son/daughter has not obtained any Birth Certificate from any Government
agency/department in India.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, AFROZ HUSSAIN SON OF MR. AINUL HAQUE resident of House No.B-256, Ekta
Vihar, Jaitpur Extn. Part-I, Gyan Mandir Road, P.O.Badarpur, New Delhi-110044, do hereby
Contd...2..
**2**
1. That the correct and exact date of birth of my daughter name “SADIYA AFROZ” is
25.09.2006, (25th day of September Two thousand Six) & He/She was born at Home
H.No.B-256, Ekta Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044.
2. That my son/daughter has not obtained any Birth Certificate from any Government
agency/department in India.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MANDEEP KAUR WIFE OF SHRI INDERJEET SINGH Resident of House

No.D-110, Hari Nagar Extn. Near Chhota Gurudwara, P.O.Badarpur, New Delhi-110044, do
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “JAGRAJ
SINGH” is 12.04.2015, (12th day of April Two thousand Fifteen). Due to unavoidable
3. That his/her father’s name is “MR. INDERJEET SINGH”.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 23rd day of December 2015, that the contents of this affidavit
therein.
DEPONENT
AFFIDAVIT
I, RAM JEEVAN SON OF SHRI RAMESH CHAND Resident of House No.99, Gali
No.6, Peer Baba Basti, Village Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Cont..2..
**2**

2. That I am the guardian of “MS. SONI” whose date of birth is 15.08.2004, (15 th day of
August Two Thousand Four). She is residing with me on the above mentioned address
and fully depended upon me.
3. That his/her Father’s name is “MR. RAM AUTAAR” & his/her Mother’s name is
“MRS.SARITA DEVI”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SATIBHA DEVI WIFE OF SHRI SANJAY THAKUR Resident of House No.L-32,

Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “RISHABH RAJ”
is 25.12.2008, (25th day of December Two thousand Eight). Due to unavoidable
3. That his/her Father’s name is “SHRI SANJAY THAKUR”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SARITA DEVI WIFE OF SHRI SUBODH KUMAR GUPTA Resident of House No.J-
89, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “SIMRAN
GUPTA” is 16.03.2007, (16th day of March Two thousand Seven). Due to unavoidable
3. That his/her Father’s name is “MR. SUBODH KUMAR GUPTA”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAJESH SONI WIFE OF SHRI RAVIKANT SONI Resident of House No.J-29,

Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “KUMKUM
SONI” is 15.03.2007, (15th day of March Two thousand Seven). Due to unavoidable
3. That his/her Father’s name is “MR. RAVIKANT SONI”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SONI JHA WIFE OF SHRI ARVIND KUMAR JHA Resident of House No.G-34,
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “PRAGYA
SHREE” is 17.03.2008, (17th day of March Two thousand Nine). Due to unavoidable
3. That his/her Father’s name is “MR. ARVIND KUMAR JHA”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SUKIRTI DEVI WIFE OF SHRI SANJEEV KUMAR Resident of House No.M-90,

Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “ASHISH
TIWARI” is 19.03.2006, (19th day of March Two thousand Six). Due to unavoidable
3. That his/her Father’s name is “MR. SANJEEV KUMAR”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NUTAN KUMARI WIFE OF SHRI ABINASH KUMAR Resident of House

No.M-190, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “UTKARSH
KUMAR” is 07.10.2006, (07th day of October Two thousand Six). Due to unavoidable
3. That his/her Father’s name is “MR. ABINASH KUMAR”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, AARTI SHARMA WIFE OF SHRI SUBHASH SHARMA Resident of Gali No.3,

Shyam Colony, Sehatpur, Tehsil & Distt. Faridabad, Haryana, do hereby solemnly affirm and
declare as under:-
Cont..2..
**2**

2. That the correct and exact date of birth of my son/daughter namely “VARUN
SHARMA” is 10.04.2008, (10th day of April Two thousand Eight). Due to unavoidable
3. That his/her Father’s name is “MR. SUBHASH SHARMA”.
4. That the affidavit had lost by school that’s why again given by me.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, VIJAY CHOUDHARY SON OF LATE SHRI KAILASH CHOUDHARY Resident of

House No.419, Gali No.3, Shyam Colony, Sehatpur, Tehsil & Distt. Faridabad, Haryana, do
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “AMAN
CHOUDHARY” is 24.05.2003, (24th day of May Two Thousand Three). Due to
3. That his/her Mother’s name is “MRS. BABLI DEVI”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NAGENDRA PRASAD SON OF SHRI PARSHURAM PRASAD Resident of House

No.520, Gali No.5, Lakhpat Colony, Part-II, Mithapur Extn. P.O.Badarpur, New Delhi-110044,
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “PREETI” is
01.01.2002, (01st day of January Two Thousand Two). Due to unavoidable
3. That his/her Mother’s name is “MRS. LILAWATI DEVI”.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, AJAY KUMAR SINGH SON OF SHRI TRIVENI PRASAD SINGH Resident of

House No.L-172/A, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do
Cont..2..
**2**
2. That the correct and exact date of birth of my son/daughter namely “ANUBHAV
KUMAR SINGH” is 16.08.2010, (16th day of August Two Thousand Ten). Due to
3. That his/her Mother’s name is “SMT. RAGINI DEVI”.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, JABLOON MASSEY SON OF MR. YAKUB MASSEY Resident of House

No.D-II/302, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
2. That the correct and exact date of birth of my son/daughter namely “MAHIMA
MASSEY” is 14.01.2000, (14th day of January Two thousand).
3. That his/her mother’s name is “MRS. VEENA MASSEY”.
4. That “MAHIMA MASSEY” is my single girl child.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NEERAJ THAKUR SON OF SHRI RISHI PAL SINGH THAKUR Resident of

House No.A-5, Main Kalindi Kunj Road, Jaitpur Extn. Part-II, P.O.Badarpur, New
Contd…2..
*** 2 ***
2. That the correct and exact date of birth of my son/daughter namely “AARADHYA
THAKUR” is 15.07.2013, (15th day of July Two Thousand Thirteen).
3. That his/her Mother’s name is “MRS. MITYAVI THAKUR”.
4. That “AARADHYA THAKUR” is my First born (Girl) child.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, DHARAM PAL SINGH SON OF LATE SHRI BIRENDER SINGH Resident of

House No.R-1/1, Main Nala Road, Hari Nagar Extn. Opposite Noori Masjid, P.O.Badarpur,
Contd…2..
*** 2 ***
2. That the correct and exact date of birth of my son namely “DAKSH SINGH” is
26.02.2012, (26th day of February Two Thousand Twelve).
3. That his/her mother’s name is “MRS. ANURADHA SINGH”.
4. That “DAKSH SINGH” is my First born child.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, INDER KANT JHA SON OF SHRI VIDESHWAR JHA Resident of House

No.639A, Gali No.9, Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “NAITIK KUMAR JHA” is
21.07.2010 (21st day of July Two Thousand Ten).
4. That his/her Mother’s name is “MRS. KAVITA DEVI”.
6. That the above statements are true and correct to the best of my knowledge.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, BABLU SON OF MR. BADULI Resident of House No.170, Gali No.5/3, Shivam
Colony, Ismailpur, Tehsil & Distt. Faridabad, Haryana, do hereby solemnly affirm and declare
as under:-
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “SANA PARVEEN” is

01.01.2009, (01st day of January Two Thousand Nine).
4. That his/her Mother’s name is “MRS. SAHIBA PARVEEN”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, VIRENDRA MAHTO SON OF SHRI DHARMAN MAHTO Resident of House

No.F-276, Hari Nagar, Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “DEEPAK KUMAR” is

05.07.2002, (05th day of July Two Thousand Two).
4. That his/her Mother’s name is “MRS. NISHA DEVI”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NANDAN SINGH MEHRA SON OF SHRI PAN SINGH MEHRA Resident of

House No.O-34, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “SAHIL MEHRA” is

04.09.2010, (04th day of September Two Thousand Ten).
4. That his/her Mother’s name is “SMT. CHAMPA MEHRA”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SAROMAN SAXENA SON OF SHRI MUNNU SAXENA Resident of House No.D-

90/1, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “SUNNY SAXENA” is

23.11.2009, (23rd day of November Two Thousand Nine).
4. That his/her Mother’s name is “MRS. SHEELA SAXENA”.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 30th day of April 2015, that the contents of this affidavit are
DEPONENT
AFFIDAVIT
I, KALIKINKAR DUTT SON OF SHRI SACHIDANAND RAI Resident of House

No.H-382, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “KESHAV YADAV” is

16.04.2009, (16th day of April Two Thousand Nine).
4. That he/she has not studied in any recognized/Govt. School. He/She studied privately in
IInd class. He/She is fit for admission in class IIIrd.
6. That his/her Mother’s name is “MRS. KANCHAN YADAV”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, KALIKINKAR DUTT SON OF SHRI SACHIDANAND RAI Resident of House

Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “NIDHI YADAV” is

16.02.2008, (16th day of February Two Thousand Eight).
IIIrd class. He/She is fit for admission in class IVth.
6. That his/her Mother’s name is “MRS. KANCHAN YADAV”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MUBEEN KHAN SON OF MR. ABDUL HAFIZ Resident of House No.171, Gali
No.1, Block E, Jagmal Enclave, Roshan Nagar, Agwanpur, Faridabad, Haryana, do hereby
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “AYAN KHAN” is

10.01.2008, (10th day of January Two Thousand Eight).
IIIrd class. He/She is fit for admission in class IVth.
6. That his/her Mother’s name is “MRS. SANJEEDA PARVEEN”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SHAILENDRA SINGH SON OF SHRI PAPPU CHOUDHARY Resident of House

No.A-216B, Gali No.5, Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “TANMAY CHOUDHARY”

is 22.06.2011, (22nd day of June Two Thousand Eleven).
5. That his/her Mother’s name is “SMT. RINKU CHOUDHARY”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, VIRENDER BHATI SON OF LATE SHRI DHARAMVIR BHATI Resident of

House No.292, Haddu Mohalla, Madanpur Khadar, P.O.Sarita Vihar, New Delhi-110076, do
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “VANSHIKA BHATI” is

26.08.2008, (26th day of August Two Thousand Eight).
Ist class. He/She is fit for admission in class IInd.
6. That his/her mother’s name is “SMT. BABITA”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, VIJAY SINGH SON OF SHRI SURESH SINGH Resident of House No.I-49A, Hari
Nagar Extn. Main Jaitpur Road, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “RIYA SINGH” is 28.03.2006,
(28th day of March Two Thousand Six).
IVth class. He/She is fit for admission in class Vth.
5. That his/her Mother’s name is “MRS. MENKA SINGH”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, JAWAHAR MISHRA SON OF LATE SHRI LAXMI KANT MISHRA Resident of

House No.N-564, Gali No.19, Amar Market, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur,
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “MANISH MISHRA” is

21.12.2001, (21st day of December Two Thousand One).
VIIIth class. He/She is fit for admission in class IXth.
5. That his/her Mother’s name is “MRS. KANCHAN MISHRA”.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, NITIN SINGH RATHAUR SON OF SHRI SHISHU PAL SINGH RATHAUR

Resident of House No.N-237/11, Amar Market, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur,
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “KARTIK RATHAUR” is

18.05.2011, (18th day of May Two Thousand Eleven).

4. That his/her Mother’s name is “MRS. RAMA RATHAUR”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NITIN SINGH RATHAUR SON OF SHRI SHISHU PAL SINGH RATHAUR

Resident of House No.N-237/11, Amar Market, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur,
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “MUSKAN RATHAUR” is

02.12.2009, (02nd day of December Two Thousand Nine).
4. That his/her Mother’s name is “MRS. RAMA RATHAUR”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NISHA WIFE OF SHRI RAJAN MISHRA Resident of House No.D-1/116, Gali

No.2, Vishwakarma Colony, Jaitpur Part-II, P.O.Badarpur, new Delhi-110044, do hereby
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “ANJALI” is 09.07.2006,

(09th day of July Two Thousand Six).
03th class. He/She is fit for admission in class 04th.
5. That his/her Father’s name is “SHRI RAJAN MISHRA”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MUKESH KUMAR SON OF SHRI SHIV SHANKAR SINGH Resident of House

No.B-367, Ekta Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-44, do hereby solemnly
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “PRIYA KUMARI” is

08.09.2002, (08th day of September Two Thousand Two).
05th class. He/She is fit for admission in class 06th.
5. That his/her Mother’s name is “SMT. ASHA DEVI”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAJVIR SON OF SHRI VASDEV Resident of House No.10, Gali No.26-A, Molar
Band Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare as under:-
Contd…2.
** 2 **
1. That the correct date of birth of my son/daughter namely “SACHIN” is 01.11.2002,

(01st day of November Two Thousand Two).
02nd class. He/She is fit for admission in class 03rd.
5. That his/her Mother’s name is “MRS. ROOMALI”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, KANCHAN DEVI WIFE OF SHRI SUNIL KUMAR SINGH Resident of House

No.K-331, First Floor, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby
Contd..2.
** 2 **
2. That the correct and exact date of birth of my son/daughter namely “NAITIK” is
08.01.2013, (08th day of January Two thousand Thirteen).
4. That his/her Father’s name is “SHRI SUNIL KUMAR SINGH”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SUSHAMA DEVI WIFE OF SHRI ARVIND KUMAR Resident of House No.J-62,

Near VPS, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd..2.
** 2 **
2. That the correct and exact date of birth of my son/daughter namely “ARADHYA
KUMARI” is 01.12.2012, (01st day of December Two thousand Twelve).
4. That his/her Father’s name is “SHRI ARVIND KUMAR”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, HARI SHANKAR SON OF SHRI SARNAM SINGH Resident of House No.C-472,

Harsh Vihar, Hari Nagar, Part-III, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under:-
Contd..2.
** 2 **
2. That the correct and exact name of my son/daughter is “KAVYA” & her date of birth is
19.06.2015, (19th day of June Two Thousand Fifteen).
3. That her Mother’s name is “MRS. SARLA”.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 02nd day of July 2015, that the contents of this affidavit are true
DEPONENT
AFFIDAVIT
I, SUMATI KUMARI WIFE OF SHRI RAJESH KUMAR Resident of House No.M-

58, Ground floor, Block-M, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-44, do hereby
Contd…2.
** 2 **
2. That I gave Birth to a male baby in your hospital on 29.07.2011, address of baby has
been shown as House No.103, Jaitpur Ext. Badarpur, New Delhi-110044, which may be
corrected as M-58, Ground floor, Block-M, Saurabh Vihar, Jaitpur, P.O.Badarpur, New
Delhi-44.
3. `is SUMATI KUMARI which is mentioned in my all documents such as PAN Card,
Electricity Bill etc. but by mistake my name was mentioned as SUMATI on my male
child’s birth Certificate bearing regn. No.MCDOLIR-0111-004852652, dated of regn.
17.08.2011.
4. That I want to change my name as SUMATI KUMARI in place of SUMATI in my male

child’s birth certificate.
5. That the above statements are true to the best of my knowledge and belief.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 03rd day of January 2015, that the contents of this affidavit are
DEPONENT
AFFIDAVIT
I, MANOJ KUMAR SON OF SHRI RAM NIWAS Resident of House No.19A, Tyagi
Vihar, Nangloi, New Delhi-110041, do hereby solemnly affirm and declare as under:-
Contd…2.
** 2 **
2. That my actual and correct name is MANOJ KUMAR which is mentioned in Driving
License but by mistake my name has mentioned as MANOJ MITTAL in my Aadhaar
Card.
3. That “MANOJ KUMAR” & “MANOJ MITTAL” are the name of same & one
person
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, GAURAV RAJORIYA SON OF SHRI JAYANTI PRASAD Resident of House

No.D-162, Gali No.5, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
2. That my actual & correct name is GAURAV RAJORIYA which is mentioned in my all
ID’s but by mistake my name was mentioned incompletely as GAURAV in the place of
nominee in my uncle (Munesh Chand) bank account, having a/c No.602910510002231,
Bank of India, Branch Okhla, Phase-I, New Delhi-110020.
3. That “GAURAV RAJORIYA” & “GAURAV” are names of same & one person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, JAYANTI PRASAD SON OF LATE SHRI BHAGWAN DAS Resident of House

No.D-162, Gali No.5, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
2. That GAURAV RAJORIYA is my real son.
3. That the actual & correct name of my son is GAURAV RAJORIYA which is mentioned
in his all ID’s but by mistake his name was mentioned incompletely as GAURAV in the
place of nominee in my real brother (Munesh Chand) bank account, having a/c
No.602910510002231, Bank of India, Branch Okhla, Phase-I, New Delhi-110020.
4. That “GAURAV RAJORIYA” & “GAURAV” are names of same & one person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, PUSHPA SAINI WIFE OF LATE SHRI SURESH SAINI Resident of House No.I-
86-B, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, (vide Aadhaar Card No.6642 2483
7711), do hereby solemnly affirm and declare as under:-
Contd…2.
** 2 **
2. That I have received my husband death certificate from NDMC bearing Registration
No.89740 on 29.10.2014 in which my husband father’s name mentioned wrongly as
HARI NARAYAN SAINI while the actual name of my father in law is HAR NANDAN
SAINI.
3. That now I want to change my father-in-law name as HAR NANDAN SAINI in the
place of HARI NARAYAN SAINI in my husband death certificate from the concerned
office.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 03rd day of February 2015, that the contents of this affidavit are
DEPONENT
AFFIDAVIT
I, MOHIT SINGH SON OF LATE SHRI AMAR KUMAR SINGH Resident of House
No.C-137, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
2. That the actual & documentary name of my father is AMAR KUMAR SINGH which is
mentioned in his all ID’s who had died on 4.01.2018, but by mistake his name has
mentioned incomplete as AMAR in Hospital records.
3. That now I want to rectify my father name as AMAR KUMAR SINGH as per
documents instead of AMAR in hospital records..
4. That I am enclosing Identity Card’s of my father herewith.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, PUSHPA SAINI WIFE OF LATE SHRI SURESH SAINI Resident of House No.I-
86-B, Gali No.4, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, (vide Aadhaar Card
No.6642 2483 7711), do hereby solemnly affirm and declare as under:-
Contd…2.
** 2 **
2. That my actual husband name is SURESH SAINI but due to clerical mistake in my
Voter I card it is written as “SURESH KUMAR” that my Husband name of written as
“SURESH KUMAR” instead of “SURESH SAINI”.
3. That my husband name SURESH KUMAR and SURESH SAINI is same and one
person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NIRANJAN KUMAR SON OF SHRI AMREANDER JHA Resident of House
No.I-108, Gali No.3, Jaitpur Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
2. That the “NIRANJAN KUMAR” and “NIRANJAN KUMAR JHA” are the name of
same person.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 23rd day of May 2016, that the contents of this affidavit are true
DEPONENT
AFFIDAVIT
I, TITOO SON OF SHRI RAMVEER SINGH Resident of House No.D-5, Saurabh
declare as under:-
Contd…2.
** 2 **
2. That the correct spell of my name is TITOO which is mentioned in my PAN Card,
Driving License, Election Identity Card, but by mistake the spell of my name has
written wrongly as TITU in my Aadhaar Card.
3. That the “TITOO” and “TITU” are the name of same & one person.
4. That the correct spell of my father name is RAMVEER SINGH which is mentioned in
my PAN Card, Driving License, Election Identity Card, but by mistake the spell of my
father name has written wrongly as RAMVIR SINGH in my Aadhaar Card.
5. That the “RAMVEER SINGH” and “RAMVIR SINGH” are the name of same & one
person.
6. That my correct and exact date of birth is 12.07.1986 (12th day of July Nineteen
Hundred Eight Six), which is mentioned in my PAN Card & Driving License, but by
mistake my birth year has mentioned wrongly in my Aadhaar Card as 1990.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MANOJ KUMAR YADAV SON OF SHRI LAXMI YADAV Resident of Khasra
No.738, Ground Floor, Balaji Enclave, Punjab Khor, North West Delhi, Delhi-110081, do
Contd…2.
** 2 **
2. That my actual and complete name is MANOJ KUMAR YADAV which is mentioned
in my aadhaar card but by mistake my .name has mentioned incomplete as MANOJ
KUMAR in my Driving License.
3. That the “MANOJ KUMAR YADAV” and “MANOJ KUMAR” are the name of
same & one person.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, SHIVA SAINI SON OF SHRI BRAJKISHORE SAINI Resident of House No.167,
Kot-Kalan-2, Shikarpur, Bulandshahar, (U.P.), do hereby solemnly affirm and declare as
under:-
Contd…2.
** 2 **
2. That my actual and complete name is SHIVA SAINI which is mentioned in my aadhaar
card but by mistake my name has mentioned incompletely as SHIVA in my Driving
License.
3. That “SHIVA SAINI” and “SHIVA” are the name of same & one person.
4. That the actual and complete name of my father is BRAJKISHORE SAINI which is
mentioned in my aadhaar card but by mistake my father name has mentioned
incompletely as BRIJKISHOR in my Driving License.
5. That “BRAJKISHORE SAINI” and “BRIJKISHOR” are the name of same & one
person.
6. That my correct & exact date of birth is 01.03.1993 (01 st day of March Nineteen
Hundred Ninety Three), which is mentioned in my Aadhaar Card but by mistake my
date of birth is mentioned incorrect as 08.10.1996 (08th day of October Nineteen
Hundred Ninety Six).
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, KALIKINKAR DUTT SON OF SHRI SACHHIDANAND RAY Resident of House

No.H-382, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd..2.
** 2 **
2. That the actual and complete name of daughter is “RISHU” which is mentioned in his
Aadhaar Card, but by mistake his name has written as “RISHU KUMARI” in his
school records.
3. That “RISHU” & “RISHU KUMARI” are the name of same child.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, JASPAL SINGH SON OF LATE SHRI JASWANT SINGH Resident of House

No.N-80, Hari Nagar Extn. Jaitpur, P.O.Bada ..’675557
rpur, New Delhi-110044, do hereby solemnly affirm and declare as under:-
Contd..2.
** 2 **
2. That my actual and correct name is JASPAL SINGH which is mentioned in my all ID’s
but by my mistake my name has written wrongly as JASHPAL SINGH in the place of
father name in the school records of my daughter named “HARSIMRAN KAUR”.
3. That I wish to rectify my name as JASPAL SINGH instead of JASHPAL SINGH in the
place of father name in the school records of my daughter named “HARSIMRAN
KAUR”.
4. That “JASPAL SINGH” & “JASHPAL SINGH” are the names of same & one person.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, SHYAMVEER SINGH SON OF SHRI KISHORI LAL Resident of House No.L-90,
declare as under:-
Contd..2.
** 2 **
2. That the actual and correct name of my son is “AMAN KUMAR” as per his Aadhaar
Card.
3. That the correct & exact date of birth of my son named “AMAN KUMAR” is
20.11.2006 (20th day of November Two thousand Six).
4. That my actual name is SHYAMVEER SINGH & my wife correct name is NAVLESH
as per our Aadhaar Card.
5. I wish to add the name of my son as “AMAN KUMAR” my name as “SHYAMVEER

SINGH” & my wife name as “NAVLESH” in his school records for future purposes.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, HARISH CHANDRA SINGH BHAKUNI SON OF SHRI KISHAN SINGH

BHAKUNI Resident of House No.C-127, Harsh Vihar, Part-III, Hari Nagar Extn. Badarpur,
Contd..2.
** 2 **
2. That the correct & exact date of birth of my son named “JAGDISH SINGH
BHAKUNI” is 14.08.2008 (14th day of August Two thousand Eight).
3. That my correct & exact name is HARISH CHANDRA SINGH BHAKUNI which is
mentioned in my Aadhaar Card, but by mistake my name has written as HARISH
CHAND in the school records of my above son in the place of father name.
4. That now I wish to change my correct name as HARISH CHANDRA SINGH

BHAKUNI instead of HARISH CHAND, in the school records of my above son in the
place of father name.
5. That “HARISH CHANDRA SINGH BHAKUNI” & “HARISH CHAND” are the name
of same & one person.
6. That now presently I am residing at H.No. C-127, Harsh Vihar, Part-III, Hari Nagar
Extn. Badarpur, New Delhi-110044 & wish to update my new address in the school
records of my above son, instead of previous address.

DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, HARISH CHANDRA SINGH BHAKUNI SON OF SHRI KISHAN SINGH

BHAKUNI Resident of House No.C-127, Harsh Vihar, Part-III, Hari Nagar Extn. Badarpur,
Contd..2.
** 2 **
2. That the correct & exact date of birth of my son named “ARTI” is 22.08.2011 (22 nd day
of August Two thousand Eleven).
3. That my correct & exact name is HARISH CHANDRA SINGH BHAKUNI which is
mentioned in my Aadhaar Card, but by mistake my name has written as HARISH
CHAND in the school records of my above daughter in the place of father name.
4. That now I wish to change my correct name as HARISH CHANDRA SINGH

BHAKUNI instead of HARISH CHAND, in the school records of my above daughter in
the place of father name.
5. That “HARISH CHANDRA SINGH BHAKUNI” & “HARISH CHAND” are the name
of same & one person.
6. That now presently I am residing at H.No. C-127, Harsh Vihar, Part-III, Hari Nagar
Extn. Badarpur, New Delhi-110044 & wish to update my new address in the school
records of my above daughter, instead of previous address.

DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, NARENDER SINGH KUSHWAHA SON OF SHRI RAM SINGH KUSHWAHA

Resident of House No.F-357, Harsh Vihar, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-
Contd..2.
** 2 **
2. That the correct spell of my name is NARENDER SINGH KUSHWAHA but by

mistake the spell of my name has mentioned as NARENDRA SINGH KUSHWAHA in
my Aadhaar Card acknowledgement slip.
3. That NARENDER SINGH KUSHWAHA & NARENDRA SINGH KUSHWAHA are

the name of same and one person..
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAM NATH SINGH SON OF LATE SHRI RAM NARAYAN SINGH Resident of
House No.I-557, Gali No.2, Hari Nagar Extn. Near MTNL Telephone Exchange, P.O.Badarpur,
Contd..2.
** 2 **
2. That the correct and exact date of birth of my daughter named “ROSHANI RAJ
SINGH” is 2.8.2003 (02nd day of August Two thousand Three).
3. That the actual and correct name of my wife is MANJU SINGH which is mentioned in
her all ID’s but by mistake her name has mentioned incorrect as ARTI in my daughter’s
school records in the place of mother name.
4. That I wish to rectify my wife name as “MANJU SINGH” instead of “ARTI” in my

daughter school records in the place of mother name.
5. That “MANJU SINGH” & “ARTI” are the names of same and one person.
DEPONENT
VERIFICATION:-
DEPONENT
** 2 **
2. That the correct and exact date of birth of my son/daughter named “AHAM” is
17.6.2015 (17th day of June Two thousand Fifteen).
3. That the actual & correct spell of my name as PHOOLCHANDRA which is mentioned
in my aadhaar card but by mistake the spell of my name has mentioned incorrect as
PHUL CHANDR in my son’s birth certificate in the place of father name & son’s
school records in the place of father name.
4. That “PHOOLCHANDRA” & “PHUL CHANDR” are the names of same & one
person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, CHANDAN KUMAR SON OF SHRI ANAND KUMAR Resident of House

No.K-519/12, Saurabh Vihar, Jaitpur, P.O.Badarpur, P.O.Badarpur, New Delhi-110044, do
Contd..2.
** 2 **
2. That the correct & exact date of birth of my son/daughter named “RAKSHITA
KARN” is 11.09.2018, (11th day of September Two thousand Eighteen), at Safdarjung
Hospital, New Delhi.
3. That I want to add my son/daughter name in his/her Birth Certificate, bearing Regn.
No.240881, date of registration 18.09.2018 in the office of Municipal Corporation of
Delhi/New Delhi Municipal Council.
4. That my actual and complete name is CHANDAN KUMAR but by mistake my name
has mentioned incomplete as chandan in Birth Certificate of my son/daughter in the
5. That I want to rectify my complete name as CHANDAN KUMAR instead of

CHANDAN.
6. That the actual and complete name of my wife is SUSHMA SHANU but by mistake her
name has mentioned incomplete as SUSHMA in Birth Certificate of my son/daughter in
the place of mother name.
7. That I want to rectify my wife’s name as SUSHMA SHANU instead of SUSHMA.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, VINOD SINGH YADAV SON OF SHRI RAM DHYAN SINGH YADAV Resident
of House No.I-637, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd..2.
** 2 **
2. That the correct & exact date of birth of my son/daughter named “ANJALI YADAV” is
26.07.2009, (26th day of July Two thousand Nine), at Lok Nayak Hospital, New Delhi.
3. That my actual and complete name is VINOD SINGH YADAV which is mentioned in
my ID, but by mistake my name has mentioned as VINOD YADAV in Birth Certificate
of my son/daughter in the place of father name.
4. That I want to rectify my complete name as VINOD SINGH YADAV instead of VINOD
YADAV.
5. That “VINOD SINGH YADAV” & “VINOD YADAV” are the name of same & one
person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAJESH KUMAR PANDEY SON OF LATE SHRI T.N. PANDEY Resident of

House No.D-II/275, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd..2.
** 2 **
2. That the correct & exact date of birth of my son/daughter named “KASHISH
PANDEY” is 23.08.2002, (23rd day of August Two thousand Two), mentioned in my
Birth Certificate bearing Regn. No.10968, date of registration 30.08.2002, in the office
of Municipal Corporation of Delhi/New Delhi Municipal Council.
3. That I want to add my son/daughter name as “KASHISH PANDEY” in his/her Birth

Certificate, bearing Regn. No.10968, date of registration 30.08.2002, in the office of
Municipal Corporation of Delhi/New Delhi Municipal Council.
4. That his/her mother’s name is MRS. RANJANA PANDEY.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, SANTOSH KUMAR SON OF SHRI SATYA PRAKASH Resident of House
No.J-246, Arpan Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby
Contd..2.
** 2 **
2. That the correct & exact date of birth of my son/daughter named “AKSH” is
19.12.2014, (19th day of December Two thousand Fourteen), mentioned in my son’s
Birth Certificate bearing Regn. No.141977 date of registration 20.12.2014, in the office
of Municipal Corporation of Delhi/New Delhi Municipal Council.
No.141977, date of registration 20.12.2014, in the office of Municipal Corporation of
4. That his/her mother’s name is MRS. YOGITA.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 02nd day of June 2017, that the contents of this affidavit are true
DEPONENT
AFFIDAVIT
I, RAVI SHANKAR SINGH SON OF SHRI UMESH SINGH Resident of D-6,
Saurabh Vihar, Jaitpur, Badarpur, South Delhi, Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd..2.
** 2 **
2. That the correct & exact date of birth of my son/daughter named “GARIMA SINGH”
is 12.01.2016, (12th day of January Two thousand Sixteen), mentioned in my Birth
Certificate bearing Regn. No.169098 date of registration 13.01.2016, in the office of
Municipal Corporation of Delhi/New Delhi Municipal Council.
No.169098, date of registration 13.01.2016, in the office of Municipal Corporation of
4. That my actual and complete address is D-6, Saurabh Vihar, Jaitpur, Badarpur, South
Delhi, Delhi-110044, but by mistake my address has mentioned as D-6, Saurabh
Vihar, Jaitpur, Badarpur, New Delhi, in my daughter’s birth certificate.
5. That I want to rectify my address as D-6, Saurabh Vihar, Jaitpur, Badarpur, South
Delhi, Delhi-110044, instead of D-6, Saurabh Vihar, Jaitpur, Badarpur, New
Delhi.
6. That his/her mother’s name is MRS. GUDIYA SINGH.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, ANIL BAISOYA SON OF SHRI SHISH RAM BAISOYA Resident of Village Hari
Contd..2.
** 2 **
2. That the correct & exact date of birth of my son/daughter is 25.08.2002, (25 th day of
August Two thousand Two).
3. That the actual and correct name of my daughter is “TANYA BAISOYA” but by
mistake her name has written wrongly as “VIBHA” in her birth certificate bearing
Regn. No.1760, date of registration 04.09.2002, in the office of Municipal Corporation
of Delhi/New Delhi Municipal Council
4. That I wish to change my my son/daughter name as “TANYA BAISOYA” in the place

of “VIBHA” on his/her Birth Certificate in the office of Municipal Corporation of
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAJENDRA JANGID SON OF SHRI NAND RAM JANGID Resident of House
No.F-293, Gali No.14, Hari Nagar, Part-II, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***
2. That the correct and exact date of birth of my son/daughter namely “MOHIT JANGID”
is 04.03.2008, (04th day of March Two thousand Eight). He/She was born at Home, on
01:38 A.M.
3. That due to lack of knowledge I could not entered the name of my said child in
MCD/NDMC record. Now I have needed a birth certificate of my said child.
4. That his/her mother’s name is “MRS. MEERA DEVI”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MOOLCHAND SHARMA SON OF SHRI VIRENDER KUMAR SHARMA
Resident of House No.E-1/31, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do
Contd…2..
*** 2 ***
2. That the correct and exact date of birth of my son/daughter namely “AYUSH
SHARMA” is 19.11.2012, (19th day of November Two thousand Twelve). He/She was
born at Safdarjung Hospital, on 04:05 P.M.
4. That his/her mother’s name is “MRS. PREETI SHARMA”.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, SANJAY RAY SON OF SHRI SHATRUGHAN RAY Resident of House
No.A-214/1, Ekta Vihar, Gyan Mandir Road, Jaitpur Extn. P.O.Badarpur, New Delhi-110044,
Contd…2..
*** 2 ***
2. That my correct and exact date of birth is 16.01.1993, (16th day of January Nineteen
Hundred Ninety Three). I was born at New Delhi, on 10:55 A.M.
3. That due to lack of knowledge my parent ould not entered my name in MCD/NDMC
record. Now I have needed a birth certificate.
4. That my mother’s name is “MRS. REKHA DEVI”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, BABLU KUMAR RAY SON OF SHRI SHATRUGHAN RAY Resident of House

No.A-214/1, Ekta Vihar, Gyan Mandir Road, Jaitpur Extn. P.O.Badarpur, New Delhi-110044,
Contd…2..
*** 2 ***
2. That my correct and exact date of birth is 25.04.1990, (25 th day of April Nineteen
Hundred Ninety). I was born at New Delhi, on ______A.M/P.M.
3. That due to lack of knowledge my parent ould not entered my name in MCD/NDMC
record. Now I have needed a birth certificate.
4. That my mother’s name is “MRS. REKHA DEVI”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, DINESH BUM THAKUR SON OF JAYA BUM THAKUR Resident of House

No.F-215, Gali No.11, Harsh Vihar, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-
Contd…2..
*** 2 ***
2. That the correct and exact date of birth of my son/daughter namely “SIKHA BUM
THAKUR” is 29.02.2000, (29th day of February Two thousand). He/She was born at
E.S.I. Hospital, Basaidarapur, Ring Road, New Delhi-110015, on 12:40 P.M.
3. That due to lack of knowledge I could not entered the name of my said child in MCD
record. Now I have needed a birth certificate of my said child.
4. That his/her mother’s name is “MRS. NEETU BUM THAKUR”.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 11 th day of December 2014, that the contents of this affidavit
therein.
DEPONENT
AFFIDAVIT
I, AMIT TIWARI SON OF SHRI RAMESHWAR TIWARI Resident of House No.R-

8/6, Saurabh Vihar, Hari Nagar Extn. P.O. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***

2. That the correct and exact date of birth of my son/daughter namely “SHUBH TIWARI”
is 29.10.2014, (29th day of October Two thousand Fourteen). He/She was born at
V.M.M.C. & Safdarjung Hospital, New Delhi, on 12:19 A.M.
4. That his/her mother’s name is “MRS. MOHINI”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, ANITA DEVI WIFE OF SHRI BHUPENDER Resident of House No.N-333 & 334,
Gali No.13, Amar Market, Saurabh Vihar, Jaitpur, P.O. Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***

2. That the correct and exact date of birth of my son/daughter namely “LAKSHYA” is
10.07.2012, (10th day of July Two thousand Twelve). He/She was born at V.M.M.C. &
Safdarjung Hospital, New Delhi, on 10:16 P.M.
3. That my actual and correct name is ANITA DEVI & my husband actual and correct
name is BHUPENDER but by mistake my name has mentioned wrongly as ANITA my
husband name has mentioned as BHUPENDER SHARMA in hospital birth record
papers of my son.
4. That my actual and correct address is House No.N-333 & 334, Gali No.13, Amar
Market, Saurabh Vihar, Jaitpur, P.O. Badarpur, New Delhi-110044, but by mistake my
address has written wrongly as House No.M-333, Gali No.13, Saurabh Vihar, Jaitpur,
P.O. Badarpur, New Delhi-110044, in hospital birth record papers of my son.
5. That I wish to change my name as ANITA DEVI my husband name as BHUPENDER

and my correct address as House No.N-333 & 334, Gali No.13, Amar Market, Saurabh
Vihar, Jaitpur, P.O. Badarpur, New Delhi-110044, in hospital birth record papers of my
son.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, GOPAL KUMAR SON OF SHRI JUGESHWAR PANDIT Resident of House
No.E-121, Jaitpur Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
2. That the correct and exact date of birth of my son/daughter namely “SWETA” is
20.12.2006, (20th day of December Two thousand Six). He/She was born at Safdarjung
3. That my actual and complete name is GOPAL KUMAR & my wife actual and correct
name is REENA but by mistake my name has mentioned incomplete as GOPAL my
wife’s name has mentioned as RINKU in birth certificate of my daughter bearing Regn.
No.21342, on 26.12.2006.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAJESH KUMAR SON OF SHRI VIRENDER KUMAR Resident of House

Contd…2..
*** 2 ***
2. That the correct and exact date of birth of my son/daughter namely “RAKSHIT
KUMAR” is 06.01.2013, (06th day of January Two thousand Thirteen).
3. That my actual and complete name is RAJESH KUMAR but by mistake my name has
mentioned incompletely as RAJESH in his school records & on birth Certificate of my
son bearing Regn.No.93510, regn. Dt. 09.01.2013.
4. That the actual and complete name of my wife is ARVINDA KUMARI but by mistake
my name has mentioned incompletely as ARVINDA in his school records & on birth
Certificate of my son bearing Regn.No.93510, regn. Dt. 09.01.2013.
5. That I wish to change my complete name as RAJESH KUMAR instead of RAJESH &
my wife’s complete name as ARVINDA KUMARI instead of ARVINDA in his school
records.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, AMRESH JHA SON OF SHRI RAGHVENDRA JHA Resident of House

No.H-211/40, Gali No.7, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044,
Contd…2..
*** 2 ***
2. That my actual and complete name is AMRESH JHA but by mistake my name has
mentioned incompletely as AMRESH in birth Certificate of my daughter named
“AAKRITI” bearing Regn.No.151652, regn. Dt. 22.05.2015.
3. That the actual and complete name of my wife is KACHAN JHA but by mistake her
name has mentioned incompletely as KANCHAN in her daughter birth Certificate.
4. That I wish to change my complete name as AMRESH JHA instead of AMRESH & my
wife’s complete name as KANCHAN JHA instead of KANCHAN in school records of
my daughter.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, PAWAN KUMAR SON OF SHRI BRAHM PRAKASH Resident of House

No.10A, Village Molar Band, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2..
*** 2 ***
2. That the actual and correct name of my son is “LAKSHAY” which is mentioned in his
aadhaar card, but by mistake his name has mentioned as “LAKSHAY VERMA” in his
school records.
3. That I wish to change my son’s correct name as “LAKSHAY” instead of “LAKSHAY

VERMA” in his school records.
4. That my actual and complete name is PAWAN KUMAR which is mentioned in my all
ID’s but by mistake my name has mentioned as PAWAN KUMAR VERMA in birth
Certificate & school records of my son named “LAKSHAY” who is studying in DAV
Public School Sect. 37, Faridabad, Haryana, in the place of father name.
5. That I wish to change my correct name as PAWAN KUMAR instead of PAWAN

KUMAR VERMA in the above school records of my son.
6. That the actual and complete name of my wife is KIRAN KUMARI which is mentioned
in her all ID’s but by mistake her name has mentioned as KIRAN VERMA in birth
Certificate & school records of my son named “LAKSHAY” who is studying in DAV
Public School Sect. 37, Faridabad, Haryana, in the place of mother name.
7. That I wish to change my wife’s correct name as KIRAN KUMARI instead of KIRAN
VERMA in the above school records of my son.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, PAWAN KUMAR SON OF SHRI BRAHM PRAKASH Resident of House

No.10A, Village Molar Band, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2..
*** 2 ***
2. That the actual and correct name of my daughter is “SIDDHI”, but by mistake her name
has mentioned as “SIDDHI VERMA” in her school records & birth certificate.
3. That I wish to change my daughter’s correct name as “SIDDHI” instead of “SIDDHI

VERMA” in his school records.
4. That my actual and complete name is PAWAN KUMAR which is mentioned in my all
ID’s but by mistake my name has mentioned as PAWAN KUMAR VERMA in school
records of my daughter named “SIDDHI” who is studying in DAV Public School Sect.
37, Faridabad, Haryana, in the place of father name.
5. That I wish to change my correct name as PAWAN KUMAR instead of PAWAN

KUMAR VERMA in the above school records of my daughter.
6. That the actual and complete name of my wife is KIRAN KUMARI which is mentioned
in her all ID’s but by mistake her name has mentioned as KIRAN VERMA in school
records of my daughter named “SIDDHI” who is studying in DAV Public School Sect.
37, Faridabad, Haryana, in the place of mother name.
7. That I wish to change my wife’s correct name as KIRAN KUMARI instead of KIRAN
VERMA in the above school records of my daughter.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, SATYA NARAYAN SAH SON OF SHRI BITAN SAH Resident of House

No.I-608/A, Gali No.2, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do
Contd…2..
*** 2 ***
2. That the correct and exact date of birth of my son/daughter namely “ARCHANA SAH”
is 08.07.2003, (08th day of July Two thousand Three). He/She was born at Safdarjung
3. That my actual and complete name is SATYA NARAYAN SAH & and my wife’s actual
and complete name is USHA DEVI but by mistake my name has mentioned incorret as
NARAYAN & my wife’s name has mentioned incomplete as USHA on my daughter’s
birth Certificate bearing Regn.No.8645, regn. Dt. 28.07.2003.
4. That I wish to change my correct name as SATYA NARAYAN SAH instead of

NARAYAN & my wife’s complete name as USHA DEVI instead of USHA on birth
certificate of my daughter.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, TABASSUM KHATOON DAUGHTER OF MR. SAMSHUL HAQ Resident of

House No.B-142, Harsh Vihar, Hari Nagar, Part-3, Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***
2. That my actual and complete name is “TABASSUM KHATOON” which is mentioned

in my academic records & PAN Card, but by mistake my name was mentioned
incomplete as only “TABASSUM” in my Aadhaar Card having No.3024 5556 1651.
3. That now I have rectified my name as “TABASSUM KHATOON” in my Aadhaar

Card instead of “TABASSUM”.
4. That I declared “TABASSUM” & “TABASSUM KHATOON” are the names of same
& One person.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 22nd day of September 2017, that the contents of this affidavit
therein.
DEPONENT
AFFIDAVIT
I, NAND KUMAR JHA SON OF SHRI BAIDYA NATH JHA Resident of House
No.C-194/4, Hari Nagar Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
2. That the correct and exact date of birth of my son/daughter namely “ANKIT JHA” is
27.09.2008, (27th day of September Two thousand Eight), but by mistake his date of
birth has mentioned wrongly as 27.9.2007, in his school records.
3. That I want to change his correct date of birth as 27.09.2008, (27 th day of September
Two thousand Eight) instead of 27.9.2007, in his school records.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, DEVENDRA SINGH SON OF SHRI SHALIGRAM SINGH Resident of Village

Hari Nagar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare
as under:-
Contd…2..
*** 2 ***
2. That my correct and exact date of birth is 01.01.1973 (about 44 Years), which is
mentioned in my Aadhaar Card bearing No.6139 3200 8098, but by mistake my age was
mentioned wrongly as 42 Years, in my O.P.D. Card of AIIMS Hospital, New Delhi,
bearing UHID No.102084989, dated 03.08.2016.
3. That I want to change my age as about 44 years (01.01.1973), instead of 42 Years, in my

O.P.D. Card.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SUDAMA PANDEY SON OF SHRI VASHISHT NARAYAN PANDEY Resident of

House No.K-532/222, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do
Contd…2..
*** 2 ***
2. That I am father of “KAJAL PANDEY”.

3. That my actual and correct name is SUDAMA PANDEY but by mistake my name has
mentioned wrongly as SUDAMA JI PANDEY in the place of father name of my
daughter named Kajal Pandey.
4. That I wist to rectify my name as SUDAMA PANDEY instead of SUDAMA JI

PANDEY in school records of my daughter.
5. That I hereby declare that both the name “SUDAMA PANDEY” and “SUDAMA JI
PANDEY” pertain to one and the same person.
6. That it is my true and correct statement.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SHAILENDRA SON OF SHRI PAPPU CHOUDHARY Resident of House No.F-

Contd…2..
*** 2 ***
2. That the correct and exact date of birth of my son/daughter namely “ANNUSHKA” is
06.02.2008, (06th day of February Two thousand Eight). He/She was born at Home, on
___________A.M/P.M.
4. That his/her mother’s name is “MRS. RINKU DEVI”.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, SHAILENDRA SON OF SHRI PAPPU CHOUDHARY Resident of House No.F-

Contd…2..
*** 2 ***
2. That the correct and exact date of birth of my son/daughter namely “NANDINI” is
04.02.2009, (04th day of February Two thousand Nine). He/She was born at Home, on
___________A.M/P.M.
4. That his/her mother’s name is “MRS. RINKU DEVI”.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, SOURABH PAL SON OF SHRI DEVRAJ Resident of House No.34-A, Gali No.16,
Molar Band Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare as
under:-
Contd…2..
*** 2 ***
2. That I am student & my family income from all sources is Rs.1,80,000/-(Rupees One
Lac Eighty thousand only) Per annum.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAM BACHAN YADAV SON OF MAKHAI RAM YADAV Resident of House

No.J-81, Saurabh Vihar, Jaitpur, P.O.BAdarpur, New Delhi-110044, do hereby solemnly affirm
2. That the correct and exact date of birth of my son/daughter namely “JYOTI YADAV” is
29.10.1996, (29th day of October Nineteen Hundred Ninety Six). He/She was born at
Home, on 10:00 A.M.
4. That his/her mother’s name is “MRS. HEERAWATI YADAV”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, JAGGAN SON OF SHRI AMAR SINGH Resident of House No.F-278/10,

Hari Nagar Extn. Part-II, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under:-
2. That the correct and exact date of birth of my son/daughter namely “SONU” is
12.09.2008, (12th day of September Two thousand Eight). He/She was born at
Home, on Friday 8 A.M.
MCD record. Now I have needed a birth certificate of my said child.
4. That his/her mother’s name is “MRS.SANTOSH”.

DEPONENT
VERIFICATION:-
Verified at Delhi on this 16th day of September 2009, that the contents of this
DEPONENT
AFFIDAVIT
I, AKHILESH KUMAR SISODIA SON OF LATE SHRI GHANSHYAM SINGH

Resident of House No.2707/67A, Block E-II, Molar Band Extn. P.O.Badarpur, New
Contd…2.
** 2 **
2. That the correct and exact date of birth of my son/daughter namely “CHIRAG
SISODIA” is 13.02.2016, (13th day of February Two thousand Sixteen), He/She was
born at Home, but due to unavoidable circumstances I could not apply and get the birth
certificate of my said child from the office of Registrar (Birth) and I have no
4. That the name of his/her mother is “SMT. VINITA RANI”.
and belief.
DEPONENT
-
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, ASHA RAM SON OF SHRI KISHAN LAL Resident of House No.D-II/211, Hari
Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare as under:-
Contd…2.
** 2 **
2. That the correct and exact date of birth of my son/daughter namely “ANKIT” is
13.01.2010, (13th day of January Two Thousand Ten), He/She was born at Home, but
due to unavoidable circumstances I could not apply and get the birth certificate of my
said child from the office of Registrar (Birth) and I have no documentary proof in
support of his/her date of birth.
4. That the name of his/her mother is “SMT. GEETA”.
and belief.
DEPONENT
-
VERIFICATION:-
Verified at Delhi on this 03rd day of February 2015, that the contents of this affidavit are
DEPONENT
AFFID\VIT
I, RAJIV SINGH SON OF SHRI VANSH BAHADUR SINGH Resident of House

No.A-70, Hari Nagar, Part-II, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under:-
1. That the correct and exact date of birth of my son/daughter namely “ARPITA” is
10.05.2006, (10th day of May Two thousand Six), due to unavoidable circumstances I
could not apply and get the birth certificate of my said child from the office of Registrar
(Birth) and I have no documentary proof in support of his/her date of birth.
2. That the name of his/her mother is “MRS. HEMLATA SINGH”.
3. That I will not change his/her name & date of birth in future.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAM KARAN TOMAR SON OF SHRI GIRIRAJ SINGH Resident of House No.I-
179, Gali No.10, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm
1. That the correct and exact date of birth of my son/daughter namely “RAJ TOMAR” is
21.02.2002, (21st day of February Two thousand Two), due to unavoidable
circumstances I could not apply and get the birth certificate of my said child from the
office of Registrar (Birth) and I have no documentary proof in support of his/her date of
birth.
2. That he/she had studied in Cosmos Public School, situated at Tanki Road, Harsh Vihar,
Hari Nagar, Part-III, P.O.Badarpur, New Delhi-44, in 01st Class. And now he/she is fit
for admission in Class 02nd.
3. That the name of his/her mother is MRS.RAJESH TOMAR.
4. That I will not change his/her name & date of birth in future.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SHIV KUMAR PASWAN SON OF SHRI CHANESHAR PASWAN Resident of
House No.2675, Gali No.67, Block E-II, Molar Band Extn. P.O.Badarpur, New Delhi-110044,
Contd…2..
*** 2 ***
1. That the correct and exact date of birth of my son/daughter namely “ANJALI
PASWAN” is 20.11.2009, (20th day of November Two thousand Nine), He/She was born
at Home, but due to unavoidable circumstances I could not apply and get the birth
2. That the name of his/her mother is MRS. NIRMLA DEVI.
and belief.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 31st day of March 2016, that the contents of this affidavit are
DEPONENT
AFFIDAVIT
I, RANJANA SHARMA WIFE OF SHRI UMA SHANKAR SHARMA Resident of

House No.C-89, Hari Nagar, Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
1. That the correct and exact date of birth of my son/daughter namely “AYUSHI
SHARMA” is 31.07.2014, (31st day of July Two thousand Fourteen), He/She was born
and belief.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAJU DIWAKAR SON OF SHRI KHUSI RAM DIWAKAR Resident of House

Contd…2..
*** 2 ***
1. That the correct and exact date of birth of my son/daughter namely “KUNAL
DIWAKAR” is 10.07.2012, (10th day of July Two thousand Twelve), He/She was born
2. That the name of his/her mother is MRS. NEETU DIWAKAR.
and belief.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 31st day of March 2016, that the contents of this affidavit are
DEPONENT
AFFIDAVIT
I, ANIL SHARMA SON OF SHRI KAMESHWAR SHARMA Resident of House

No.25/3, Shiv Enclave, Part-I, Ismailpur, Faridabad, Haryana-121003, do hereby solemnly
Contd…2..
*** 2 ***
2. That the correct and exact date of birth of my son/daughter namely “BHOOMI
KUMARI” is 14.04.2007, (14th day of April Two thousand Seven), but due to
unavoidable circumstances I could not apply and get the birth certificate of my said
child from the office of Registrar (Birth) and I have no documentary proof in support of
3. That his/her mother’s name is MRS. RANI SHARMA.

DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, DURGA SHARMA SON OF SHRI SIDHESHWAR SHARMA Resident of House

No.E-37A, Roop Nagar, Hari Nagar, Part-III, P.O.Badarpur, New Delhi-44, do hereby solemnly
2. That the correct and exact date of birth of my son/daughter namely “SAURAV
KUMAR” is 30.01.1997, (30th day of January Nineteen Hundred Ninety Seven).
3. That he is studying in class 08th in Real View Public School.

4. That his/her mother’s name is MRS.VIMLA DEVI.

DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, MOHAN SINGH SON OF SHRI KHEM SINGH Resident of House

Contd…2..
*** 2 ***
2. That MS. GAYATRI RAWAT DAUGHTER OF LATE SHRI MAN SINGH is my
niece & She is residing with me on the above mentioned address.

3. That I have no objection if any bank shall open a bank a/c for school purpose in
the name of said GAYATRI on my above mentioned address.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 04th day of July 2015, that the contents of this affidavit
concealed therein.
DEPONENT
AFFIDAVIT
I, RAJESH KUMAR SON OF SHRI TAJ PAL Resident of House No.N-60, Hari
under:-
2. That previously I was residing at House No.N-67, Hari Nagar Extn.

P.O.Badarpur, New Delhi-44, but presently I am residing on the above mentioned
address with my family for last One month.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 22nd day of December 2009, that the contents of this
DEPONENT
AFFIDAVIT
I, RAJESH KUMAR YADAV SON OF SHRI LALJI YADAV Resident of House
No.274, Gali No.8, Block C, Roshan Nagar, Agwanpur, Tehsil & Dsitt. Faridabad, Haryana, do
Contd…2..
*** 2 ***

2. That I have shifted with my family herein Delhi for last Six years.
3. That my family consists of following members :-
Sl.No. Name Age/Year/d.o.b. Relationship Income

i). Rajesh Kumar Yadav 5.5.1972 Self 96,000/-
ii). Sheela Yadav 1.1.1971 Wife Nil
iii). Ragini Yadav 5.7.2001 Daughter Nil
iv). Ankit Yadav 5.7.2005 Son Nil
v). Nidhi Yadav 20.4.2008 Daughter Nil
4. That my family income from all sources is Rs.96,000/-(Rupees Ninety Six thousands
only), per annum.
5. That I and my family annually income from all sources below Rs.1,00,000/-(Rupees
One Lac only).
6. That I hereby request the concerning authority to issued me a fresh food card, in favour
of above said members.
7. That I have no any Ration Card in Haryana and any where in India.

DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, PAWAN KUMAR SON OF SHRI RAM PRAKASH Resident of House No.N-3, Hari Nagar
Extn. Part-3, Jaitpur, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare as under:-

2. That I have shifted with my family herein Delhi for last many years.
Sl.No. Name Age/Year Relationship Income
i). Pawan Kumar 1990 Self 60,000/-

ii). Renu 1991 Wife Nil
4. That my family income from all sources is Rs.60,000/-(Rupees Sixty thousands only), per
annum.
5. That I and my family annually income from all sources below Rs.1,00,000/-(Rupees One Lac
only).
6. That I hereby request the concerning authority to issued me a fresh food card, in favour of
above said members.
7. That I have no any Ration Card in NCT of Delhi and any where in India.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 09 th day of December 2011, that the contents of this affidavit are true
DEPONENT
AFFIDAVIT
I, KRISHNA NAND THAKUR SON OF SHRI NEERAJ THAKUR Resident of

House No.O-625, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby

2. That I have shifted with my family herein Delhi for last many years.
Sl.No. Name D.O.B./Age/Year Relationship Income

i). Krishna Nand Thakur 01.05.1981 Self 84,000/-
ii). Sarita Thakur 02.03.1987 Wife Nil
iii). Shivesh Thakur 18.12.2007 Son Nil
iv). Ritesh Thakur 24.02.2009 Son Nil
4. That my family income from all sources is Rs.84,000/-(Rupees Eighty Four thousand
only), per annum.
5. That I and my family annually income from all sources below Rs.1,00,000/-(Rupees
One Lac only).
6. That I hereby request the concerning authority to issued me a fresh food card, in favour
of above said members.
7. That I have no any Ration Card in NCT of Delhi and any where in India.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MUKESH SHARMA SON OF SHRI LALA RAM presently residing at House

No.B-109, Gazipur, Delhi-110096, since ____________, do solemnly affirm and declare as
follows:
Contd…2..
*** 2 ***
1. That my date of birth is 01.04.1968, (01 st day of April Nineteen Hundred Sixty Eight),
and place of birth is Loni, (U.P.).
2. That my educational qualification is Intermediate.
3. That I am married to SMT. PRAVEEN SHARMA and that I have One children namely
MASTER BHAVISHYA SHARMA age about 10 Years.
4. That I am permanent resident of House No.B-109, Gazipur, Delhi-110096.
5. That I am running a private business (Copy of Registration certificate or sales/service

tax deposit slip or MCD/NDMC/Cantt. Board Trade license which are attached) whose
detail is as under:-
a) Name & Address of business:- HARDWARE SHOP

(Proprietorship, Private Limited or Limited Company).
b) Number of employees:- Two
a. Skilled technical:- N/A

b. Literate:- N/A
c. Semi literate (below10th Class) N/A
d. Illiterate :- N/A
c) No of shops/branches with address :- One Shop at D-1-1, Ground Floor, Main
Ismailpur Road, Jaitpur, Badarpur, New Delhi-110044.
6. I am a professional (Doctor, Lawyer, Architect, Engineers, Chartered Accountant etc.
(Copy of registration attached).
I. Name & Address of firm:-

a. Skilled/technical:- N/A
b. Literate:- N/A
c. Semi literate (below 10th Class):-N/A
d. Illiterate:- N/A
7. That I am working/serving as N/A in the department of N/A. I have attached the NOC
issued by my department regarding obtaining an arm license.
8. That my annual income is Rs.5,00,000/- (attach proof of salary slip/Income Tax Return)
& daily cash transaction is Rs.1,00,000/- (attach documentary proof.).
9. That I am not a short tampered man in family, neighbours, employees, and friends.
10. That I have proper skill to handle the fire arms.
Contd…3..
*** 3 ***
11. That my nominee shall be SMT. PRAVEEN SHARMA who is my wife (relationship)
and residing at B-109, Gazipur, Delhi-110096.
12. That I am/was not involved in any criminal case. That I do not have any departmental
enquiry, vigilance proceedings against me or have faced a Court of enquiry, Board of
enquiry under the Army, Nave & Air force Acts.
13. That I have never been externed from my place of stay by any judicial authority and
neither am I a proclaimed offender of any state Govt. or of Delhi Police, and to the best
of my knowledge there is no Red Corne Notice or any other Look Out notice pending
against me.
14. That I have also no proceedings/cases instituted against me in the CBI, NCB,
Enforcement Directorate, Directorate of Revenue Intelligence, Income Tax and Forest
Department pending against me.
15. That I have also not been arrested, deported or involved in any illegal act in any other
country where I have visited or resided.
16. That I have no arm license issued from any state in India. I have applied for an arm
license previously Nil times.
17. That I will make requisite arrangements for keeping the fire arms in safe custody and to
avoid access of children and other unauthorized persons to the fire arms.
18. That my father has given consent to transfer his weapon in my name on inheritance
basis (copy attached).
19. That my late father who was holding an arm license No N/A for NPB N/A expired on
N/A and I intend to get the transfer of weapon in my name.
20. That I require an arm license because Self protection for transportation of huge amount
of money for business purpose.
The particulars furnished by me above are true and correct to the belief of my
knowledge and I have not concealed or mispresented any facts.
DEPONENT
Witnesses:-
1.
2.
AFFIDAVIT
I, ALKA VERMA WIFE OF SHRI SUDHIR VERMA Resident of House No.J-1/10,

declare as under :-
1. That I am the owner of total land measuring 1251 Sq.Yds. Part of Khasra No.43 &
47/2, Situated at J-Block, Saurabh Vihar, Hari Nagar Extn. Tehsil Kalkaji, P.O.Badarpur,
New Delhi-44 and details as under:-
Property No.J-1/10, land measuring 336 Sq.Yds. land measuring 360 Sq.Yds. Part of
Khasra No.47/2, Property No.J-42 & J-1/8, land measuring 267 Sq.Yds. Part of Khasra
No.47/2, Property No.J-1/5, land measuring 218 Sq.Yds. Part of Khasra No.47/2, &
another property land measuring 70 Sq.Yds. Part of Khasra No.43, all property
Situated at J-Block, Saurabh Vihar, Hari Nagar Extn. Tehsil Kalkaji, P.O.Badarpur, New
Delhi-44.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 23rd of April 2009, that the contents of this affidavit are true and
DEPONENT
AFFIDAVIT
I, HARJEET KAUR WIFE OF SHRI JOGINDER SINGH Resident of HR-28-B/8, Pul

Prahladpur, New Delhi-110044, do hereby solemnly affirm and declare as under:-
1. That I had purchased a Flat No.1, on Upper Ground floor, Consisting of Two Bedrooms,
Drawing Room, Dining Room, Kitchen, attached bathroom of Property No.HR-28B,
land measuring 70 Sq.Yds. & Flat No.2 on Upper Ground floor, Consisting of Two
Bedrooms, Drawing Room, Dining Room, Kitchen, attached bathroom of Property
No.HR-28B, Part of Khasra No.219, Situated at HR-Block, Sharma Market, Pul
Pehladpur, New Delhi-110044, from Shri Dinesh Chaudhary son of Shri Chandgi Ram
Resident of Bazar Mohalla, Village Tughlakabad, New Delhi-44 & Shri Joginder Singh
son of Shri Arjan Singh Resident of HR-28B, Sharma Market, Pul Pehladpur, New
Delhi-44, for a sum of Rs.6,00,000/-(Rupees Six Lac only), on the basis of G.P.A.,
Agreement, Affidavit, Receipt, Possession Letter, Will etc. attested by Notary Public
Delhi on dated 26.03.2008.
Contd…2.
** 2 **
2. That I have returned the above said property to Shri Dinesh Chaudhary & Shri Joginder
Singh, & I have received a sum of Rs.6,00,000/-(Rupees Six Lac only), from Shri
Dinesh Chaudhary & Shri Joginder Singh on dated 20.04.2009.
3. That I shall get no claim, title or interest in the said property and the said Shri Dinesh
Chaudhary & Shri Joginder Singh have become its sole and absolute owner and is at
liberty to utilize the same in any manner as he/she/they like or likes in future.
4. That after change in my name in the booking form and subsequent documents of the
said Property, I shall have no claim, right, title, interest in the said Property, I
shall have no claim, right, title, interest in the Said Property in any manner
whatsoever in the name of Mr./Rajni kumari.
DEPONENT
VERIFICATION:-
DEPONENT
WITNESSES:-
1.
2.
AFFIDAVIT
I, ABHA SHARMA WIFE OF SHRI P.L.SHARMA Resident of 212, D.D.A. Flat,

Badarpur, New Delhi-110044, do hereby solemnly undertake, affirm and declare as under:-
1. That I Abha Sharma is elected MANAGER of Green Valley Public School Educational
Society (Regd.), I-Block, Hari Nagar Extn. Badarpur, New Delhi-44, and authorized to
execute all legal Documents, Lawful statements and do assign other documents on
behalf of the Society for the purpose of Recognition/upgradation of Green Valley Public
School as governed by the society.
2. That the judgment dated the 27th April, 2004 in Civil Appeal No.2699 of 2001 (Modern
School Vs Union of India) and 11 connected Civil Appeals No.2700 to 2710 of 2001,
the decision of the Hon’ble Supreme Court of India, New Delhi on the three issues viz
(i) the authority of the Directorate of Education, Delhi to regulate the quantum of fees
charged by unaided schools Under Section 17(3), 18(3) and Section 18(4) (a) & (b) of
the Delhi School Education Act, 1973 (for short called “The Act”) (ii) regarding conflict
with Rules 177 of the Delhi School Education Rules, 1972 (for short called “The
Rules”) of the directions contained in clause 8 of this Directorate order
No.DE.15/Act/Duggal Com./203/99/23039-23988 dated the 15th December 1999 and
the entitlement of Management of recognized unaided schools to set up a Development
Fund Account, under the Provisions of the Delhi School Education Act, 1973 shall
abide to comply with the said orders to implement in all manners.
Contd…2.
** 2 **
3. That the rules as referred under the order No.DE.15/Act/Duggal Com.203/99/23099-

23988 dated the 15th December 1999 & 11th February 2009 shall abide to comply with
the Rules 172, Rule 172(1) (a), 172(2) (b), Rule 173(4), Rule 175, Rule 177(1), Rule
177(2) and Rule 177(1) (b).
DEPONENT
VERIFICATION:-
Verified at Delhi on this 30th day of November 2009, that the contents of my above
affidavit are true and correct to the best of my knowledge and belief and nothing material has
DEPONENT
AFFIDAVIT

1. That I Abha Sharma is elected MANAGER of Green Valley Public School Educational
2. That the Society shall abide by to comply with the Directions issued under Sub Section
(3) of Section 24 of the Delhi School Education Act, 1973 contained in Public Notice
Published in the times of India the 4th May 1997.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT

1. That I Abha Sharma is the MANAGER of Green Valley Public School Educational
behalf of the Society for the purpose of Recognition of Green Valley Public School as
governed by the society.
2. That the School shall abide by the provisions of the DSEAR-1973 and orders issued
from time to time by the Directorate of Education.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as under:-
That at present of Green Valley Public School Education Society (Regd.). That there is
no blood relation in members of above said society.
DEPONENT
VERIIFICATION:-
Verified at Delhi on this 30th day of November 2009, that the said contents of this
DEPONENT
AFFIDAVIT
1. That I am the MANAGER of Green Valley Public School Education Society (Regd.).
2. That the Society has obtained the land in proper way and there is no violation of the
master plan in land use.
DEPONENT
VERIIFICATION:-
Verified at Delhi on this 30th day of November 2009, that the said contents of this
DEPONENT
ANNEXURE – 1
APPLICATION FORM FOR UPGRADATION
To,
The DDF
(South Delhi)
Sub:- Application for upgradation from Secondary to Sr. Sec. level.
Madam,
I forward herewith an application in the prescribed proforma for the grant of
upgradation to Green Valley Public School from Sec to Sr. Sec level with effect from the
commencement of the school year 2010-2011.
Yours faithfully,
MANAGER of Green Valley Public School Education Society (Regd.).
Enclosure:
Place:
Date:
*********
AFFIDAVIT
I, MEENA YADAV WIFE OF SHRI CHANDRAMA YADAV Resident of House

No.A-278, Gali No.7, Shakti Vihar, Mithapur Extn. P.O.Badarpur, New Delhi-110044, do
hereby solemnly undertake, affirm and declare as under:-
Contd…2..
*** 2 ***
2. That I am not doing any Labour work/Govt. Employee or Self Employee.
3. That my annual income from all sources including my family is 24,000/-(Rupees

Twenty Four thousands only), per annum.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 17th day of December 2016, that the contents of my above
DEPONENT
AFFIDAVIT
I, MAHINDER KAUR WIFE OF LATE SHRI MAKHAN SINGH Age 48 years

Resident of Village Salarpur, Distt.Karnal, (Haryana), so hereby solemnly affirm and declare as
follows:-
1. That I have no objection if my son Shri Baljeet Singh donates his one of the kidney of
my son Shri Amarjeet Singh.
2. That I am swearing this affidavit to confirm the above facts to be true and correct for all
items, purposes & records to avoid any future litigations.
DEPONENT
VERIFICATION:-
The statements made above are true to the best of my knowledge, belief and nothing
information and I sign on 10th day of September 2009, at New Delhi.
DEPONENT
RECEIPTENT AFFIDAVIT
I, AMARJEET SINGH SON OF LATE SHRI MAKHAN SINGH Age 26 Years
Resident of Village Salarpur, Distt.Karnal, (Haryana), do hereby solemnly affirm and state on
oath as given hereunder:-
1. That I am suffering from Chronic Renal Failure.
2. That I am on dialysis for the time being but I have been advised kidney transplant by
my treating Nephrologist.
3. That I am first time appearing before the Authorisation Committee of Human Organs
Transplantation Committee of Indraprastha Apollo Hositals, New Delhi, and have not
appeared before any Authorisation Committee of any other Hospital so far.
DEPONENT
Verified at this 10th day of September 2000, that the contents of the above said affidavit are true
and correct to the best of my knowledge and belief, and nothing material has been concealed
therein.
DEPONENT
AFFIDAVIT
I, MOHAN SHYAM SHARMA SON OF SHRI KARAN SINGH SHARMA Resident

of House No.A-280, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2
** 2 **
2. That my family annual income from all sources is Rs.2,00,000/-(Rupees Two Lac only).
3. That I am working as Railway Contractor.
4. That I have no any other source of income.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SUKHRAM SON OF SHRI KHAJAN SINGH Resident of House No.I-186, Gali

No.10, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare
as under:-
Contd…2..
*** 2 ***
2. That my annual (salary) income from all sources is Rs.96,000/-(Rupees Ninety Six
Thousand only), per annum, which is below Rs.1,00,000/-.
3. That I work as a private service.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 01st day of August 2018 that the contents of this affidavit are
DEPONENT
AFFIDAVIT
I, VIJENDRA PAL SON OF SHRI BHUDEV PRASAD Resident of House

No.N-235/11, Amar Market, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-44, do hereby
Contd..2.
** 2 **
2. That the correct & exact date of birth of my son/daughter named “NEHA BAGHEL” is
09.01.2002 (09th day of January Two thousand Two), who is studying in XIth class,
Sect-C, in S.K.V, Madanpur Khadar, Sarita Vihar, New Delhi-110076.
3. That my annual income from all sources is Rs.84,000/-(Rupees Eight Four thousand
only), per annum.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 26th day of February 2018 that the contents of this affidavit are
DEPONENT
AFFIDAVIT
I, SUNIL KUMAR SHARMA SON OF LATE SHRI NATTHI LAL SHARMA

Resident of House No.N-141, Gali No.9, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044,
Contd..2.
** 2 **
2. That I am working as Private Service.
3. That my annual income from all sources is Rs.84,000/-(Rupees Eighty Four thousand
only), per annum.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, INDER PAL SINGH SON OF LATE SHRI ASHA RAM Resident of House
No.I-438, Gali No.12A, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd..2.
** 2 **
2. That I am working private service, and earn from its Rs.8,000/- per month.
3. That my actual income from all sources is Rs.96,000/- (Rupees Ninety Six thousand
only), per annum.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 22nd day of April 2017 that the contents of this affidavit are true
DEPONENT
AFFIDAVIT
I, HARVEER SINGH SON OF SHRI GYAN SINGH Resident of House No.A-285,
Gali No.9, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd..2..
*** 2 ***
1. That the correct and exact date of birth of my son/daughter namely “LUCKY SINGH”
is 06.10.2007, (06th day of October Two thousand Seven), He/She was born at Home,
but due to unavoidable circumstances I could not apply and get the birth certificate of
my said child from the office of Registrar (Birth) and I have no documentary proof in
2. That he/she had not studied at any Govt./Recog. School, but he/she has studied privately
at home in IVth Class. And now he/she is fit for admission in Class Vth..
3. That the name of his/her mother is MRS. NUTAN SINGH.
and belief.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 23rd day of July 2018, that the contents of this affidavit are true
DEPONENT
AFFIDAVIT
I, SURENDER SINGH SON OF SHRI GANGA SINGH Resident of House
No.E-119, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd..2..
*** 2 ***
1. That the correct and exact date of birth of my son/daughter namely “PRIYANSHU” is
24.02.2007, (24th day of February Two thousand Seven), He/She was born at Home, but
due to unavoidable circumstances I could not apply and get the birth certificate of my
said child from the office of Registrar (Birth) and I have no documentary proof in
2. That he/she had not studied at any Govt./Recog. School, but he/she has studied privately
at home in IInd Class. And now he/she is fit for admission in Class IIIrd.
3. That the name of his/her mother is MRS. MAMTA DEVI.
and belief.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NASRULLAH KHAN SON OF MR.MOHAMMAD HABIB Resident of House

No.C-125, Bilaspur Camp, Behind NTPC Molar Band, P.O.Badarpur, New Delhi-44, do hereby
1. That I was born on 11.01.1977, at Village Jagdishpur, Distt.Gopal Ganj, Bihar.
2. That I have no documentary proof in support of my place and date of birth.
3. That I do not possess any educational qualification and I am an illiterate person but I
can signature in Hindi.
4. That I take oath and solemnly declare/affirm that the particulars furnished by me above
are correct and that I have not concealed or misrepresented any facts.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
UNDERTAKING
I, SUNIL KASANA Manager STANFORD CONVENT SCHOOL at D-55, Kasana
Complex, Tajpur Road, Badarpur Border, New Delhi-110044, undertake that depreciation
Reserve Fund a schedule Bank will be opened as and when upgradation will be granted.
Sunil Kasana
Manager
AFFIDAVIT
I, SURJIT SINGH KASANA SON OF LATE SHRI DHARAMVEER SINGH

KASANA Resident of Khasra No.226, Kasana Complex, Tajpur Road, Badarpur
Border, New Delhi-44, do hereby solemnly undertake affirm and declare as under:-
1. The School will be abide by orders dated 04.05.1997, 15.12.1999 &

11.02.2009.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 22nd day of October 2009, that the contents of this
affidavit are true and correct to the best of my knowledge and belief.
DEPONENT
AFFIDAVIT
I, SURJIT SINGH KASANA SON OF LATE SHRI DHARAMVEER SINGH

KASANA Resident of Khasra No.226, Kasana Complex, Tajpur Road, Badarpur
Border, New Delhi-44, do hereby solemnly undertake affirm and declare as under:-
1. That SURJIT SINGH KASANA is elected president of Kasana Educational

Cultural Society Resident of Khasra No.226, Kasana Complex, Tajpur Road,
Badarpur Border, New Delhi-44, authorize to execute all legal documents lawful
statements and do assign other documents on behalf of the Society for the
purpose Rcognization/Upgradation of STANFORD CONVENT SCHOO
governed by the society.
2. That the society shall abide by to comply with the direction issued under
sub section (3) of section (24) of the Delhi school education act 1973
contained in public notice published in the times of India on 04th May 1997.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 22nd day of October 2009, that the contents of this
affidavit are true and correct to the best of my knowledge and belief.
DEPONENT
AFFIDAVIT
I, NEPAL SINGH SON OF LATE SHRI SARUPA Resident of House No.131, Sarai
Jullena, New Delhi-110025, do hereby solemnly undertake, affirm and declare as under:-
1. That I Nepal Singh is elected PRESIDENT of Greater Rajdhani Educational Society

(Regd.), at House No.3, Dharambir Makret, Badarpur, New Delhi-44, and authorized to
behalf of the Society for the purpose of Recognition/upgradation of National Rajdhani
Public School as governed by the society.
2. That the judgment dated the 27th April, 2004 in Civil Appeal No.2699 of 2001 (Modern
School Vs Union of India) and 11 connected Civil Appeals No.2700 to 2710 of 2001,
the decision of the Hon’ble Supreme Court of India, New Delhi on the three issues viz
(i) the authority of the Directorate of Education, Delhi to regulate the quantum of fees
charged by unaided schools Under Section 17(3), 18(3) and Section 18(4) (a) & (b) of
the Delhi School Education Act, 1973 (for short called “The Act”) (ii) regarding conflict
with Rules 177 of the Delhi School Education Rules, 1972 (for short called “The
Rules”) of the directions contained in clause 8 of this Directorate order
No.DE.15/Act/Duggal Com./203/99/23039-23988 dated the 15th December 1999 and
the entitlement of Management of recognized unaided schools to set up a Development
Fund Account, under the Provisions of the Delhi School Education Act, 1973 shall
abide to comply with the said orders to implement in all manners.
Contd…2.
** 2 **
3. That the rules as referred under the order No.DE.15/Act/Duggal Com.203/99/23099-

23988 dated the 15th December 1999 & 11th February 2009 shall abide to comply with
the Rules 172, Rule 172(1) (a), 172(2) (b), Rule 173(4), Rule 175, Rule 177(1), Rule
177(2) and Rule 177(1) (b).
DEPONENT
VERIFICATION:-
Verified at Delhi on this 19th day of September 2009, that the contents of my above
DEPONENT
AFFIDAVIT

(Regd.), at House No.3, Dharambir Makret, Badarpur, New Delhi-44,and authorized to
2. That the Society shall abide by to comply with the Directions issued under Sub Section
(3) of Section 24 of the Delhi School Education Act, 1973 contained in Public Notice
Published in the times of India the 4th May 1997.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT

(Regd.), at House No.3, Dharambir Makret, Badarpur, New Delhi-44,and authorized to
2. That the school management will pay the salary to the Teachers & other staff as per
recommendations of the 6th pay commission with effect form the date of recognition
granted to the School by the Directorate of Education.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, TARKESHWAR CHOWDHARY SON OF SHRI VINDA CHOWDHARY Resident

of House No.24-A, Gali No.25-C, Molar Band Extn.P.O.Badarpur, New Delhi-44, solemnly
affirm and say as follows:-
1. That my daughter namely Ms. Swati Chowdhary who has been provisionally selected
for scholarship under the “Central Sector Scheme of Scholarship for College and
University Students”, is studying in University College of Engineering, Rajasthan
Technical University, Kota-324010 (Rajasthan).
2. That my annual income in the preceding year ending the 31 st March, 2009 is
Rs.1,53,150/-(Rupees One Lac Fifty Three thousands One Hundred Fifty only), Per
annum as per details furnished in the Scheduled here under written, I also affirm that
particulars of property held by me is as shown in the Schedule and that I have correctly
indicated the amount on various taxes/cesses and land revenue paid by me. I make
myself personally responsible for the accuracy of the facts and figures furnished.
Contd…2..
*** 2 **
3. That the statements made in the foregoing paragraphs are true to my knowledge.
4. That I further undertake that in the event of the particulars given in this declaration
being found false: I shall refund to the President of India DOUBLE the amount of the
scholarship to the said scholar(s) and the Government’s decision on whether the
declaration of particulars is false shall be final and binding on me.
5. That my wife is the owner of property No.24-A, land measuring 50 Sq.Yds. Situated at
Gali No.25-C, Molar Band Extn.P.O.Badarpur, New Delhi-44, for personal use.
6. That I have no any income from another sources.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 22nd day of September 2009, that the contents of my above
DEPONENT
AGREEMENT CUM RECEIPT
This Agreement cum Receipt is made and executed at New Delhi on this 24th day of
December 2009, by & between SHRI RAJ KUMAR PRASAD SON OF LATE SHRI
RAMESHWAR RAJAK Resident of House No.3069, Gali No.2, Block No.6, S.G.M. Colony,
N.I.T. Faridabad, Haryana, (hereinafter called the First party).
AND
SHRI AJAYVIR SON OF SHRI PURAN LAL Resident of Gali No.6, Sanjay Colony,
Sehatpur, Palla, Distt. Faridabad, Haryana, (hereinafter called the Second party).
The Expression of the First party & Second party shall mean and include their legal
heirs, successors and assigns.
Contd…2.
** 2 **
Whereas the First party is the actual owner and in possession of a L.M.V. (MARUTI
VAN), bearing Regn. No.HR-51K-6898, Chesis No.515107, Engine No.2250685, Colour
White, Model 12.06.2002, made by Maruti Udyog Limited.
And Whereas the First party has/have sold the said L.M.V. (MARUTI VAN), bearing
Regn. No.HR-51K-6898, Chesis No.515107, Engine No.2250685, Colour White, Model
12.06.2002, made by Maruti Udyog Limited, to SHRI AJAYVIR SON OF SHRI PURAN
LAL Resident of Gali No.6, Sanjay Colony, Sehatpur, Palla, Distt. Faridabad, Haryana, for a
total sum of Rs.83,000/-(Rupees Eighty Three thousands only), and the First party has/have
received a sum of Rs.73,000/-(Rupees Seventy Three thousands only), on dated 24.12.2009, as
advance money & the rest balance amount of Rs.10,000/-(Rupees Ten thousands only), will be
receive by the First party from the Second party at the time of hand over the N.O.C. of the said
vehicle i.e. on dated _______________, against the above said Vehicle and handed over the
physical vacant possession of the said Vehicle to the said purchaser /second party on the spot on
dated 24.12.2009, at Evening 6:00 P.M.
Contd…3.
** 3 **
And Whereas the First party has/have fully responsible to Claim, Accident, all Challans,
dues, Road Tax etc. against the above said Vehicle to till date i.e. dated 24.12.2009, and after
then SHRI AJAYVIR will fully responsible for the same.
IN WITNESSES WHEREOF, both the parties have signed this Agreement cum Receipt
at New Delhi, on this 24th day of December 2009, first above written, in the presence of the
following witnesses.
WITNESSES:-
1.
FIRST PARTY
SECOND PARTY
2.
November 2009, by & between SHRI VIRPAL SINGH CHAUHAN SON OF SHRI OMPAL
SINGH CHAUHAN Resident of House No.25/7, Shiv Enclave, Ismailpur, Tehsil &
Distt.Faridabad, Haryana, (vide R. C. No.899196), hereinafter called the First party.
AND
SHRI VISHWA NATH JHA SON OF SHRI SHOBHA KANT JHA Resident of House No.B-
151/11, Shiv Enclave, Ismailpur, Tehsil & Distt.Faridabad, Haryana, (hereinafter called the
Second party).
Contd…2.
** 2 **
Whereas the First party is the actual owner and in possession of a THREE WHEELER
(PASSENGER), CNG 4S AUTO & ACCESS, bearing Regn. No.UP-16H-9753, Chesis
No.AFFBM01259, Engine No.AAMBMA03021, Colour Eco Green, Model June 2005, made
by Bajaj Auto Ltd., purchased from Mr.Shabbir Khan son of Mr.Mukhtiyar Khan Resident of
RC-191, Master Park, Khora, Noida, Distt. Gautam Budh Nagar, (U.P.).
And Whereas the First party has/have sold the said THREE WHEELER
(PASSENGER), CNG 4S AUTO & ACCESS, bearing Regn. No.UP-16H-9753, Chesis
No.AFFBM01259, Engine No.AAMBMA03021, Colour Eco Green, Model June 2005, made
by Bajaj Auto Ltd., to SHRI VISHWA NATH JHA SON OF SHRI SHOBHA KANT JHA
Resident of House No.B-151/11, Shiv Enclave, Ismailpur, Tehsil & Distt. Faridabad, Haryana,
for a total sum of Rs.60,000/-(Rupees Sixty thousands only), and the First party has/have
received a sum of Rs.20,000/-(Rupees Twenty thousands only), on dated 14.11.2009, as
advance money. And the First party handed over the physical vacant possession of the above
said Vehicle to the said purchaser /second party on the spot on dated 14.11.2009, at Morning
02:00 P.M.
And Whereas the First party will be receive a sum of Rs.20000/-(Rupees Twenty
thousands only), from the Second party on dated 14.12.2009, as a part payment.
And Whereas the rest balance amount of Rs.20,000/-(Rupees Twenty thousands only),
will be receive by the First party from the Second party within the fixed period of on dated
14.01.2010, against the above said Vehicle, after handed over of the Sale Latter/ concerned
documents of the above said vehicle.
Contd…3.
** 3 **
NOW THIS AGREEMENT WITNESSETH AS UNDER :-
1. That if the first party fails to fulfill the terms and conditions of this agreement within the
fixed period mentioned above then the first party shall be liable and responsible to pay
the double amount of the advance money received it from the second party as a penalty
or the second party shall have right to get all the documents registered before the
authority concerned.
2. That if the second party fails to fulfill the terms and conditions of this agreement within
the fixed period mentioned above then the advance money paid by it shall be forfeited
with the first party and this sale transaction shall be treated as concelled and the Second
party hand over the said vehicle to the first party.
3. That the First party has/have fully responsible to Claim, Accident, all Challans, dues,
Road Tax etc. against the above said Vehicle to till date i.e. dated 14.11.2009, and after
then the Second party SHRI VISHWA NATH JHA will fully responsible for the same.
at New Delhi, on this 14th day of November 2009, first above written, in the presence of the
following witnesses.
WITNESSES:-
1.
FIRST PARTY
SECOND PARTY
2.
June 2010, by & between SHRI RAVINDER CHAUHAN SON OF SHRI KANCHAN
SINGH Resident of House No.C-360, North Wing, Block-C, New Ashok Nagar, Delhi-96,
(hereinafter called the First party).
AND
SHRI VIKAS SHUKLA SON OF SHRI RADHEY SHYAM SHUKLA Resident of Village
Chaturbhuj Pur, P.O.Bhatauta Tulsi Patti, Tehsil Qazipur, Distt. Sultanpur, (U.P.), hereinafter
called the Second party.
Contd…2.
** 2 **
Whereas the First party is the actual owner and in possession of a L.M.V. (TVS Star
City), bearing Regn. No. DL-13S-1941, Chesis No.MD625NF1183C35083, Engine
No.AF1C81078579, Model 2008, Color Red, made by TVS Motors.
And Whereas the First party has/have sold the said L.M.V. (TVS Star City), bearing
Regn. No. DL-13S-1941, Chesis No.MD625NF1183C35083, Engine No.AF1C81078579,
Model 2008, Color Red, made by TVS Motors, to SHRI VIKAS SHUKLA SON OF SHRI
RADHEY SHYAM SHUKLA Resident of Village Chaturbhuj Pur, P.O.Bhatauta Tulsi Patti,
Tehsil Qazipur, Distt. Sultanpur, (U.P.), for a total sum of Rs.23,000/-(Rupees Twenty Three
thousands only). And the First party has received the total payment Rs.23,000/-(Rupees Twenty
Three thousands only)., from the said purchaser/second party, on dated 30.06.2010, in full and
final payment, against the above said Vehicle and handed over the physical vacant possession
of the said Vehicle to the said purchaser/second party, on dated 30.06.2010, at Morning 11:30
A.M.
And Whereas the First party has/have fully responsible to Claim, Accident, all Challans,
dues, Road Tax etc. against the above said Vehicle to till date i.e. dated 30.06.2010, and after
then SHRI VIKAS SHUKLA will fully responsible for the same.
at New Delhi, on this 30th day of June 2010, first above written, in the presence of the following
witnesses.
WITNESSES:-
1.
FIRST PARTY
SECOND PARTY
2.
AFFIDAVIT
I, GEETA TIWARI WIFE OF SHRI INDRA PRASAD TIWARI Resident of House

No.H-199, Gali No.6, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do
Contd…2.
** 2 **
2. That my correct and exact date of birth is 15.07.1965 (15th day of July Nineteen
Hundred Sixty Five).
3. That presently I am residing on the above mentioned address for last many years.
4. That my speciment signatures are mentioned below:-
i. _____________________
ii. _____________________
iii. _____________________
DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT
I, SANJEEV KUMAR JHA SON OF SHRI ANAND KUMAR JHA Resident of

House No.J-96, Arpan Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
3. That my speciment signatures are mentioned below:-
i. _____________________
ii. _____________________
iii. _____________________
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, KARUNA DEVI WIFE OF SHRI SHIV RAM SHARMA Resident of House

No.J-67/C, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
2. That my correct and exact date of birth is 20.12.1968 (20 th day of December Nineteen
DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT
I, DIVYA PRAJAPATI DAUGHTER OF SHRI RAM KEWAL PRAJAPATI Resident

of House No.D-2/356, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
2. That my correct and exact date of birth is 17.10.1996 (17 th day of October Nineteen
Hundred Ninety Six).
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, SWETA PRAJAPATI DAUGHTER OF SHRI RAM KEWAL PRAJAPATI

Resident of House No.D-2/356, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
2. That my correct and exact date of birth is 02.01.1995 (02 nd day of January Nineteen
Hundred Ninety Five).
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, RAMASHISH KUMAR OF SHRI NANDEY KUMAR MAHTO Resident of House

No.J-96, Gali No.5, Arpan Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do
Contd…2.
** 2 **
2. That my correct and exact date of birth is 16.06.1999 (16 th day of June Nineteen
Hundred Ninety Nine).
3. That I am permanent resident of Village Mithila Deep, P.O.Deep, Distt. Madhubani,

Bihar.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, LAXMI CHAUHAN WIFE OF SHRI KRIPAL SINGH CHAUHAN Resident of

House No.I-726/13, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
2. That my correct and exact date of birth is 01.01.1960 (01 st day of January Nineteen
Hundred Sixty).
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, ANITA WIFE OF SHRI GYAN SINGH Resident of House No.276-D, I-Block, Gali
No.7, Hari Nagar Extn. Jaitpur Road, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm
2. That my correct and exact date of birth is 01.02.1979 (01st day of February Nineteen
Hundred Seventy Nine).
3. That I am permanent resident of above said address for last Ten years.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT
I, BHOLA SAH SON OF SHRI ARUN SAH Resident of House No.I-28, Saurabh
Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare as
under:-
1. That I am the Sole proprietor of M/s SHIV ENTERPRISES, at House No.I-28, Saurabh
Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44.
2. That I am not enjoying any credit facility with any other Bank/any other branch of your
bank. I undertake to inform you in writing as soon as any credit facility is availed of by
me from any other bank/any other branch of your bank.
DEPONENT
VERIFICATION:-
Verified at Delhi on 15th day of January 2010, that the contents of this affidavit are true
and correct to the best of my knowledge and belief, nothing has been concealed therein.
DEPONENT
AFFIDAVIT
I, RAJBIR SINGH SON OF SHRI SHER SINGH Resident of Gali No.28, Shiv
Enclave, Ismailpur Extn. Tehsil & Distt. Faridabad, Haryana, do hereby solemnly affirm and
declare as under:-
2. That I am 42 Years old and my exact date of birth is 01.07.1968 (01 st day of July
Nineteen Hundred Sixty Eight).
3. That I have been residing at above said address for the last 1 years.
4. That my name is recorded / entered in voter list anywhere in India. And I have not
applied to enlist anywhere in India.
5. That I am fully abide with the provision of section 31 of Lok Pratinidhitva Act.1950.
6. That my name be recorded / entered in voter list and the voter identity card of election
office may be used to me.
DEPONENT
VERIFICATION:-
are true and correct to the best of my knowledge and belief and nothing has been concealed.
DEPONENT
AFFIDAVIT
I, MEERA DEVI WIFE OF SHRI RAJBIR SINGH Resident of Gali No.28, Shiv
Enclave, Ismailpur Extn. Tehsil & Distt. Faridabad, Haryana, do hereby solemnly affirm and
declare as under:-
2. That I am 34 Years old and my exact date of birth is 22.03.1976 (22 nd day of March
Nineteen Hundred Seventy Six).
3. That I have been residing at above said address for the last 1 years.
4. That my name is recorded / entered in voter list anywhere in India. And I have not
applied to enlist anywhere in India.
5. That I am fully abide with the provision of section 31 of Lok Pratinidhitva Act.1950.
6. That my name be recorded / entered in voter list and the voter identity card of election
office may be used to me.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, ANIL KUMAR CHAUHAN SON OF SHRI KUSHAL PAL SNGH Resident of

House No.F-78, Hari Nagar Extn. Part-II, Near Aali Pul, P.O.Badarpur, New Delhi-44, do
2. That my correct and exact date of birth is 13.04.1979 (13 th day of April Nineteen
Hundred Seventy Nine).
3. That I have been working in Jagson Pal Pharmaeuticals Ltd. as a Helper for last 04
years. And drawn salary Rs.4,118/- Per month.
4. That I have not taken any Financial help in Delhi Govt. of MCD or NDMC or any other
Govt. Sector.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MUNESH KUMAR SHARMA SON OF SHRI INDER PAL SHARMA Aged 35

yrs, Date of birth 4.7.1978, Resident of House No.R-4/5, Saurabh Vihar, Hari Nagar Extn.
1. That I wish to become a member of Delhi Nagrik Sehkari Bank Ltd., Delhi.
2. That I run my own business in the name and style of M/s SHARMA BUILDING
MATERIAL at R-4/5 Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44.
3. That my monthly income is Rs.22,090/- which Comes to Rs.2,65,080/- (Rupees Two

Lac Sixty Five thousand Eighty only), per annum.
4. That I am not a member of any other Thrift & Credit Society / Co-operative Bank.
5. That I have not borrowed any loan from any bank or any other financial institution and
shall not raise any loan from any other bank or any other financial institution without
the written permission from this bank for the same purpose.
(DEPONENT)
VERIFICATION
Verified at Delhi on 30th day of December 2013, that the contents of the above affidavit
are true to the best of my knowledge and belief nothing has been concealed therein.
(DEPONENT)
AFFIDAVIT
I, MOHD. NADEEM SON OF MR. PREM SHANKAR AWASTHI Resident of House
No.L-25, Jaitpur Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2.
** 2 **
2. That my actual and correct date of birth is 02.02.1962 (02nd day of February Nineteen
Hundred Sixty Two).
3. That my previous name is NARWADA PRASAD AWASTHI which is mentioned in my

gas connection bearing Consumer No.26979, now I have changed my religion and my
new name is MOHD. NADEEM.
4. That now I want to change my name as MOHD. NADEEM in the place of NARWADA
PRASAD AWASTHI in my gas connection records.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, JAI PRAKASH PRASAD SON OF LATE SHRI VISHWANATH PRASAD

Resident of House No.D-II-41, Gali No.2, Hari Nagar Extn. Part-3, P.O.Badarpur, New
Contd…2.
** 2 **
2. That my mother LATE SMT. SABHAPATI DEVI had multiple Fixed Deposit (FD’s) in
Post Office, branch Kharagpur, Distt. Midnapur West, West Bengal, who had expired on
16.4.2017, at Bithuna, P.S. Basantpur, Distt. Siwan, Bihar, FD’s details are given
below:-
3. That my father LATE SHRI VISHWANATH PRASAD had multiple Fixed Deposit
(FD’s) in Post Office, branch Kharagpur, Distt. Midnapur West, West Bengal, who had
expired on 28.7.2017, at Nortern Railway Central Hospital, Connaught Place, New
Delhi-110001, FD’s details are given below:-
4. That the actual spell of my name is JAI PRAKASH PRASAD as per my all Indentities,
but by mistake the spell of my name has mentioned as JAY PRAKASH PRASAD in the
place of nominee name in FD’s of Father & mother.
5. That JAI PRAKASH PRASAD & JAY PRAKASH PRASAD are the names of same &
one person.
DEPONENT
VERIFICATION:-
Verified at Delhi on 08th day of February 2018, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I, KM ARTI GAUTAM DAUGHTER OF SHRI MAHARAJ SINGH Resident of

House No.K-296/7, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
2. That my actual and correct name is KM ARTI GAUTAM which is mentioned in my

Aadhaar Card, but by mistake my name has mentioned as KM AARTI GAUTAM in
my Central Bank of India Saving A/c bearing A/c No._______________________,
branch Green Valley Public School, Hari Nagar, Jaitpur Road, Badarpur, New
Delhi-110044.
3. That now I want to change my name as KM ARTI GAUTAM instead of KM AARTI

GAUTAM, in my bank records.
4. That KM AARTI GAUTAM & KM ARTI GAUTAM are the names of same & one
person.
DEPONENT
VERIFICATION:-
Verified at Delhi on 07th day of October 2016, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I, HARIPAL SON OF SHRI GULAB CHAND Resident of Village Eshakpur,

P.O.Mustafabad, Distt. Mau, (U.P.), do hereby solemnly affirm and declare as under:-
Contd…2.
** 2 **
2. That I have taken a LIC Policy from my name bearing Policy No.126794483 d.o.c.
23.2.2013, in which my wife Smt. Rajmati is my nominee but by mistake relation of
nominee with me (policy holder) has mentioned wrongly as Mother, on my LIC Policy
Bond.
3. That now I want to rectify my nominee relation as Smt. Rajmati (Wife) in the place of
Smt. Rajmati (Mother) on my LIC Policy Bond.
DEPONENT
VERIFICATION:-
Verified at Delhi on 13th day of July 2015, that the contents of the above affidavit are
true to the best of my knowledge and belief nothing has been concealed therein.
DEPONENT
AFFIDAVIT
I, TIKAM SINGH SON OF SHRI JUNGLI Resident of House No.166, Gali No.4,
Shakti Vihar, Mithapur Extn. Jaitpur, South Delhi, Delhi-110044, do hereby solemnly affirm
Contd…2.
** 2 **
2. That my actual and correct spell of my father name as JUNGLI which is mentioned in
my Aadhaar Card, but by mistake the spell of my father name mention as JANGLI
RAM in my PAN Card.
3. That JUNGLI & JANGLI RAM are the name of same & One person.
DEPONENT
VERIFICATION:-
Verified at Delhi on 23rd day of May 2019, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, AMIT DUBEY SON OF SHRI RAMAKANT DUBEY Resident of House

No.D-364, Pul Pehladpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2.
** 2 **
2. That my actual and correct name is AMIT DUBEY but due to my personal mistake I
have given my name as AMIT KUMAR DUBE in my High School/Matriculation
Certificate records.
3. That I expressely authorize and request all person in general, relative and friends and
particular and all time, here after to designate and address me by AMIT DUBEY
accordingly.
4. That “AMIT DUBEY” & “AMIT KUMAR DUBE” are the names of same and one
person.
DEPONENT
VERIFICATION:-
Verified at Delhi on 18th day of November 2019, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I, REENA MISHRA DAUGHTER OF LATE SHRI H.N. SHUKLA Resident of House

No.J-118/13, Saurabh Vihar, Hari Nagar Extn. Near Durga Mandir, P.O.Badarpur, New Delhi-
Contd…2.
** 2 **
2. That my actual and recorded name is S REENASHUKLA which is mentioned in my all

Academic records.
3. That I wish to change my name as REENA MISHRA instead of old name S

REENASHUKLA.
4. That S REENASHUKLA & REENA MISHRA are the name of same person.
5. I expressely authorize and request all person in general, relative and friends and
particular and all time, here after to designate and address me by REENA MISHRA
accordingly.
6. That I have given my new name information in newspaper for adding this name for
future for all purpose, so I have declared my name has been change REENA MISHRA.
DEPONENT
VERIFICATION:-
Verified at Delhi on 29th day of June 2016, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, ANIL KUMAR SON OF SHRI ATTAL SINGH Resident of House No.887/A, Sai
Nagar, Mithapur Extn. P.O.Badarpur, New Delhi-10044, do hereby solemnly affirm and declare
as under:-
Contd…2.
** 2 **

2. That my actual and documentary name is ANIL KUMAR which is mentioned in my all
ID’s to till date.
3. That I wish to change my name as ANIL THOMAS instead of old name ANIL
KUMAR.
4. That ANIL KUMAR & ANIL THOMAS are the name of same person.
particular and all time, here after to designate and address me by ANIL THOMAS
accordingly.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, BHARTI MANDAL WIFE OF SHRI HARADHAN CHANDRA MANDAL

Resident of House No.I-195/A, Hari Nagar Extn. P.O.Badarpur, New Delhi-10044, do hereby
Contd…2.
** 2 **
2. That my actual and documentary name is BHARTI MANDAL which is mentioned in

my all ID’s to till date, but by mistake my name has mentioned wrongly as ARTI
MANDAL in my gas book.
3. That I wish to change my name as BHARTI MANDAL instead of ARTI MANDAL, in

my gas records.
4. That BHARTI MANDAL & ARTI MANDAL are the name of same person.
DEPONENT
VERIFICATION:-
Verified at Delhi on 17th day of April 2018, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, KAMLESH DEVI WIFE OF SHRI CHANDRMAN SONKAR Resident of House

No.38, Gali No.3, Surya Vihar, Part-2, Sehatpur, Sect. 91, Faridabad, Haryana-121013, do
Contd…2.
** 2 **
2. That my actual and correct name is KAMLESH DEVI, but by mistake my name has
mentioned as KAMLESH KUMARI in my Aadhaar Card bearing No.3664 6781 7249.
3. That I wish to change my name as KAMLESH DEVI instead of KAMLESH KUMARI,

in my Aadhaar Card.
4. That KAMLESH DEVI & KAMLESH KUMARI are the name of same & one person.
DEPONENT
VERIFICATION:-
Verified at Delhi on 14th day of September 2019, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I, SARAMMA ANIL WIFE OF SHRI ANIL KUMAR Resident of House No.887/A,

Sai Nagar, Mithapur Extn. P.O.Badarpur, New Delhi-10044, do hereby solemnly affirm and
declare as under:-
Contd…2.
** 2 **
2. That my actual and documentary name is SARAMMA ANIL which is mentioned in my

all ID’s to till date.
3. That I wish to change my name as SARAMMA THOMAS instead of old name

SARAMMA ANIL.
4. That SARAMMA ANIL & SARAMMA THOMAS are the name of same person.
particular and all time, here after to designate and address me by SARAMMA
THOMAS accordingly.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, DILIP KUMAR BEHERA SON OF LATE SHRI B.K. BEHERA Resident of House
No.E-122, Gali No.5, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
2. That the actual & recorded name of my son is ARVIND KUMAR BEHERA which is
mentioned in his birth certificate & aadhaar card, but by mistake his name has written
wrongly as ARABINDER KUMAR in his school records.
3. That ARVIND KUMAR BEHERA & ARABINDER KUMAR BEHERA are the name
of same child.
particular and all time, here after to designate and address my son by ARVIND
KUMAR BEHERA accordingly.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NARESH SINGH SON OF LATE PRATAP SINGH Resident of House No.G-90,

Contd…2.
** 2 **
2. That the actual & correct date of birth of my daughter “PREETI SINGH” is 2.8.2004,
which is mentioned in her birth certificate, but by mistake her d.o.b has mentioned as
2.8.2003, which is mentioned in her school records and the same d.o.b has mentioned in
transfer certificate which was issued by Ganga Devi Public School at E-6, Om Nagar,
Mithapur, P.O.Badarpur, New Delhi-110044.
3. That the correct and exact date of birth of my above named daughter is d.o.b. is
2.8.2004 for future purposes.
DEPONENT
VERIFICATION:-
Verified at Delhi on 05th day of August 2016, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, DAVINDER GARG SON OF SHRI OM PRAKASH Resident of House

No.A-38, Tajpur Village, P.O.Badarpur, New Delhi-10044, do hereby solemnly affirm and
declare as under:-
Contd…2.
** 2 **
2. That my actual & recorded name after matriculation i.e. intermediate & in graduation is
DAVINDER GARG but by mistake my name had mentioned in school reecords upto
matriculation as DEVINDER DASS.
3. That DAVINDER GARG & DEVINDER DASS are the name of same person.
particular and all time, here after to designate and address me by DAVINDER GARG
accordingly.
5. That I want to change my name as DAVINDER GARG.
6. That I have give my new name information in newspaper for adding this name for
future for all purpose, so I have declared my name has been change DAVINDER
GARG.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, AMIT BANSAL SON OF SHRI BALDEV BANSAL Resident of House No.461,

Sect. 28, Faridabad, Haryana, do hereby solemnly affirm and declare as under:-
Contd…2.
** 2 **
2. That actual and present name of my daughter is “NEHAL” which is not mentioned in
her birth certificate.
3. That the Old name of my daughter is “NISHTHA” which is mentioned in her birth
certificate.
4. That I wish to change my daughter name as NEHAL from old name NISHTHA.
5. That the both names are same child.
6. That I expressely authorize and request all person in general, relative and friends and
particular and all time, here after to designate and address my daughter by NEHAL
accordingly.
DEPONENT
VERIFICATION:-
Verified at Delhi on 24th day of March 2015, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, BIR BAHADUR SINGH SON OF SHRI MADAN SINGH Resident of House

No.1241/A, Gali No.25, I-Block, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do
Contd…2.
** 2 **
2. That the actual & complete name of my son is “SURAJ SINGH” but by mistake his
name was written as “SURAJ” in his school records.
3. That I want to change my son’s name as “SURAJ SINGH” instead of “SURAJ” in his
school records.
4. That “SURAJ SINGH” & “SURAJ” are the names of same and one person.
DEPONENT
VERIFICATION:-
Verified at Delhi on 03rd day of November 2018, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I, KABUL KHAN SON OF LATE MR. SHARIF KHAN Resident of House No.N-64,
Gali No.8, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
2. That the actual name of my son is “SANJU” which is mentioned in his school records
but by mistake his name was mentioned wrongly as “ATABUL” in his Bank records
having a/c No.4147101012201 in Canara Bank.
3. That SANJU & ATABUL are the name of the same child.
4. That I wish to rectify my son’s name as SANJU instead of ATABUL in his bank
records.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, LALIT KUMAR THAKUR SON OF SHRI BAIDYA NATH THAKUR Resident of

House No.N-70, Gali No.2, Amar Market, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New
Contd…2.
** 2 **
2. That the correct & exact date of birth of my son namely “PIYUSH KUMAR
THAKUR”, is 08.11.2010, (08th day of November Two Thousand Ten).
3. That the actual name of my son is “PIYUSH KUMAR THAKUR” but by mistake his
name was written incompletely as “PIYUSH” in his school records.
4. That I want to change my son’s name as “PIYUSH KUMAR THAKUR” instead of

“PIYUSH” in his school records.
5. That my actual name is “LALIT KUMAR THAKUR” but by mistake my name was
written incompletely as “LALIT KUMAR”, in my son’s school records.
6. That I want to change my name as “LALIT KUMAR THAKUR” instead of “LALIT

KUMAR”.
DEPONENT
VERIFICATION:-
Verified at Delhi on 11th day of May 2016, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, DHARAMVIR SINGH SON OF SHRI KHUSHAL CHAND Resident of House

No.63, Village Lakkarpur, Tehsil & Distt. Faridabad, Haryana, do hereby solemnly affirm and
declare as under:-
Contd…2.
** 2 **
2. That prior to my marriage my maiden name was AJITHA KUMARY P after my

marriage I have adopted name of my husband suffix to my name and written as Ajitha
Krishna Kumar for all purposes, which is mentioned in service records and bank
account.
3. That AJITHA KUMARY P. & AJITHA KRISHNA KUMAR is the one and same
person.
DEPONENT
VERIFICATION:-
Verified at Delhi on 22nd day of May 2015, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, RAMLAL SAKLANI SON OF SHRI SURESHA NAND SAKLANI Resident of

House No.D-87, Ist Floor, Block D, Harsh Vihar, Hari Nagar, Part-III, P.O.Badarpur, New
Contd…2.
** 2 **
2. That my actual and compete name is RAMLAL SAKLANI which is mentioned in my
Aadhaar Card but by mistake my name was mentioned incompletely as RAM LAL in
my Driver’s Badge.
3. That RAMLAL SAKLANI & RAM LAL are the name of same & One person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, DHARMENDER KUMAR SRIVASTAVA SON OF SHRI BRIJ BHUSHAN

SRIVASTAVA Resident of House No.C-84, Gali No.18-D, Molar Band Extn. P.O.Badarpur,
Contd…2.
** 2 **
2. That my actual and full name is DHARMENDER KUMAR SRIVASTAVA, but by

mistake my name was mentioned in short form as D K SRIVASTAVA in my Driving
License.
3. That DHARMENDER KUMAR SRIVASTAVA & D K SRIVASTAVA are the name of

same person.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, HANUMAN RAM SON OF SHRI BIRJU RAM Resident of House No.F-37, Gali
No.3, Harsh Vihar, Hari Nagar, Part-III, Near Happy Holi Public School, Badarpur, New Delhi-
Contd…2.
** 2 **
2. That my actual and documentary name is “HANUMAN RAM” which is mentioned in

my all ID’s such as Aadhaar Card, Election I. Card, Bank Account, PAN Card,
Academeic Certifcates.
3. That but by mistake a cheque bearing No.001751, on 25.11.2017, drawn on Kotak

Mahindra Bank, Branch Plot No.3, Lsc, Okhla Industrial Area, Phase-II, New Delhi-
110020, has made from the name of HANUMAN by Rekha Printers Pvt. Ltd.
4. That “HANUMAN RAM” & “HANUMAN” are the names of same & one person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RANJAN KUMAR SON OF SHRI KAPIL DEV SHARMA Resident of House
No.B-194, Ekta Vihar, Jaitpur Extn. Part-I, Gyan Mandir Road, P.O.Badarpur, New
Contd…2.
** 2 **
2. That my actual and documentary name is RANJAN KUMAR which is mentioned in my

all ID’s & Allahabad Bank Account vide A/c No.50248668598, but by mistake my
salary cheque No.040921 on 19.8.2016, drawn on
________________________________, branch _____________________________ for
a Rs.8,252/- has been made from the name of RAJAN KUMAR.
3. That RANJAN KUMAR & RAJAN KUMAR are the name of same person.
4. That in future any problem, flaws & disputes will arise regarding this cheque & account
then that time I shall be responsible for all that.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, AMARJEET SHAH SON OF SHRI BHAGRASHAN SAHA Resident of House

No.A-471 (Old No.A-311), Gali No.7, Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-110044,
Contd…2.
** 2 **
2. That my actual and correct name is AMARJEET SHAH which is mentioned on my

Electric Bill, but by mistake my name was mentioned wrongly as AMARJEET GOND
in my PAN Card & Voter Identity Card.
3. That AMARJEET SHAH & AMARJEET GOND are the name of same person.
DEPONENT
VERIFICATION:-
Verified at Delhi on 31st day of December 2015, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I, RADHA DEVI WIFE OF SHRI MURARI LAL Resident of House No.F-97, Hari
Nagar Extn. Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare
as under:-
Contd…2.
** 2 **

2. That my actual and correct name is RADHA DEVI which is mentioned in my ID’s, but
by mistake my name was mentioned wrongly as RADLA DEVI in the service records of
my husband SHRI MURARI LAL.
3. That RADHA DEVI & RADLA DEVI are the name of same person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MURARI LAL SON OF SHRI RAMJI LAL Resident of House No.F-97, Hari Nagar
Extn. Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2.
** 2 **

2. That my actual and documentary name is MURARI LAL which is mentioned in my
ID’s, but by mistake my name was mentioned as MURARI LAL SHARMA in my
service records.
3. That MURARI LAL & MURARI LAL SHARMA are the name of same person.
DEPONENT
VERIFICATION:-
DEPONENT
UNDERTAKING
I, MURARI LAL SON OF SHRI RAMJI LAL Designation Ex. ATI T.No.37104
Resident of House No.F-97, Hari Nagar Extn. Jaitpur, P.O.Badarpur, New Delhi-110044,
certify as under:-
Contd…2.
** 2 **
1. That I have drawn N.R.A. from Management’s share of provident fund

Rs……………….. on …………………… during my service period.
2. That I have drawn Management’s share of provident fund amounting to Rs……………

on …………………… and total Gratuity amounting to Rs.7,17,750/- on 28.2.2017.
3. That I have not been in employment in any Government/Commercial Establishment
after my retirement bill today and I shall inform as and when I join any employment.
4. That I have been in employment in DTC since 06.05.1983, and drawing monthly salary
of Rs.18,750/- in total.
5. That I am not drawing any kind of pension from any State/Central Govt.
Department/Military Department.
6. That I am drawing pension/family pension amounting to Rs………………… w.e.f.

……………………….from ……………………….(Name of Deptt).
7. That I have drawn a sum of Rs…………………… dated………………….. from RPFC

in case I will draw any amount from RPFC in future, I shall deposit the same in Pension
Cell (HQ.).
8. That I am widow of Late Shri……………………. In case of re-marriage I shall inform

to Pension Cell (HQ.) immediately.
9. If any excess payment is paid to me, the same can be recovered from my Pension at any
time.
10. That I shall abide by the C.C.S. Pension Rules, 1972, as amended from time to time.
DEPONENT
Certified that the above facts are true to the best of my knowledge and belief and nothing has
been cancelled. Certified on day of …………………..
DEPONENT
AFFIDAVIT
I, BABITA WIFE OF SHRI RAJENDER Resident of House No.D-290, J.J. Camp,

Industrial Area, Okhla, Phase-II, New Delhi-110020, do hereby solemnly affirm and declare as
under:-
Contd…2.
** 2 **
2. That my actual and documentary name is “BABITA” which is mentioned in my all

ID’s, but by mistake my name has mentioned as “BABITA SHARMA” in my LIC
Records bearing LIC Policy No.125452358 D.O.C. 28/12/2009.
3. That “BABITA” & “BABITA SHARMA” are the names of same & one person.
4. That I want to add my name as “BABITA” instead of “BABITA SHARMA”, in my

policy records.
DEPONENT
VERIFICATION:-
Verified at Delhi on 21st day of November 2019, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I, MANOJ SINGH (vide Aadhaar Card No.8510 9716 3398) SON OF SHRI BAM
BAHADUR SINGH Resident of House No.F-42, Harsh Vihar, Hari Nagar Extn. Part-III,
Contd…2.
** 2 **
2. That my actual and documentary name is “MANOJ SINGH” which is mentioned in

my all ID’s, but by mistake my name has mentioned as “MANOJ KUMAR SINGH”
in my LIC Records bearing LIC Policy No.121017155 D.O.C. ______________.
3. That “MANOJ SINGH” & “MANOJ KUMAR SINGH” are the names of same &
one person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, VANDANA MISHRA WIFE OF SHRI VASUDEV MISHRA Resident of House

No.L-197, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
2. That my actual and documentary name is “VANDANA MISHRA” which is mentioned

in my all ID’s, but by mistake my name has mentioned wrongly as “VANDANA
MISSRA” in my LIC Records bearing LIC Policy No.118174617, D.O.C. 28.12.2016.
3. That VANDANA MISHRA & VANDANA MISSRA are the names of same & one
person.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, BHAVESH KUMAR SON OF LATE SHRI ARVIND KUMAR JHA Resident of

House No.E-1/11, Jaitpur Extn. Ismailpur Road, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
2. That my actual & documentary name is BHAVESH KUMAR which is mentioned in my

all ID’s & school records but by mistake my name has mentioned as BHAVESH
KUMAR JHA in my LIC Policy biearing No.330721437, D.O.C. 15.09.2001.
3. That BHAVESH KUMAR & BHAVESH KUMAR JHA are the names of same & one
person.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, AWADHESH SINGH SON OF LATE SHRI RAM CHANDRA SINGH Resident of

House No.5422, Gali No.14, Bajrang Property Dealer, New Tilpat, Faridabad, Haryana, do
Contd…2.
** 2 **
2. That my actual & documentary name is AWADHESH SINGH which is mentioned in

my bank a/c & Election Identity Card, but by mistake my name has written wrongly as
AWADHESH KUMAR SINGH on my LIC Bond bearing Policy No.122805261 D.O.C.
28.2.2005.
3. That AWADHESH SINGH & AWADHESH KUMAR SINGH are the name of same
person.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NEELAM CHAWLA WIFE OF SHRI SATISH CHAWLA Resident of House

No.24/34, Gali No.24, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
2. That my actual & complete name is NEELAM CHAWLA which is mentioned in my

Aadhaar Card but by mistake my name has mentioned as NEELAM RANI on my LIC
Records bearing Policy No.112725505 D.O.C. 28.9.1999, NEELAM in Election
Identity Card & NEELAM CHAWLA & NEELAM in Bank Account.
3. That NEELAM CHAWLA, NEELAM RANI, NEELAM & NEELAM CHWLA &
NEELAM, are the names of same & one person.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, BIRENDRA BAHADUR SINGH SON OF SHRI S.P. SINGH Resident of House

No.C-55, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2.
** 2 **
1. That my residential address is House No.C-55, Saurabh Vihar, Jaitpur, P.O.Badarpur,

New Delhi-110044.
2. That my correct and exact date of birth is 10.10.1952 (10 th day of October Nineteen
Hundred Fifty Two).
3. That B.B. SINGH AND BIRENDRA BAHADUR SINGH are the name of same person.
4. That the full form of B.B. SINGH is BIRENDRA BAHADUR SINGH.
DEPONENT
VERIFICATION:-
Verified at Delhi on 02nd day of February 2015, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I, JEEWAN LATA SHARMA WIFE OF SHRI ASHOK SHARMA Resident of House

No.A-8/1, Gali No.1, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
2. That my actual and documentary name is “JEEWAN LATA SHARMA” which is

mentioned in my Aadhaar Card & Bank A/c, but by mistake my name has mentioned
wrongly as JEEVAN SHARMA in my LIC Records bearing LIC Policy
No.120805918, D.O.C. __________.
3. That JEEWANT LATA SHARMA & JEEVAN SHARMA are the names of same &
one person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NEELAM DAUGHTER OF JAI CHAND SHARMA Resident of House No.3463,

Gali No.80, Block E-II, Molar Band Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly
Contd…2.
** 2 **
2. That my actual and correct name is NEELAM, but by mistake my name was mentioned
as NILAM SHARMA on my peerless Policy Bond.
3. That NEELAM & NILAM SHARMA are the name of same person.
4. That I want to add my name as NEELAM in place of NILAM SHARMA in my

Peerless Policy Bond.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MANJU WIFE OF SHRI SUNIL KUMAR SINGH Resident of House No.N-421/14,

Amar Market, Saurabh Vihar, Jaitpur Road, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
2. That my actual name is MANJU, but by mistake my name was mentioned as MANJU
SINHA on my LIC Policy Bonds bearing Policy No.121552360 d.o.c. _____________,.
3. That MANJU & MANJU SINHA are the name of same person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, DEEPAK KUMAR SON OF SHRI S.N. SINGH Resident of House No.F-492/1,
Nala Road, Harsh Vihar, Hari Nagar, Part-III, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
2. That my actual and documentary name is DEEPAK KUMAR which is mentioned in my

ID’s Card & in Bank A/c, but by mistake my name was mentioned as DEEPAK SINGH
on my LIC Policy Bonds bearing Policy No.(s) 125830087 d.o.c. 25.4.2011, 126800712
d.o.c. 15.4.2013, 126789688 d.o.c. 28.11.2012, 126789687 d.o.c. 28.11.2012,
126789690 d.o.c. 28.11.2012 & ___________________d.o.c. _______________.
3. That DEEPAK KUMAR & DEEPAK SINGH are the name of same person.
4. That I want to change my name as DEEPAK KUMAR instead of DEEPAK SINGH on

my LIC Policy Bonds.
DEPONENT
VERIFICATION:-
Verified at Delhi on 02nd day of August 2016, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, SAYRA ALAM WIFE OF MR. GAYUR ALAM Resident of House No.R-11/3, Hari
as under:-
Contd…2.
** 2 **
2. That I have declaring I have LIC policy no.122811399 my name is mentioned as

SAYRA BANO while my correct name is SAYRA ALAM so I want to request you that
kindly correct my name as SAYRA ALAM instead of SAYRA BANO.
3. That I am also declaring that SAYRA ALAM & SAYRA BANO both are the name of
the same & one person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, GAYUR ALAM SON OF MR. AJIJ AHMAD Resident of House No.R-11/3, Hari
as under:-
Contd…2.
** 2 **
2. That I have declaring I have LIC policy no.122054227, in which my date of birth has
not mentioned, so I want to request you that kindly add my d.o.b. as 20.05.1948 in my
LIC Policy.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NARENDER KUMAR SON OF CHANDER PAL Resident of House No.380, Gali

No.32D, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2.
** 2 **
2. That my actual and documentary name is NARENDER KUMAR, but by mistake my

name was mentioned as NARENDRA KUMAR on my LIC Policy Bonds bearing
Policy No.(s) 560963529 d.o.c. 28.12.2000.
3. That NARENDER KUMAR & NARENDRA KUMAR are the name of same person.

DEPONENT
VERIFICATION:-
Verified at Delhi on 23rd day of December 2015, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I, JAI SINGH SON OF SHRI JAGDISH Resident of House No.A-244, Village

Patparganj, Mayur Vihar, Phase-I, Delhi-110091, do hereby solemnly affirm and declare as
under:-
Contd…2.
** 2 **
2. That my actual and complete name is JAI SINGH which is mentioned in my all Identity
Card, but my name has mentioned wrongly as JAI SINGH BENIWAL in daughter’s
school record in the place of father name.
3. That JAI SINGH & JAI SINGH BENIWAL are the name of same person.
4. That the actual and complete name of my wife PRATIBHA which is mentioned in her
all Identity Card, but her name mentioned wrongly as PRATIBHA BENIWAL in her
daughter’s school record in the place of mother name.
5. That PRATIBHA & PRATIBHA BENIWAL are the name of same person.
DEPONENT
VERIFICATION:-
Verified at Delhi on 23rd day of May 2017, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, VIKAS SINGH RAJABUT SON OF SHRI RAJESH SINGH Resident of House

No.A-249, Gali No.10, Om Nagar, Mithapur Extn. P.O.Badarpur, New Delhi-110044, do
Contd…2.
** 2 **
2. That my actual and complete name is VIKAS SINGH which is mentioned in my all
Identity Card, but my name has mentioned as VIKAS SINGH RAJABUT in High
School Certificate.
3. That VIKAS SINGH & VIKAS SINGH RAJABUT are the name of same & one
person.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, PRAMOD GIRI SON OF SHRI HARI GIRI Resident of House No.N-53, Gali No.2,
declare as under:-
Contd…2.
** 2 **
2. That my actual and complete name is PRAMOD GIRI which is mentioned in my all
Identity Card, but my name has mentioned wrongly as PRAMOD GOSWAMI in son’sX
all documents such as Academic Certificates, Aadhaar Card.
3. That PRAMOD GIRI & PRAMOD GOSWAMI are the name of same person.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, REENA SINGHAL DAUGHTER OF SHRI PAWAN SINGHAL Resident of House

No.57A, Shera Mohalla, Garhi, East of Kailash, New Delhi-110065, do hereby solemnly affirm
Contd…2.
** 2 **
2. That my documentary name is REENA DEVI which are mentioned in my 10 th, 12th
Graduation & MBA Certificates.
3. That my other name REENA SINGHAL are mentioned in my PAN Card & work
experience certificates.
4. That both are the name of same person.
5. That now I want to change my name as REENA SINGHAL instead of REENA DEVI.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, PURUSHOTTAM BAISOYA SON OF SHRI TIKAM SINGH Resident of House

No.D-124/10, Hari Nagar Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
2. That the actual and complete name of my son named “ANKUR BAISOYA” but his
name has written incomplete as ANKUR in his previous school records.
3. That now I want to change his name as ANKUR BAISOYA instead of ANKUR.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT

Contd…2.
** 2 **
2. That the actual and complete name of my daughter named “VARSHA BAISOYA” but
her name has written incomplete as VARSHA in her previous school records.
3. That now I want to change her name as VARSHA BAISOYA instead of VARSHA.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
Contd…2.
** 2 **
2. That the actual and complete name of my son named “ABHISHEK BAISOYA” but his
name has written incomplete as ABHISHEK in his previous school records.
3. That now I want to change his name as ABHISHEK BAISOYA instead of ABHISHEK.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, DILIP KUMAR YADAV SON OF SHRI TEJ LAL YADAV Resident of House
No.A-231, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under:-
Contd…2.
** 2 **
2. That my actual and complete name is DILIP KUMAR YADAV but by mistake my name
was mentioned as DILIP YADAV on my All National Saving Certificate bearing No.(s)
1. 1402346024 on 29.1.2009 (2) 1402346086 on 29.1.2009 (3) 1402346062 on
29.1.2009, (4) 1402346048 on 29.1.2009 & (5) 1402690196 on 31.3.2009.
3. That DILIP KUMAR YADAV & DILIP YADAV are the name of same person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, JITU MALLAH SON OF ________SHRI MAHA SINGH Resident of House No.L-
471, Sauraabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
2. That my actual and documentary name is RATAN VEER which is mentioned in my all
ID’s, but by mistake my name was mentioned as RATAN VIR in school records of my
daughter’s namely NISHA who is studying in Class Xth-A, in Govt. Girls Sr. Sec.
School No.3, Badarpur, New Delhi-110044.
3. That I want to rectify my name as RATAN VEER in the place of RATAN VIR in school
records of my said daughter.
DEPONENT
VERIFICATION:-
Verified at Delhi on 21st day of January 2017, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, RUBI JHA WIFE OF SHRI AJAY JHA Resident of House No.J-63A, Arpan Vihar,
as under:-
Contd…2.
** 2 **
2. That my actual and documentary name is RUBI JHA which is mentioned in my all
ID’s, but by mistake my name has written wrongly as as RUBY JHA in birth certificate
of son’s namely ADITYA JHA.
3. That “RUBI JHA” & “RUBY JHA” are the names of same and one person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MAHMUD ALAM SON OF MR. GANI MIYAN Resident of House No.E-60,

2. That my actual and correct name is MAHMUD ALAM, but by mistake my name was
mentioned wrongly as MAHMUD MIYAN on my LIC Bond & Election I. Card,
bearing Policy No.330912048, d.o.c. 15.11.2002.
3. That MAHMUD ALAM & MAHMUD MIYAN is the name of same person.
4. That I have a saving bank A/c in Punjab National Bank, having a/c
No.1614000100030581.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, LALITA SHARMA WIFE OF SHRI RAMESH SHARMA Resident of House No.D-

74, Gali No.2, Om Nagar, P.O.Badarpur, New Delhi-44 & presently residing at House No.13,
Gali No.7/3, Shakti Vihar, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare
as under:-
2. That I am the owner and in possession of a Built up House No.13, land measuring 50
Sq.Yds. Consisting of Two Room set on Ground floor & Two Rooms with Latrine on
the First floor, with all roof rights, fitted with Electric Connection, Part of Khasra
No.869, Situated in the area of Village Molar Band, and abadi known as Gali No.7/3,
Shakti Vihar, Tehsil Kalkaji, P.O.Badarpur, New Delhi-44, in which my name was
mentioned as LALITA SHARMA, but by mistake my name was mentioned on my
Election Card as LATA, bearing Election Card No.DL04/040/096619/ dt.09.04.1995.
Contd…2.
** 2 **
3. That LALITA SHARMA & LATA are the name of same person.
4. That I have sold my above mentioned property to SHRI SANJAY SINGH
CHAUDHARY SON OF SHRI BHARAT SINGH Resident of House No.170, Village

Molar Band, P.O.Badarpur, New Delhi-44. And in future if found any problem I will
fully responsible for the same.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, LALITA SHARMA WIFE OF SHRI RAMESH SHARMA Resident of House No.D-

74, Gali No.2, Om Nagar, P.O.Badarpur, New Delhi-44 & presently residing at House No.13,
Gali No.7/3, Shakti Vihar, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare
as under:-
Contd…2..
2. That I am the owner and in possession of a Built up House No.13, land measuring 50
Sq.Yds. Consisting of Two Room set on Ground floor & Two Rooms with Latrine on
the First floor, with all roof rights, fitted with Electric Connection, Part of Khasra
No.869, Situated in the area of Village Molar Band, and abadi known as Gali No.7/3,
Shakti Vihar, Tehsil Kalkaji, P.O.Badarpur, New Delhi-44, in which my name was
mentioned as LALITA SHARMA, but by mistake my name was mentioned on my
Election Card as LATA, bearing Election Card No.DL04/040/096619/ dt.09.04.1995.
3. That LALITA SHARMA & LATA are the name of same person.
4. That I have sold my above mentioned property to SHRI SANJAY SINGH
CHAUDHARY SON OF SHRI BHARAT SINGH Resident of House No.170, Village
Molar Band, P.O.Badarpur, New Delhi-44. And in future if found any problem I will
fully responsible for the same.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, KELA DEVI WIFE OF LATE SHRI PRABHU SINGH Resident of House

No.C-413, Harsh Vihar, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-44, do hereby

2. That I was the owner and in possession of a Built up House No.C-413, (Old
No.C-402), land measuring 22.22 Sq.Yds. (10’x 20’), with all roof rights, Part of
Khasra No.940, Situated at C-Block, Harsh Vihar, Hari Nagar Extn. Part-III,
P.O.Badarpur, New Delhi-110044, by virtue of Relinquishment Deed duly attested by
Notary Public Delhi on 20.8.2010.
3. That my all five legal heirs had executed a relinquishment deed in favour of me, in
which some 2-3 last pages of the said deed has been lost at anywhere, and is not
traceable.
4. That now I have sold the above said property to SHRI MUNESH KUMAR CHAUHAN
SON OF SHRI KHET PAL SINGH all executed all concerned documents in favour of
him.
5. That in future any issue, dispute will arise or born regarding this property, then that time
I will responsible for that.

DEPONENT
VERIFICATION:-
Verified at Delhi on 21st day of September 2014, that the contents of the above affidavit
DEPONENT
WITNESSES:-
1.
2.
AFFIDAVIT
I, LEELA DAS WIFE OF LATE SHRI CHET NARAIN DAS Resident of House
No.235, Gali No.23/3, Mandawali Fazalpur, Delhi-110092, do hereby solemnly affirm and
declare as under:-
Contd….2..
*** 2 ***
2. That I was the owner and in possession of a Built up House No.D-68/1 (Old Plot
No.10B), land measuring 50 Sq.Yds. with all roof rights, Part of Khasra No.1006,
Situated at D-Block, Gali No.5, Om Nagar, P.O.Badarpur, New Delhi-110044, have
been purchased the same from Smt. Shanti Devi wife of Shri Shekhar Das Resident of
Old Anarkali, Delhi.
3. That have incomplete original paper such as GPA of Built up House No.D-68/1, land
measuring 50 Sq.Yds. with all roof rights, Part of Khasra No.1006, Situated at D-Block,
Gali No.5, Om Nagar, P.O.Badarpur, New Delhi-110044, I do not have Agreement to
Sell & Purchase of the said property in which I had purchased the said property from
Smt. Shanti Devi wife of Shri Shekhar Das.
4. That the said original Agreement to sell & purchase of the said property has been lost at
anywhere by me, and is not traceable.
5. That now I have sold the above said property to SHRI MAHESH SINGLA SON OF
SHRI KISHAN CHAND & executed all concerned documents in favour of him.

DEPONENT
VERIFICATION:-
DEPONENT
WITNESSES:-
1.
2.
AFFIDAVIT
I, SADHANA SINGH WIFE OF SHRI MUKESH SINGH Resident of House

No.L-109, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd….2..
*** 2 ***
2. That my correct & exact date of birth is 01.01.1985 (01st day of January Nineteen
Hundred Eighty Five).
3. That my original certificates of matriculation has been lost at anywhere by me, and is
not traceable.
DEPONENT
VERIFICATION:-
Verified at Delhi on 22nd day of February 2019, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I, MOHD. SHAMIM SON OF MOHD. QAYYUM Resident of House No.B-255,

Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare as
under:-
2. That the correct & exact date of birth of my daughter namely “SAHEENA
PARVEEN” is 23.06.2002, (23rd day of June Two thousand Two), but by mistake my
daughter’s date of birth was written wrongly as 23.06.2001 in her School.
3. That my daughter named “SAHEENA PARVEEN” who is studying in IXth Class, in

Glory Public School, Pocket B, Sarita Vihar, Main Mathura Road, New Delhi-110076.
4. That I want to change my daughter’s date of birth as 23.01.2002 in place of 23.06.2001.
5. That her Mother’s name is “SMT. SHAJMA KHATOON”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MUNNI SHARMA ALIAS MUNNI DEVI WIFE OF SHRI AVINASH KUMAR

Resident of House No.197, Gali No.54-P, Block E-III, near 1 st 60’ Road, Molar Band Extn.
2. That my actual income is MUNNI SHARMA, but my name was written as MUNNI
DEVI, in my L.I.C. Bond, bearing Policy No.220990388.
3. That I want to change my name as MUNNI SHARMA in place of MUNNI DEVI, in

my L.I.C. Bond.
4. That my correct address is House No.197, Gali No.54-P, Block E-III, near 1 st 60’ Road,
Molar Band Extn. P.O.Badarpur, New Delhi-44.
DEPONENT
VERIFICATION:-
DEPONENT
To,
Branch Manager,
LIC of India,
Pramod I. College, Sahashwan,
Distt. Badaun, U.P.-243638.
SUB :- CORECTION IN NAME & ADDRESS IN POLICY NO.220990388.
Dear Sir,
I am Munni Sharma wife of Shri Avinash Kumar having Policy No.220990388, from
your LIC branch Badaun, U.P.
I solemnly declared that MUNNI SHARMA & MUNNI DEVI is same person. My correct
address is House No.197, Street No.54-P, Block E-III, near 1 st 60’ Road, Molar Band Extn.
Kindly update your record & make my payment in my correct name “MUNNI SHARMA
WIFE OF SHRI AVINASH KUMAR”.
Thanks & Regards.
(MUNNI SHARMA)
AFFIDAVIT
I, JAI RAM SON OF LATE SHRI HARI CHAND Resident of Village Hari Nagar,
1. That my father namely Late Shri Hari Chand son of Shri Raghubira expired on
24.05.2001, and leaving behind him the following legal heirs:-
1. Om Prakash son 48 Yrs.
2. Jai Ram son 46 Yrs.
3. Ved Prakash son 44 Yrs.
4. Ram Prakash son 40 Yrs.
5. Ved Singh son 38 Yrs.
6. Raj Bir son 36 Yrs.
2. That there is no other legal heir except the above mentioned written.
3. That my father has also left the some agricultural land at Village Molar Band, Hari
Nagar, Nagar, New Delhi, and the applicant wants the mutation the above said property
in the name of above mentioned legal heirs.(Copy of the Khasra/Khatoni is attached
with the application).
4. That my father has not executed any WILL in his life time.
5. That it is my true statements.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, VED PRAKASH SON OF LATE SHRI HARI CHAND Resident of Village Hari

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAM PRAKASH SON OF LATE SHRI HARI CHAND Resident of Village Hari

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, VED SINGH SON OF LATE SHRI HARI CHAND Resident of Village Hari Nagar,

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAJ BIR SON OF LATE SHRI HARI CHAND Resident of Village Hari Nagar,
in the name of above mentioned legal heirs. (Copy of the Khasra/Khatoni is attached

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, YATENDER SON OF LATE SHRI PREM PAL SINGH Resident of House No.B-
240, Gyan Mandir Road, Jaitpur Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm
2. That my father was working in Delhi Jal Board on the post of P.D., at Okhla, Pani Ki
Tanki, Kalkaji, New Delhi-19, who was expired on dated 15.12.2008, at Home.
4. That after his death I have apply the said job in the said department, because I have no
any other source of income for caring my family.
5. That after death of my father, my family which included my mother, one sister, one
brother, fully depended upon me & now from today I always fully caring of my family.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SUBODH MANDAL SON OF SHRI DURGA MANDAL Resident of House

No.F-176, Gali No.12, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***
2. That my correct and exact date of birth is 04.01.1949 (04 th day of January Nineteen
Hundred Forty Nine).
3. That I am doing job for last many years due to bear my children education expense and
family expenses, my family which included my wife & childrens, fully depended upon
me, if I shall not do any work then I will not be able to bear my family & children
education expenses.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, AJAY MITTAL SON OF SHRI ISHWAR CHAND MITTAL Resident of House

No.585, Sector-31, Faridabyana, do hereby solemnly affirm and declare as under:-
Contd..2.
** 2 **
2. That I am the actual owner of a L.M.V. (Mahindra Scorpio), bearing Regn. No.HR-
51BB-7337, Chesis No.MBLHA10EL8GK71547, Engine No.HA10EB8GK78215,
Colour Black, Model October 2008, made by HHML Ltd.
3. That the key of above said vehicle has been lost at anywhere and is not trace out,
whenever I get the said key of bike then I will surrender to ICICI Lombard without
misused.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, AJAY MITTAL SON OF SHRI ISHWAR CHAND MITTAL Resident of House

No.585, Sector-31, Faridabyana, do hereby solemnly affirm and declare as under:-
Contd..2.
** 2 **
2. That I am the actual owner of a L.M.V. (Mahindra Scorpio), bearing Registration

No.HR-51BB-7337.
3. That the key of the above said vehicle has been lost at anywhere and is not trace out,
whenever I get the said key of the said vehicle then I will surrender to the concerned
authority without misused.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, HET RAM SON OF LATE SHRI DAULAT RAM Resident of House No.108,
Village Aali, P.O.Sarita Vihar, New Delhi-76, do hereby solemnly affirm and declare as under:-

2. That I am the owner of Property bearing Khasra No.348, 349/1 & 105, land measuring
10000 Sq.Ft. Situated in the area of Village Aali, and abadi known as Aali Vihar, Near
Kalindi Public School, Sarita Vihar, New Delhi-76.
Contd…2..
*** 2 **
3. That I have authorize to (1) Shri Ranvir Singh son of Shri Het Ram (2) Mrs. Shimla
wife of Shri Ghanshyam & (3) Harish Chaudhary son of Shri Ghanshyam for let out the
said property to any person and fully authorized to get the rent.
DEPONENT
VERIFICATION:-
DEPONENT
PROFORMA OF NEW INDEMNITY BOND
The Branch Manager
The Peerless General Finance & Investment Co. Ltd.
61, Regal Building East, Connaught Place, New Delhi-110001. Branch
Re: Declaration Bond in respect of the

Welfare Endownment Certificate No.E……………
Issued by your Company under Table 03781328.
Of the Social Welfare Scheme of the Company
Dear Sir,
1. Shri Pawan Kumar son of Shri Ajay Singh Resident of House No.L-1A, Saurabh
Vihar, Jaitpur, P.O.Badarpur, New Delhi-44 holder/Legal guardian of the Minor
owner of the above mentioned certificate do hereby solemnly declare that the
said welfare Endownment Certificate No. E…………………..has been lost from
my custody/not been received by me from the Company from any one else.
2. I further declare that no person other than my self is entitled to the rights, title
interest and benefit in and of the certificate. I have not sold, transferred, assigned
or pledge the above Certificate to any one or not have dealt with the above
Certificate in any way. I now request you to kindly pay me the amount of
paidup/Maturity Value/Refund of Subscription of the above Certificate on the
strength of this declaration without presentation of the aforesaid lost Certificate
No……………….
3. In consideration of your kindly paying me the paidup/Maturity Value/Refund of

Subscription of the above Certificate on the strength of this declaration. I and
my legal representatives do hereby agree and undertake to compensate you
adequately against all lose damage of claims or any kind whatsoever that may
arise out of you such payment of paid-up/Maturity Value/Refund of Subscription
to me.
4. If at any time hereafter the said lost certificate be found by me or my legal

responsibility the same shall forthwith be delivered to the Company for
cnancellation.
5. I also declare that I have neither taken any loan against the Certificate in
question nor have surrendered it to the Company.
Dated at 11th day of November 2011
Signature of the Cert. Holder

Address L-1A, Saurabh Vihar, Jaitpur
Witness 1
Full Signature………………….
Full Name……………………..
Occupation……………………
Full Address………………….
………………………………..
…………………………………
Witness 2
………………………………..
…………………………………

The Branch Manager

Dear Sir,
2. I further declare that no person other than myself is entitled to the rights, title
No……………….

to me.

cnancellation.

Witness 1
………………………………..
…………………………………
Witness 2
………………………………..
…………………………………

The Branch Manager

Dear Sir,
No……………….

to me.

cnancellation.

Witness 1
………………………………..
…………………………………
Witness 2
………………………………..
…………………………………

The Branch Manager

Dear Sir,
No……………….

to me.

cnancellation.

Witness 1
………………………………..
…………………………………
Witness 2
………………………………..
…………………………………

The Branch Manager

Dear Sir,
No……………….

to me.

cnancellation.

Witness 1
………………………………..
…………………………………
Witness 2
………………………………..
…………………………………

The Branch Manager

Dear Sir,
No……………….

to me.

cnancellation.

Witness 1
………………………………..
…………………………………
Witness 2
………………………………..
…………………………………

The Branch Manager

Dear Sir,
No……………….

to me.

cnancellation.

Witness 1
………………………………..
…………………………………
Witness 2
………………………………..
…………………………………

The Branch Manager

Dear Sir,
No……………….

to me.

cnancellation.

Witness 1
………………………………..
…………………………………
Witness 2
………………………………..
…………………………………

The Branch Manager

Dear Sir,
No……………….

to me.

cnancellation.

Witness 1
………………………………..
…………………………………
Witness 2
………………………………..
…………………………………
ANNEXURE D
AFFIDAVIT
WE, SUNITA NAGAR (Maiden Name of wife)
HEMCHAND NAGAR (Name of Husband)

1. That we are married under Hindu Marriage act/right/customs and are living together as
married couple Since 31.1.1998.
2. That SUNITA VERMA would henceforth be known as SUNITA NAGAR by virtue of

our marriage.
3. That our joint photograph is affixed below.
Signature & address of deponents
1.
2.
Both Resident of I-40, Main Jaitpur Road,

Hari Nagar Extn. P.O.Badarpur, New
Delhi-110044.
ANNEXURE D
AFFIDAVIT
Contd…2..
*** 2 ***
WE, LEENA SHARMA (Maiden Name of wife)
RAKESH BALI (Name of Husband)
1. That we are married under Hindu Marriage act/right/customs and are living together as
married couple Since 04.7.2004.
2. That LEENA SHARMA would henceforth be known as LEENA BALI by virtue of our
marriage.
3. That our joint photograph is affixed below.
Signature & address of deponents
1.
2.
Both Resident of B-465, IInd Floor, Green Fields Colony, Faridabad, Haryana-121001.
AFFIDAVIT
I, DHARMENDER PANDEY SON OF LATE SHRI RAJ DULARE PANDEY
Resident of House No.708/1-A, Sai Nagar, Mithapur Extn. P.O.Badarpur, New Delhi-44, do
1. That I have applied for authentication of declaration as mentioned in my enclosed
application. It will be published in HIND SWABHIMAN in monthly language HINDI
periodicity. To be published at House No.708/1-A, Sai Nagar, Mithapur Extn.

P.O.Badarpur, New Delhi-44, and printed at U.S. Printer - B-186, Okhla Industrial Area,
Phase-I, New Delhi-20.
Contd…2.
** 2 **
2. That the owner of newspaper/magazine/journal is DHARMENDER PANDEY and he

has given his consent for this.
3. That my permanent address is House No.708/1-A, Sai Nagar, Mithapur Extn.

P.O.Badarpur, New Delhi-44, (proof attach duly attested by serving G.O.)
4. That I am publishing other newspaper/magazine/journal. (In case publishing other

newspaper/ magazine/ journal-- attach the list of other publication with details.)
5. That there is nothing against me to debar me from being publisher or printer.
6. That I am also doing the following occupations other than this: (Proof attach)
(a) ________________________________________________________
(b) ________________________________________________________
(c) ________________________________________________________
7. That the true and precise account of place publication is as under :-

House No.708/1-/A, Sai Nagar, Mithapur Extn. P.O.Badarpur, New Delhi-44, and the
place is not violating MPD 2021 and is in my legal possession.
Contd…3.
** 3 **
8. That other details of my publication is as under :-
i) Office telephone No.011-20338018, Mob. No.9811992741.

ii) Residence telephone No.011-20338018, Mob. No.9811992741.
iii) E-mail ID : Hindswabhimancheefedi@redifmail.com.
9. That the above mentioned title is not being used/ published by any Government/ Semi
Government Department.
10. That the owner (s) of the Firm/ Joint/ Trust/ Co-operative Society/ Association owing
the newspaper/ magazine is/are citizen (s) of India.
11. That the owner (s) dose/do not have any tie-up/ collaborations with any foreign
organization nor any foreign funds/ donations are involved in the publication of
newspaper/ magazine.
12. That the owner (s) will not have any tie-up/collaboration with any foreign organization
in future without the prior permission of the Government of India in respect on the
publication of the above mentioned newspaper/ magazine.
13. That I will not use this title any other purpose other than as prescribed in the Press and
Registration of Books Act. 1867.
Coantd…4.
** 4 **
14. That the indenty cards issued to my employees will not use logos and colours of the
Delhi Police of any other Government agency, and I undertake that these will be issued
in the prescribed format to genuine employee.
15. That I will not print the name of deputy Commissioner of Police, Licensing, Delhi or
any other Government Officer in any manner on indenty cards which will be issued by
me to my employees.
16. That I will utilize the declaration only for the purpose relating to publication/ circulation
of my newspaper/ magazine/ journal.
17. That in case I close the publication I will inform your office within 07 days of its
closing.
18. That no child labour has been engaged/ will be engaged to work for the said publication.
19. That no objectionable material or any other material, which is punishable under IPC,
will be published by me in any publication.
Contd…5.
** 5 **
20. That my annual income Rs.1,69,700/-(Rupees One Lac Sixty Nine thousands Seven
Hundreds only), (Proof attach).
21. That my nominee (s) will be Smt. Sadhana Devi who is my wife and Residing with me
at the above mentioned address.
22. That I shall abide by the other guideline/ directions given to me from your office.
23. That I shall abide by all norms of India Law and existing Local Special Law and other
law.
DEPONENT
Verification :-
Verified at Delhi on this 06th day of March 2012. The particulars furnished by me are
true and correct to the best of my knowledge and belief and nothing has been concealed or
misrepresented.
DEPONENT
AFFIDAVIT
I, MOHD. SULEMAN ALI SON OF MR. HAMID ANSARI Resident of House No.D-
376/8, Basement, Block D, Om Nagar, Mithapur Extn. P.O.Badarpur, New Delhi-44, do hereby
Contd..2.
** 2 **
Remark:- Basement for Domestic Supply.
That it is my true statement.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 17 th day of June 2013, that the contents of this
affidavit are true and correct to the best of my knowledge and belief and nothing
has been concealed therein.
DEPONENT
AFFIDAVIT
I/My ward ANKIT KUMAR (Name of candidate), Son/Daughter/Wife of Shri Charan Singh
(Father’s/Husband’s name) Resident of House No.H-52, Saurabh Vihar, P.O.Badarpur, New
Delhi-44, (Permanent address) seeking admission to BBA (Name of Course) of GGSIP
University, hereby solemnly affirm and declare
(i) that I/My ward have/has appeared in the 12th class/final semester/final year (name of the
qualifying degree), e.g. B.A., B.Sc, etc.) 12 th Class Examination, 2013 of CBSE Board
(Board/University), the result of which has not yet been declared and is expected to be
declared latest by 30 September, 2013;
(ii) I have passed all the papers of the qualifying degree 12th CBSE boards (name of the
qualifying degree) examination other than the final year/final semester examination.
(iii) I have no compartment as on this date in my 12th class/qualifying degree examination.
(iv). I am seeking provisional admission due to non-declaration of result of final year/final

semester of the qualifying degree examination by Board/University and not on account
of compartment in current or previous years of the qualifying degree examination as on
date of admission.
(v) That I/My ward have/has carefully gone through the rules regarding provisional
admission and fully understand that in the event of my/my ward’s failure to submit to
the concerned Dean/Principal/Director of the concerned School/College where the
admission has been granted, appropriate proof of my/my ward securing at least 61.65%
marks in qualifying examination for admission to BBA (Name of the Course) of GGSIP
University by 30 September, 2013; my/my wards provisional admission to the said
course will automatically get cancelled and full fee deposited will be forfeited.
Deponent
Verification:
Verified at New Delhi on this 26th day of June 2013, that the contents of the above
Affidavit are true and correct to the best of my knowledge and belief. No part of it is false and
nothing material has been concealed therefrom.
Deponent
AFFIDAVIT
I, LOKESH SON OF SHRI DHARAMVIR Resident of House No.A-77, Gali No.3,

declare as under:-
Contd…2.
** 2 **
2. That the actual name of my son is “SHUBHAM GARG” but by mistake his name was
mentioned as SHUBHAM in his Birth Certificate, bearing regn. No.661, dated of regn.
10.08.2005.
3. That SHUBHAM GARG & SHUBHAM are the names of same person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RIYAZ MOHD. SON OF MR. GULAM MOHAMMAD Resident of House No.J-

63D, Saurabh Vihar, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare
as under:-
Contd…2.
** 2 **
2. That the actual and correct name of my son is “MD SARUL KHAN” but by mistake
his name was mentioned as SHARUL KHAN in his Aadhaar Card.
3. That MD SARUL KHAN & SHARUL KHAN are the names of same person.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, JYOTI CHAUHAN WIFE OF SHRI JITENDRA SINGH Resident of House

No.K-119/6, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2.
** 2 **
2. That my actual and correct name is JYOTI CHAUHAN which is mentioned in my

daughter’s Birth Certificate in the place of mother name, but by mistake my name has
mentioned wrongly as JYOTI DEVI in my BPL Ration Card bearing
No.077002268175.
3. That now I wish to change my name as “JYOTI CHAUHAN” in the place of mother
name of my daughter in her school records.
4. That JYOTI DEVI & JYOTI CHAUHAN are the name of same & one person.
DEPONENT
VERIFICATION:-
Verified at Delhi on 31st day of March 2018, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, ANIL SON OF SHRI HANUMAN PRASAD Resident of House No.K-121, Jaitpur

Extn. Near Arpan Public School, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2..
*** 2 ***
2. That my actual name is ANIL which is mentioned in my all ID’s and Bank Passbook,
but by mistake my name had mentioned as ANIL HANUMAN PRASAD in my LIC
Policy Bond bearing Policy No.331360908/d.o.c.20.9.2004
3. That ANIL & ANIL HANUMAN PRASAD are the names of same person.
4. That I wish to change my name as ANIL in the place of ANIL HANUMAN PRASAD
in my LIC records.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, AKANKSHA DEVI DAUGHTER OF SHRI SAROJ KUMAR SINGH Resident of

House No.K-186/3, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do
Contd…2..
*** 2 ***
2. That my actual name is AKANKSHA DEVI which is mentioned in my School

Certificates, but by mistake my name had mentioned as AKANKSHA SINGH in my
Voter Card.
3. That AKANKSHA DEVI & AKANKSHA SINGH are the names of same person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MALTI DEVI WIFE OF SHRI JAGDISH PRASAD Resident of House No.I-80,

under:-
Contd…2..
*** 2 ***

2. That my actual name is MALTI DEVI which is mentioned in my all ID’s, but by
mistake my name has mentioned as LAXMI JHA in my son’s birth certificate.
3. That LAKSHMI JHA & LAXMI JHA are the names of same person.
4. That I wish to change my name as LAKSHMI JHA in the school records of my son.
DEPONENT
VERIFICATION:-
Verified at Delhi on 03rd day of April 2015, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, LOKESH KOHLI SON OF LATE SHRI ASHOK KOHLI Resident of House

No.28A, Gali No.11, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***

2. That my actual name is LOKESH KOHLI which is mentioned in my all ID’s, but by
mistake my name has mentioned incompletely as LOKESH KUMAR in my academic
certificates.
3. That LOKESH KOHLI & LOKESH KUMAR are the names of same person.
4. That the actual name of my father is ASHOK KOHLI which is mentioned in his all ID’s
but his name has written as ASHOK KUMAR in my all academic certificates.
5. That ASHOK KUMAR & ASHOK KOHLI are the names of same person.
DEPONENT
VERIFICATION:-
Verified at Delhi on 02nd day of August 2016, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, MOHD. AADIL SON OF MOHD. KALEEM ANSARI Resident of House

No.B-76, Street No.7, Abul Fazal Enclave, Part-II, Shaheen Bagh, Okhla, New Delhi-25, do
2. That my actual name is MOHD. AADIL, but by mistake my name had mentioned as
ADIL in my LIC Policy Bond bearing Policy No.332403785/d.o.c.28.3.2009
3. That MOHD. AADIL & ADIL are the names of same person.
4. That I wish to change my name as MOHD. AADIL in the place of ADIL in my LIC
records.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, BANWARI LAL GIRI SON OF SHRI ANAND SWAROOP GIRI Resident of

House No.I-76E, Gali No.3, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby
1. That my original School Certificate’s & Mark Sheet’s of Higher Secondary & Senior
Secondary has been lost and is not traceable. That in case the said documents is found
then the same shall be surrendered without misused. kindly submit my information of
lost.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, Joginder Bhati son of Late Shri Om Prakash Resident of Village Hari Nagar, P.O.Badarpur,
New Delhi-110044, declare that
1. Above mentioned name and add is correct.
2. My permanent address is same as above.
3. I have not been availing any credit facilities with any other commercial bank/Co-
operative bank and any financial institution.
4. I shall be abide by all terms and conditions of Jamia Co-operative Bank Ltd.
5. I shall be bonded to pay the loan installment on due course if I enjoy the loan facility.
6. No account is running with any cooperative banks.
7. I am not a member of any other cooperative.
DEPONENT
I confirm that above said statement is true and best of my knowledge and no fact is
concealed.
DEPONENT
Date 30.09.2014.
Place Delhi.
AFFIDAVIT
I, Dharam Raj Gupta son of Shri Ram Das Gupta Resident of House No.A-29, Jaitpur
Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2..
*** 2 ***
1. That deponent is the share holder of Jamia Co-operative Bank Limited having its
Registered office at 334-E, Batla House, Okhla, New Delhi-110025, vide share
certificate number………………………. at serial no………….. with membership
number……………….
2. That at present I am not having any loan or dues in my name from the Jamia Co-
operative Bank Limited.
3. That I have not given surety or guaranty to Borrower of Jamia Co-operative bank
Limited nor any loan is is outstanding in my name & in the name of loanees whom I
gave surety any point of time.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 21st day of November 2015, that the contents of this affidavit
therein.
DEPONENT
AFFIDAVIT
I, Satish Chander son of Shri Benchey Lal Resident of House No.D-1A, Prince
Colony, Ismailpur Road, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-110044, do
Contd…2..
*** 2 ***
1. That deponent is the share holder of Jamia Co-operative Bank Limited having its
Registered office at 334-E, Batla House, Okhla, New Delhi-110025, vide share
certificate number………………………. at serial no………….. with membership
number……………….
2. That at present I am not having any loan or dues in my name from the Jamia Co-
operative Bank Limited.
3. That I have not given surety or guaranty to Borrower of Jamia Co-operative bank
Limited nor any loan is is outstanding in my name & in the name of loanees whom I
gave surety any point of time.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 21st day of November 2015, that the contents of this affidavit
therein.
DEPONENT
AFFIDAVIT
I/My ward NEETU (Name of the candidate), Daughter of SHRI KAMAL SINGH
Resident of House No.380, Gali No.D-32, Molar Band Extn. P.O.Badarpur, New Delhi-44,
(Permanent address) seeking admission to B.Ed (Name of the course) of GGSIP University,
hereby solemnly affirm and declare
Contd…2.
** 2 **
(i) That I/My ward have/has appeared in the 12th Class/final semester/final year (name of
the qualifying degree) e.g. B.A., B.Sc. etc.) ______________ Examination, 2013 of
______________ (Board/ University), the result of which has not yet been declared and
is expected to be declared latest by 30 September, 2013.
(ii) I have passed all the papers of the qualifying degree B.Com. (name of the qualifying
degree) examination other than the final year/ final semester examination.

(iv) I am seeking provisional admission due to non-declaration of result of final year/final
semester of the qualifying degree examination by Board/ University and not on account
of compartment in current or previous year of the qualifying degree examination as on
date of admission.
admission and fully understand that in the event of my/my ward’s failure to
submit to the concerned Dean/Principal/Director of the concerned school/collage where
the admission has been granted, appropriate proof of my/my ward securing at
least___________________ marks in qualifying examination for admission to B.Ed
(Name of the course) of GGSIP University by 30 September, 2013; my/my ward
provisional to the said course will automatically get cancelled and full fee deposited
will be forfeited.
Deponent
Verification:
Verified at Delhi on this 17th day of February 2014 that the contents to the above
nothing material has been conceald therefrom.
Deponent
(________________)
Signature of the father/mother or guardian
AFFIDAVIT
I/My ward AJMEJAY PAL (Name of the candidate), Son/Daughter/Wife of Shri Rakesh Pal
(Father’s/Husband’s name) Resident of House No.B-47/9, Gagan Vihar, Mithapur Extn.
P.O.Badarpur, New Delhi-44 (Permanent address) seeking admission to B.Ed (122) (Name of
the Course) of GGSIP University, hereby solemnly affirm and declare
qualifying degree) e.g. B.A. B.Sc. etc.) B.A. (H) Hindi Examination, 2013 of D.U.
(ii) I have passed all the papers of the qualifying degree B.A. (H) Hindi (name of qualifying
degree) examination other than the final year/final semester examination

date of admission.
admission has been granted, appropriate proof of my/my ward securing at least 50%
marks in qualifying examination for admission to B.Ed (Name of Course) of GGSIP
University by 30 September, 2013; my/my wards provisional admission to the said
course will automatically get cancelled and full fee deposited will be forfeited.
Deponent
Verification:
Verified at New Delhi on this 30th day of July 2013 that the contents of the above
Deponent
AFFIDAVIT
I/My ward PRIYANKA KUMARI (Name of the candidate), Son/Daughter/Wife of VIJAY
KUMAR MANJHI (Father’s/Husband’s name) Resident of House No.J-65/32, Saurabh Vihar,
Hari Nagar Extn. P.O.Badarpur, New Delhi-44 (Permanent address) seeking admission to B.Ed
(Name of the Course) of GGSIP University, hereby solemnly affirm and declare
qualifying degree) e.g. B.A. B.Sc. etc.) B.A. Examination, 2013 of D.U.
(ii) I have passed all the papers of the qualifying degree B.A. (name of qualifying degree)
examination other than the final year/final semester examination

date of admission.
admission has been granted, appropriate proof of my/my ward securing at least
______marks in qualifying examination for admission to B.Ed (Name of Course) of
GGSIP University by 30 September, 2013; my/my wards provisional admission to the
said course will automatically get cancelled and full fee deposited will be forfeited.
Deponent
Verification:
Verified at New Delhi on this 31st day of July 2013 that the contents of the above
Deponent
GENERAL POWER OF ATTORNEY
** 2 **
e-Stamp Certificate No.IN-DL49624071967747L
KNOW ALL NEW BY THESE PRESENTS THAT I RAJEEV KUMAR SINGH SON OF
SHRI G.N. SINGH Resident of House No.G-125, Pushp Vihar, Sector-IV, New Delhi-110017,
at present House No.16, Ashoka Enclave, Part-I, Faridabad, Haryana, do hereby appoint and
constitute SHRI TULA RAM SON OF SHRI RATAN LAL Resident of House No.74A,
Village Mithapur, P.O.Badarpur, New Delhi-44, (herein after called “attorney” Who has
subscribed his/her signatures hereunder in token of identification) and at present residing at
House No.74A, Village Mithapur, P.O.Badarpur,New Delhi-44, to be my lawful attorney in my
name and on my behalf to do the following act, deed and thing namely:
To receive loan and all other documents including title documents of property situated at
Building No.19, Block-18, Spring Field Colony, Extension No.1, Faridabad, Haryana on my
behalf from LICHFL and execute receipts therefore.
He/She is authorized to do all such acts/deeds and things, including signing any
papers/documents as are necessary and incidental to the above and that any act or statement or
within of my said Attorney in pursuance hereto hall b deemed to be fully authorized and ratified
by me.
Delhi at this the ___ day of August 2013.

Specimen Signature of Attorney Signature
Attested by Name
Address
5. That the correct and exact date of birth of my

mother is 15.7.1927 (15th day of July Nineteen
Hundred Twenty Seven).
I, BHAJAN KAUR DAUGHTER OF SHRI GURDAYAL SINGH Resident of House No.I-200
Saurabh Vihar, Main Jaitpur Road, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm
and declare that-
I). I have passed my degree examination in the year 2012 from the University of Delhi
University.
ii). the certificates and documents submitted by me on the basis of which I claim admission
are genuine.
iii). I shall not pursue any other course or appear in any other examination during my
admission to the B.Ed course other than specified in 1.2 of the norms.
In the event of my above statement having been proved otherwise my admission shall
stand automatically cancelled. Besides I shall be liable to any other action that may be taken
against me under law.
I, further affirm and declare that the averments made above are true to the best of my
knowledge and belief and nothing has been concealed or suppressed.
DEPONENT
Date:-20.8.2013
Place:- New Delhi.
AFFIDAVIT
I, VED PRAKASH GUPTA FATHER OF RINKI GUPTA Resident of House No.D-1/5,

Jaitpur Extn. Near Kali Mandir, Tanki Road, P.O.Badarpur, New Delhi-44, hereby declare that:
1. I am bonafide resident of NCT of Delhi.
2. My daughter/ward has privately pursued the prescribed course of studies under proper
guidance
3. She is unable to join a Secondary/Senior Secondary School affiliated to the Board.
Signature of applicant
Address House No.D-1/5, Jaitpur Extn. Near Kali
Mandir, Tanki Road, P.O.Badarpur, New Delhi-44,
Date:- 31st day of August 2013.

AFFIDAVIT/N.O.C.
I, KRIPAL SHARMA SON OF SHRI KAILASH CHAND SHARMA Resident of
House No.119, Gali No.3, Shakti Vihar, P.O.Badarpur, New Delhi-44, do hereby solemnly
2. That I am the Proprietor of M/s CHIRAG ROAD LINES at 9, Gali No.3, Near NTPC
Gate No.3, Molar Band Extn. P.O.Badarpur, New Delhi-44.
3. That I am the owner of HMV (EICHER 1059), bearing Regn. No.DLILS-8953.
4. That I have handed over the above said vehicle to M/s SAHARA Q SHOP at 16 TH Floor,
Building No.9A, DLF Cyber City, Phase-3, Near Shankar Chowk, Gurgaon-121001,
India for carrying goods.
5. That I will be fully responsible to Claim, Accident, all Challans, dues, Road Tax etc.
against the above said Vehicle to till date i.e. 13.12.2013.
6. That I have no objection if the said SAHARA Q SHOP uses my said vehicle for the
purpose of goods carrying at anywhere.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SUSHEELA WIFE OF SHRI ROHTASH KUMAR Resident of House No.K-200,

Gali No.4, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly
Contd….2..
*** 2 ***
1. That I am the owner of House No.K-200 (Old No.K-23/4), land measuring 50 Sq. Yds.
Situated at K-Block, Gali No.4, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New
Delhi-44.
2. That my previous address of the said property is H. No.K-23/4, Saurabh Vihar, Hari
Nagar Extn. P.O.Badarpur, New Delhi-44, now it has been converted into House
No.K-200, Gali No.4, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44.
3. That now I want to change my new address as House No.K-200, Gali No.4, Saurabh
Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44 on my Electricity Bill.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, JAGAT SINGH SON OF SHRI RAGHUVEER SINGH Resident of Flat No.16,

Third Floor, Plot No.H-105, Gali No.4, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New
Contd….2..
*** 2 ***

2. That I am residing with my son at New Address Flat No.16, Third Floor, Plot
No.H-105, Gali No.4, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44 &
I don not have any address proof from this above said address.
3. That my previous address is H.No.H-343, Gali No.12, Saurabh Vihar, Jaitpur,

DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, GAJNA DEVI WIFE OF JAGAT SINGH Resident of Flat No.16, Third Floor, Plot
No.H-105, Gali No.4, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby
Contd….2..
*** 2 ***

2. That I am residing with my son at New Address Flat No.16, Third Floor, Plot
No.H-105, Gali No.4, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44 &
I don not have any address proof from this above said address.
3. That my previous address is H.No.H-343, Gali No.12, Saurabh Vihar, Jaitpur,

DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, RAJESH KUMAR SON OF SHRI INDER SINGH presently residing at Gate No.3,
Shiv Farm, Hari Nagar, Badarpur, New Delhi-110044, do solemnly affirm and declare as
follows:-
1. That my date of birth is 02.01.1972 (Second day of January Nineteen Hundred Seventy
Two) and place of birth is New Delhi (attach proof).
2. That I am already an arms license holder (License No.SDBP/1/1998/29), valid for
Delhi, Haryana and U.P. and that I have a weapon 32 Bore Rev.No.656907 and 12 Bore
Gun No.A/3-7452/07 which has also been endorsed in my license.
3. That I am a Farmer
4. I require an arms license with All India validity/validity for specific state
UTTRAKHAND because I have residence in Uttrakhand (Copy of Registry attached).
5. I frequently visit my home state/home town 7 to 8 time in a year to look after my

property.
DEPONENT
AFFIDAVIT
I, VIJAY SINGH SON OF LATE SHRI RAJENDER PRASAD Resident of House

2. That I have not any immovable property in my name.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, CHANDAN VERMA SON OF SHRI BALDEV RAJ presently residing at House

No.123, Gali No.2, Shiv Enclave, Ismailpur, Tehsil and Distt. Faridabad, Haryana-121003, do
solemnly affirm and declare as follows:
1. That my date of birth is 25.02.1993, (25th day of February Nineteen hundred Ninety
Three), and place of birth is Safdarjung Hospital, New Delhi.
2. That I am bonafide resident of House No.123, Gali No.2, Shiv Enclave, Tehsil and
Distt. Faridabad, Haryana.
3. That I am not a short tampered man in family, neighbours, employees, and friends.
4. That I am medically fit to handle the weapon.
5. That I am/was not involved in any criminal case. That I do not have any departmental
enquiry, vigilance proceedings against me or have faced a Court of enquiry, Board of
enquiry under the Army, Nave & Air force Acts.
The particulars furnished by me above are true and correct to the belief of my
knowledge and I have not concealed or mispresented any facts.
DEPONENT
Witnesses:-
1.
2.
AFFIDAVIT
I, MALTI DEVI WIFE OF SHRI JAGDISH PRASAD Resident of House No.I-80,

under:-
Contd..2..
*** 2 ***
2. That my actual name is MALTI DEVI but by mistake my name was mentioned as
MALTI DEVI DHOUNDIYAL in my LIC Policy, bearing Policy No.123092736, d.o.c
25.8.2006.
3. That MALTI DEVI & MALTI DEVI DHOUNDIYAL is the names of same person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SANJEEV KUMAR SON OF SHRI RAJ KUMAR Resident of House No.D-

255A, Saurabh Vihar, Near Shiv Mandir, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***
2. That my Old name is SANJEEV KUMAR SON OF RAJ KUMAR & new name is
SANJEEV AGGARWAL SON OF RAJ KUMAR AGGARWAL.
3. That I want to change my name as SANJEEV AGGARWAL SON OF RAJ KUMAR

AGGARWAL from old name SANJEEV KUMAR SON OF RAJ KUMAR.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MAMTA AGGARWAL DAUGHTER OF SHRI MADAN LAL AGGARWAL

Resident of House No.D-255A, Saurabh Vihar, Near Shiv Mandir, P.O.Badarpur, New Delhi-
Contd…2..
*** 2 ***
2. That my Old name is MAMTA AGGARWAL DAUGHTER OF MADAN LAL

AGGARWAL & new name is VARSHA AGGARWAL WIFE OF SANJEEV
AGGARWAL.
3. That I want to change my name as VARSHA AGGARWAL WIFE OF SANJEEV

AGGARWAL from old name MAMTA AGGARWAL DAUGHTER OF MADAN LAL
AGGARWAL.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, VIJAY SINGH SON OF LATE SHRI RAJENDRA PRASAD Resident of House

No.H-269, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly
2. That my father Late Shri Rajendra Prasad was working as a MTS (Library Attendant)
with Centre Water Commission at Sewa Bhawan, R.K. Puram, New Delhi, who had
died on 18.1.2012 at Safdarjung Hospital, New Delhi.
3. That I am Unmarried person.

DEPONENT
VERIFICATION :-
Verified at New Delhi on this 24th day of March 2014 that the contents of the above
DEPONENT
AFFIDAVIT
I, RAM RATAN SON OF SHRI ATI RAM Resident of House No.I-198, Saurabh
Vihar, Hari Nagar Extn. Jaitpur Road, P.O.Badarpur, New Delhi-44, do hereby solemnly
1. That I belong to GADARIA Caste which is O.B.C. in the list of NCT of Delhi at
S.No.22.
2. That I have been ordinarily residing in NCT of Delhi Since 1990.
3. That I am working as Shopkeeper at I-198, Saurabh Vihar, Hari Nagar Extn. Jaitpur
Road, P.O.Badarpur, New Delhi-44, and my annual income is abount Rs. 84,000/-
(Rupees Eighty Four thousand only), per annum.
4. That I am Self-employed as mentioned above.

08.09.1993.
measuring Nil.
No.I-198, Situated at I-Block, Saurabh Vihar, Hari Nagar Extn. Main Jaitpur Road,
P.O.Badarpur, New Delhi-44, built up in 60 Sq.Yds.
8. That the correct and exact date of birth of my son namely “SAURABH” is 01.8.1996
(01st day of August Nineteen Hundred Ninety Six), has not been issued O.B.C.
certificate from Delhi or any other state/Union Territory.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, RAM RATAN SON OF SHRI ATI RAM Resident of House No.I-198, Saurabh
Vihar, Hari Nagar Extn. Jaitpur Road, P.O.Badarpur, New Delhi-44, do hereby solemnly
1. That I am working as Shopkeeper at I-198, Saurabh Vihar, Hari Nagar Extn. Jaitpur
Road, P.O.Badarpur, New Delhi-110044, and my income/salary is Rs.7,000/- per month.
2. That I am Self-employed as mentioned above.
No.I-198, Situated at I-Block, Saurabh Vihar, Hari Nagar Extn. Main Jaitpur Road,
P.O.Badarpur, New Delhi-44, built up in 60 Sq.Yds. and the rental income there of is
Rs. Nil.
4. That my total annual income is Rs.84,000/-from all sources and does not exceed to
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, C.B. YADAV SON OF LATE SHRI SHIV BACHAN Resident of House No.B-
321, Gali No.10, Jaitpur Extn. Part-I, Near Kalawati Public School, P.O.Badarpur, New
S.No.03.
2. That I have been ordinarily residing in NCT of Delhi Since by birth.
3. That I am working as an Assistant Manager (Finance) in Mahanagar Telephone Nigam

Ltd. At New Delhi, and my annual income is abount Rs. 3,20,000/-(Rupees Three Lac
Twenty thousand only), per annum.
08.09.1993.
measuring Nil.
Situated at B-Block, Jaitpur Extn. P.O.Badarpur, New Delhi-44, built up in 63 Sq.Yds.
8. That the correct and exact date of birth of my son namely “RISSICA” is 13.5.2007 (13 th
day of May Two thousand Seven), has not been issued O.B.C. certificate from Delhi or
any other state/Union Territory.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 22nd day of April 2014, that the contents of this affidavit are
DEPONENT
AFFIDAVIT
I, C.B. YADAV SON OF LATE SHRI SHIV BACHAN Resident of House No.B-
321, Gali No.10, Jaitpur Extn. Part-I, Near Kalawati Public School, P.O.Badarpur, New
1. That I am working as an Assistant Manager (Finance) in Mahanagar Telephone Nigam
Ltd. At New Delhi, and my income/salary is Rs.26,666/- per month.
No.B-321, Gali No.10, Jaitpur Extn. Part-I, Near Kalawati Public School, P.O.Badarpur,
New Delhi-44, built up in 63 Sq.Yds. and the rental income there of is Rs. Nil.
4. That my total annual income is Rs.3,20,000/-from all sources and does not exceed to
DEPONENT
VERIFICATION :-
DEPONENT
UNDERTAKING
I, PAL SINGH FATHER OF SACHINDER SINGH Inst. R.No.12DCS-005 Resident of House
No.I-200, Hari Nagar Extn. Jaitpur Road, P.O.Badarpur, New Delhi-110044, (Contact
No.9810646770, 8826160009 email id (if any) s.sonali0009@gmail.com, do hereby solemnly
1. That my ward name:- Sachinder Singh Roll No.12DCS-005 Student of Lingaya’s

University Faridabad, indulged in act of indiscipline.
2. That whatever punishment is given to my ward shall be binding upon me.
3. That the surety amount Rs.20,000/- (Refundable) deposited to assure of my ward’s good
behavior in future shall be forfeited in case he/she indulges in any act of indiscipline
during the rest of duration of his/her course of study.
4. That assure the University authorities that my ward shall not indulge any act of
indiscipline whether inside or outside the campus during the rest of duration of course
of study. In case he/she dose then the University can take any action against him/her.
5. That I am giving this undertaking on my own accord.
6. That I shall not seek legal recourses in respect of the undertaking given by me.
7. The Institute authorities are requested to kindly allow my ward to sit in the
classes/appear in the examinations.
Deponent
Verification:- Verified that the contents given above are correct & true to the best of my
knowledge & nothing has been concealed therein.
Deponent
Dated :- 03.05.2014.
Place:- New Delhi
AUTHORITY LETTER
Contd…2.
** 2 **
I, DHARM PAL SINGH SON OF SHRI SURAJ PAL SINGH Resident of House
No.66/2, Block-D/1, Badarpur Extn. New Delhi-110044, do hereby solemnly affirm and
declare as under:-
2. That I am the owner of a LMV (PLATINA-ALLOY WHEEL), bearing regn.

No.DL7SBS-4729, Chassis No.MD2A18AZ0DWE19611, Engine No.DZZWDE84767,
Model 19.10.2013, Colour-BLK-RED, made by Bajaj.
3. That I have appointed to SHRI BRIJESH KUMAR SON OF SHRI GEETAM SINGH
Resident of House No.RZ/E-318, Block E, Pehladpur, New Delhi-110044, to released
my above said vehicle from any Police Station/Court.
4. That it is my statement.
Authority Holder DEPONENT

(Brijesh Kumar) (Dharm Pal Singh)
VERIFICATION :-
Verified at Delhi on this 30th day of March 2017, that the contents of this Authority
Letter are true and correct to the best of my knowledge and belief and nothing has been
concealed therein.

(Brijesh Kumar) (Dharm Pal Singh)
Contd…2.
e-Stamp Certificate No.IN-DL77544272092193O
** 2 **
I, ANIL KUMAR SHARMA SON OF SHRI RAM NIWAS SHARMA Resident of

House No.C-22, Harsh Vihar, Hari Nagar, Part-III, P.O.Badarpur, New Delhi-110044, ( vide
PAN No.AOCPS5667K), do hereby solemnly affirm and declare as under:-
2. That I am the owner of a MCYL (HERO HONDA GLAMOUR DRUM), bearing regn.
No.DL3SBE-8222, Chassis No.07KAWC09738, Engine No.07KASM10134, Model
23.10.2007, Colour-Black, made by HHML.
3. That I have appointed to my Attorney SHRI BHAGWAN SINGH SON OF SHRI HARI
SINGH Resident of Village Pasta, Tehsil Deeg, Distt. Bharatpur, Rajasthan, vide D.L.
No.RJ-05A/DLC/11/2657/dt.8.11.2011), to released my above said vehicle from the
concerned Police Station/ Court.
Attorney Holder Executant

(Bhagwan Singh) (Anil Kumar sharma)
VERIFICATION :-
Verified at Delhi on this 30th day of July 2016, that the contents of this General Power of
Attorney are true and correct to the best of my knowledge and belief and nothing has been
concealed therein.
Attorney Holder Executant

(Bhagwan Singh) (Anil Kumar sharma)
AFFIDAVIT/ AUTHORITY LETTER
I, PAVITRA SINGH WIFE OF SHRI D.P. SINGH Resident of House No.66, Gali
No.2, IInd Floor, Block D-1, Goyal Complex, Badarpur Extn. New Delhi-44, do hereby
Contd…2.
** 2 **
2. That I am the proprietor of M/s Himani Engineering, having its office at 66, Gali No.2,
IInd Floor, Block D-1, Goyal Complex, Badarpur Extn. New Delhi-44.
3. That I have appoint to MR. D.P. SINGH SON OF SHRI SHIVRAJ PAL SINGH
Resident of House No.66, Gali No.2, IInd Floor, Block D-1, Goyal Complex, Badarpur
Extn. New Delhi-44, to operate the all works related to my said firm/business in all
India level on my behalf.
(D.P. Singh) (Pavitra Singh)
VERIFICATION :-
Verified at Delhi on this 31st day of January 2017, that the contents of this Authority
concealed therein.

(D.P. Singh) (Pavitra Singh)
AFFIDAVIT
I, RAM SARUP SEHGAL SON OF SHRI R.L.SEHGAL President of Society named

“SEHGAL WELFARE & EDUCATIONAL SOCIETY” New Delhi (South), Resident of
House No.K-360, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-44, do hereby solemnly
Cont..2..
** 2**
1. That the members of Governing Body of the society are not blood related to each other.
2. That the society bears a non-proprietary character.

DEPONENT
VERIFICATION :-
DEPONENT
INDEMNITY BOND
Contd…2.
** 2 **
e-Stamp Certificate No.IN-DL55627602384734M
I, KARAN KUMAR DHIMAN SON OF SHRI JEET KUMAR DHIMAN Resident of

House No.B-74, Block-B, Hari Nagar Extn. Part-II, P.O.Badarpur, New Delhi-110044,
Director/ Proprietor/ Partner _________________ in _______________________ do hereby
execute this undertaking in favour of M/s Kendriya Bhandar as have been duly authorized and
empowered by M/s AADI ENTERPRISES to execute the same.
1. The rates quoted by us are the lowest and we shall not supply or quote the rates of items
approved for supply by Kendriya Bhandar to any customer at rates lower that quoted to
Kendriya Bhandar without first giving the benefit of reduction in rate to Kendriya
Bhandar.
2. We have declared all types of schemes and other benefits to Kendriya Bhandar which
are enforced at present and shall also declare and give to Kendriya Bhandar in any
future.
3. The terms and conditions applicable between Kendriya Bhandar and it customer against
supplies made by us shall also be applicable to our company.
4. In case of any damage being claimed by any customer of Kendriya Bhandar account of
ruling/ decision from any statutory authority for whatsoever reasons against an/
products supplied by our company we undertake to bear such damaged on behalf of
Kendriya Bhandar.
5. We hereby indemnity Kendriya Bhandar and its employees in all such emventurities
Verifications:-
Verified at New Delhi as this 13th day of May 2014 that the contents of the above undertaking
are true and correct to my personal knowledge & belief. No para of it is false and nothing
material has been concealed there from.
Executant/s
Witnessed
1.
Name
S/o
R/o
2.
Name
S/o
R/o
UNDERTAKING
Coantd…2.
** 2 **
I, KARAN KUMAR DHIMAN SON OF SHRI JEET KUMAR DHIMAN Resident of

House No.B-74, Block-B, Hari Nagar Extn. Part-II, P.O.Badarpur, New Delhi-110044,
Director/ Proprietor/ Partner _________________ in _______________________ do hereby
execute this undertaking in favour of M/s Kendriya Bhandar as have been duly authorized and
empowered by M/s AADI ENTERPRISES to execute the same.
(a). To replace all the damaged items of our product within one week from the date of
intimation to us.
(b). To exchange all items of our products which remain unsold for over a period of three
months from and date of supplies.
(c). To give rebate on old stocks in the event to reduction in prices of our products.
(d). To attend to all genuine customer complaints as and when brought to our notice, to their
entire satisfaction.
(e). To abide by all the rules and regulations contained in the various acts promulgated by
the Government of India like P.F.A. Packaged commodities Act etc. etc.
(f). To intimate the Kendriya Bhandar immediately in the event of any reduction in our
price structure/ discount.
Verified at New Delhi as this 13th day of May 2014 that the contents of the above undertaking
are true and correct to my personal knowledge & belief. No para of it is false and nothing
material has been concealed there from.
Executant/s
Witnessed
1.
Name
S/o
R/o
2.
Name
S/o
R/o
AFFIDAVIT
I, DHEER SINGH MEENA SON OF SHRI RAM CHARAN MEENA Resident of

House No.D-133, Gali No.11, Hari Nagar, Part-II, Near Sai Baba Mandir, Jaitpur,
*** 2 ***
1. That my son namely RITESH is studying in Clast 10-B, in Panchsheel Public School,
Jaitpur, Badarpur, New Delhi-110044.
2. That I wish to add the name of my son as RITESH MEENA.
3. That I declare that my son RITESH will known by RITESH MEENA.

DEPONENT
VERIFICATION :-
Verified at Delhi on this 31st day of July 2014, that the contents of this affidavit are true
DEPONENT
“ANNEXURE-A”
AFFIDAVIT
I/WE (M/s SHARMA ENTERPRISES) having head office at SK-9, Sindhora Kalan, Chowki
No.2, Delhi-110052, hereby declare the Following that:
a. My/our Firm M/s SHARMA ENTERPRISES has not been blacklisted during
last three years by any of the Govt. Department/Govt. Autonomous
Body/Institute/PSU, etc.
b. My/our Firm M/s SHARMA ENTERPRISES has not any dispute with any of
the Govt. departments/Govt. Autonomous Bodies/Institutions/PSUs, etc.
c. My/our Firm M/s SHARMA ENTERPRISES has not submitted any fake
certificates/documents and later on if any such ‘certificate/documents’ found to
be fake/wrong, any criminal and legal action can be taken against their
Firm/Agency besides forfeiture of Earnest Money & blacklisting etc.
d. There are no complaints against my/our Firm such as delayed supply, non-
submission of performance guarantee (BG) and refusal of supply and for which
no punishments of any type have been given by any of the Govt.
departments/Govt. Autonomous Bodies/Institutions/PSUs, etc.
Signed on behalf of M/s SHARMA ENTERPRISES
Place: New Delhi
Date : 23.5.2014.
AFFIDAVIT
Affidavit of Shri Sunil Kumar son of Shri Surja Singh , I Sunil Kumar son of Shri Surja Singh
Aged 38 years, r/o House No.F-71A, Hari Nagar, Part-II, P.O.Badarpur, New Delhi-
110044, do hereby solemnly and sincerely state and declare as under:-
(1) That I was a contesting candidate at the general electionto the House of the People of
2014 from 07-SDPC Parliamentary constituency, the result of which was declared on
16.5.2014.
(2) That I/my election agent kept a separate and correct account of all expenditure
incurred/authorized by me/my election agent in connection with the above election
between ……………………………………….. (the date on which I was nominated)
and the date of declaration of the result thereof, both days inclusive.
(3) That the said account was maintained in the Register furnished by the Returning Officer
for the purpose and the said Register itself is annexed hereto with the supporting
vouchers/bills mentioned in the said account.
(4) That the account of my election expenditure as annexed hereto includes all items of
election expenditure incurred or authorized by me or by my election agent, Other
associations/body of persons and other individuals supporting me, in connection with
the election, and nothing has been concealed or withheld/suppressed therefrom (other
than the expense on travel of leaders covered by Explanations 1 and 2 under section
77(1) of the Representation of the People Act, 1951).
(5) That the Abstract Statement of Election Expenses annexed as Annexure II to the said
account also includes all expenditure incurred or authorized by me, my election agent,
other associations/body of persons and other individuals supporting me, in connection
with the election.
(6) That the statements in the foregoing paragraphs (1) to (5) are true to the best of my
knowledge and belief, that nothing is false and nothing material has been concealed.
Deponent
Solemnly affirmed/sworn by Sunil Kumar at New Delhi on this 29th day of 2014 before me.
AFFIDAVIT
I, VIJAY SINGH SON OF LATE SHRI RAJENDRA PRASAD Resident of House

Cont..2..
1. That I am permanent resident of above said address.
2. That my date of birth is 22.10.1986 and I am unmarried.
3. That my father was working as MTS in the office of Central Water Commission, Sewa
Bhawan, R.K. Puram, New Delhi-110066.
4. That my father has expired on 18.1.2012.
5. That I have applied for a job in office of Central Water Commission for compensatory
ground.
6. That I and my family do not have any movable or unmovable property on our name.
7. That presently I am residing in a rental house the address of house in which I am

residing is House No.H-269, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New
Delhi-110044.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, MONIKA DIXIT DAUGHTER OF SHRI RAJNESH DIXIT Resident of House
No.C-48, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Cont..2..
*** 2 ***
2. That presently I am residing at House No.C-48, Saurabh Vihar, Hari Nagar Extn.
3. That I am permanent resident of House No.E-87, Aali Vihar, Sarita Vihar, New
Delhi-110076.
4. That I was previsous resident of House No.B-96, Aali Vihar, Sarita Vihar, New
Delhi-110076 & my Aadhaar Card address also same as House No.B-96, Aali Vihar,
Sarita Vihar, New Delhi-110076.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 21st day of May 2018, that the contents of this affidavit are true
DEPONENT
TO,
The Manager,
Central Bank of India,
Green Vally Public School,
Hari Nagar Extn. Jaitpur Road,
P.O.Badarpur, New Delhi-44,
Requested Sir,
I am here to say that, I am an account holder in your bank. My

account No. is 3021493422 & My Name is Surendra Singh. I
Request you to stop the service of ATM on my account. My
ATM No. is 504437361841. For your co-operation I will be
highly obliged.
Yours Sincerily
Surendra Singh
A/C.No.3021493422
AFFIDAVIT
Contd….2.
** 2 **
I, MANOJ KUMAR GOYAL, Proprietor of M/s SHRI BALAJI TRADERS, hereby
declare that I have deposited Rs.50,000/- as security in Bangur Cement through D.D.
No.________ dated __________ drawn on The Vaish Co-Operative New Bank Ltd. I have lost
the security receipt which was provided by the Company, I want to refund my security as per
company’s policy whatever the amount company refund me that will be acceptable to me. I also
declare that if in future I find this receipt, I will deliver it to Bangur Office.
Proprietor
Place :- New Delhi
Date :- 04.06.2014.
AFFIDAVIT
I, NARENDER PAL SINGH SON OF SHRI BABU SINGH Resident of House
No.2783, Gali No.68, Block E-II, Molar Band Extn. P.O.Badarpur, New Delhi-44, do hereby
Contd…2..
*** 2 ***
2. That I am working with Indian Compressor Ltd, at 3335, Okhla Industrial Area, New
Delhi-110020, since 1985.
3. That I had not been doing any job at anywhere prior 1985.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 14th day of January 2015, that the contents of this Affidavit are
DEPONENT
AFFIDAVIT
I, DHIRENDRA KUMAR JHA SON OF SHRI PRATHAM NARAYAN JHA Resident

of House No.F-174 Gali No.5 Jaitpur Extn.II P.O.Badarpur, New Delhi-44, do hereby solemnly
Contd…2..
*** 2 ***
2. That I am the owner of House No.10 ( New House No.O-378) part of Khasra No. 528
& 546/2/2 land measuring 50 Sq.Yds. Part of Old Plot No.9 & 10) Situated at O-Block
Gali No.11 Saurabh Vihar Hari Nagar Extn. P.O. Badarpur New Delhi-44.
3. That my New House No.O-378 ( Old Property No.10).
DEPONENT
VERIFICATION:-
Verified at Delhi on this 21th day of May 2018, that the contents of this Affidavit are true
DEPONENT
AFFIDAVIT
Contd…2.
** 2 **
I, SANTU SINHA SON OF SHRI SAMEER SINHA Resident of House No.181, Gali
No.6, Ramesh Colony, Near Mother Dairy, Sehatpur, Tehsil & Distt. Faridabad, Haryana, do
2. That my actual & academic name is SANTU which is mentioned in my school

certificates and my complete name is SANTU SINHA which is mentioned in my
Aadhaar Card & PAN Card.
3. That SANTU & SANTU SINHA are the name of same person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, HARUN ALI SON OF MR. JAKI ALI Resident of House No.I-736, Gali No.14, Hari Nagar
Extn. Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2..
*** 2 ***
1. That I am the true and absolute Owner of LMV HYUNDAI EON ERA Vehicle
No.DL12CK-8085, duly insured with Bharti AXA GENERAL INSURANCE LTD. vide
Cert. No.FPV/12446897/11/11/004269.
2. That the aforesaid vehicle met with an Accident on 04.06.2018 at 12: 30 P.M., Mitai,
Hathras, due to got puncture in tyre & after lost the control of vehicle it is rammed into
tree, and the vehicle was being driven by Mr. Ali Sher Khan (Brother in law) son of Mr.
Chand Khan.
3. That the said driver suffered /did not suffer injuries in the said accident but MLC/no
MLC was conducted. There was injury/no injury to any other occupant or any Third
Party injury in the said accident.
4. It is hereby declared and agreed that in future if it is found that the Driver or any other
person was injured and MLC was conducted and any Third Party Case of any kind is
lodged against Bharti AXA GENERAL INSURANCE LTD. By the Driver Mr. Ali Sher
Khan or any other person, relating to the said Accident, then I shall be solely liable for
the same and also return trhe claim account received from Bharti AXA GENERAL
INSURANCE LTD. Against the claim No.________________________.
5. That I had toe the above said accidental vehicle by my personal tractor to reach
Mahindra First Choice Kamal Motors, Hathras, U.P.
6. That this is my correct and true statement.
DEPONENT
Verification
Verified at New Delhi on this 07th day of July 2018, that the contents of the above said
affidavit are true and correct to the best of my knowledge and belief and nothing has been
concealed therefrom.
DEPONENT
AUTHORITY LETTER
I, MOHD. ARIF SON OF MR. RAFIK AHMED Resident of House No.A-101, Gali
No.6, Gagan Vihar, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare
as under:-
Contd…2.
** 2 **
1. That I am the owner of a L.M.V. (Maruti 800), bearing regn. No.DL2CP-0141, Chassis
No.SB308IN1536394, Engine No.F8BIN3140548, Model 25.4.2001, Colour Milky
White, made by Maruti Udyog Ltd.
2. That I have appointed to MR. DEEPAK KUMAR JHA SON OF INDER KANT JHA
Resident of House No.I-49/11, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, for
the purpose of collect PCR Call Report from the concerned department.

(Deepak Kumar Jha) (Mohd. Arif)
VERIFICATION :-
Verified at Delhi on this 23rd day of September 2014, that the contents of this Authority
concealed therein.

(Deepak Kumar Jha) (Mohd. Arif)
AUTHORITY LETTER
I, MAHESH BHATI SON OF SHRI ANTRAM BHATI Resident of Village Hari

Contd…2.
** 2 **
1. That I am the owner of a MCYL (Bullet Electra), bearing regn. No.DL3SAR-4023,
Chassis No.5B672739F, Engine No.5B672739F, Model June 2005, Colour Silver, made
by REM.
2. That I have appointed to my nephew MR. AMIT BHATI SON OF SHRI BUDHAN
BHATI Resident of Village Hari Nagar, P.O.Badarpur, New Delhi-110044, for the
purpose of submitting NOC, RC and all concerned documents which is required for
remove HP/Lease from the concerned department.

(Amit Bhati) (Mahesh Bhati)
VERIFICATION :-
Verified at Delhi on this 09th day of November 2015, that the contents of this Authority
concealed therein.

(Amit Bhati) (Mahesh Bhati)
AUTHORITY LETTER/AFFIDAVIT
I, RAJ KUMAR SON OF SRICHAND Resident of House No.C-2, Hari Nagar Extn.
P.O.Badarpur, New Delhi-110044, (vide E. Card No.WGL0546846), do hereby solemnly affirm
Contd…2.
** 2 **
1. That I am the owner of a LGV (TATA ACE), bearing regn. No.DL1LP-0385, Chassis
No._____________________, Engine No._________________, Model December
2010.
2. That I have appointed to representative SHRI KISHAN PAL SON OF SHRI DHIR
SINGH Resident of House No.C-2, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044,
for the purpose of collect NOC of the above said Vehicle from SHRI RAM FINANCE
COMPANY at Mayur Vihar, Phase-I, Delhi-110096.
3. That in future any issue, dispute will arise or born regarding this vehicle then I will
responsible for that.

(Kishan Pal) (Raj Kumar)
VERIFICATION :-
Verified at Delhi on this 11th day of August 2014, that the contents of this Authority
concealed therein.

(Kishan Pal) (Raj Kumar)
AFFIDAVIT
I, SUNIL KUMAR SENGAR (vide Aadhaar Card No.7173 2544 7263) SON OF SHRI
UDAYVIR SINGH & RAMA (vide Aadhaar Card No.6685 9576 3867) WIFE OF SHRI
SUNIL KUMAR SENGAR Both Resident of House No.N-3, Hari Nagar Extn. P.O.Badarpur,
Contd…2..
*** 2 ***
1. That I/We am/are Citizen of India.
2. That I/We have debared my/our sons named SHRI ASHISH KUMAR & SHRI VISHAL
& their wife SMT. SHALINI & SMT. AYUSHI respectively, from our moveable and
immoveable property.
3. That in future if He/They will do any criminal activity, offence, etc then that time I/We
will not be responsible for that.
4. That it is my/our true statement.
DEPONENT/S
VERIFICATION:-
true and correct to the best of my/our knowledge and belief and nothing has been concealed
therein.
DEPONENT/S
VISHKARMA ENGINEERING WORKS AND MANUFACTURERS

Specialist in : Hydro Machine, Washing Machine, Tambler Machine & Double Door
C-138, Gali No.11, Kanti Nagar Extn. Krishna Nagar, Delhi-110051.
No. Date:- 20.1.2014
AFFIDAVIT
Contd…2..
*** 2 ***
I, Anil Kumar son of Shri Mam Chand presently residing at House No.1192, Block 178, Nehru
Colony, Badarpur, New Delhi-110044, since 2005, do solemnly affirm and declare as follows:-
1. I am holding arms license No.SDBP/8/9999/4 with weapons

(i) .315 Bore Rifle No.78AB2185
(ii) .32 Bore Pistol No.RP-118798
2. That I am a Businessman.
3. That I am/he and/or the said weapon was not involved in any criminal proceeding. That
I do not have any department enquiry, vigilance proceeding against me or have faced a
court of enquiry. Board of enquiry under the Army, Navy & Air force Acts regarding
this weapon or my capability to hold the licence.
4. That I have also no proceedings/cases instituted against me in the CBI, NCB,

Enforcement Directorate, Directorate of Revenue Intelligence, and Forest Department
pending against me.
5. That I have also not been arrested deported or involved in any illegal act in any other
country where I have visited or resided.
6. There is no Show Cause Notice issued by your office pending against me/my father.
Contd…3…
*** 3 ***
7. I would like to sell weapon no.78AB2185 & RP-118798 to M/s K.K. Sharma Arms
Dealers, Laxmi Nagar, Delhi-110092.
8. The weapon doesn’t fall in the category of NSP/PB/Restricted, which was earlier
purchase/taken oer from Arms Dealer & IOF.
9. The sale notice is also separately filled and submitted. (Applicable in case of existing
arms license.).
10. This affidavit is prepared and submitted to the best of my knowledge. I shall be liable
for legal action in case of furnishing wrong information.
DEPONENT
VERIFICATION:-
and correct to the best of our knowledge and belief and nothing has been concealed therein.
DEPONENT
AFFIDAVIT
I, RAMESH CHANDRA TRIPATHI SON OF LATE SHRI VIDYADHAR TRIPATHI

Resident of House No.L-138A, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do
Contd…2.
** 2 **
1. That I am citizen of India
2. That I have received a sum of Rs.4,00,000/-(Rupees Four Lac only), in cash from
Shri Yogesh Sharma son of Shri Sita Ram Sharma Resident of House No.B-23,
Village Molar Band, P.O.Badarpur, New Delhi-110044, against the admission
of partnership.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, MEELU RAM SON OF SHRI SANT RAM Resident of Village Hari Nagar,
Contd…2..
*** 2 ***
2. That I further state that I am the owner and in possession of P.No.F-400, Hari Nagar
Extn. Part-III, P.O.Badarpur, New Delhi-110044, and the same is being repaired by me
with my own funds and resources.
3. That I further declare that I would use all the techniques and measures for repairing that
are completely safe and non hazardous to any neighbourhood and shall also not carry
any sort of noise or air pollution within the neighbourhood and also that all the raw
materials that shall be used for repairing shall always lye within the boundary of my
said property.
4. That I further state that any pollution or harm caused to any neighbour due to my
repairing shall be my exclusive responsibility and all the damages shall be borne by me.
5. This is my true and correct statement.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, SHER SINGH SON OF SHRI GANDHARV SINGH Resident of House No.H-

211/33, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2..
*** 2 ***
2. That I further state that I am the owner and in possession of P.No.H-211/33, Saurabh
Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, and the same is being repaired by me
with my own funds and resources.
said property.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, JOGINDER BHATI SON OF LATE SHRI OM PRAKASH BHATI Resident of

Village Hari Nagar, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare
as under:-
Contd…2..
*** 2 ***
2. That I further state that I am the chairman of KRISHNA MODERN PUBLIC SCHOOL
which is running under “CH. HARI CHAND MEMORIAL EDUCATIONAL
SOCIETY” at P.No.D-71, Prince Colony, Main Tanki Road, Mithapur, P.O.Badarpur,
New Delhi-110044, and the same is being repaired by society funds and resources.
said property.

DEPONENT
VERIFICATION:-
DEPONENT
I, RAJENDRA PRASAD SINGH SON OF LATE SHRI SHIVJI PRASAD SINGH

Resident of Village & P.O.Dhakajari, Anchal Khara, Distt. Saharsa, Bihar, do hereby solemnly
Contd…2.
** 2 **
2. That I am permanent resident of Village & P.O.Dhakajari, Anchal Khara, Distt. Saharsa,
Bihar.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, ASHOK KUMAR SON OF SHRI KALU Resident of House No.98/13, Gali No.6,
B-Block, Jaitpur Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
2. I am Govt. Employee in Forest and Wild Life Department.
3. I want to withdraw my GPF from my account due to marriage of niece named

“PUSHPA” aged 22 Yrs & She is illiterate.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, KARNAIL SINGH JAMWAL SON OF SHRI BUDHI SINGH JAMWAL Resident of House
No.B-114, Gali No.68, Block E-II, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do
hereby solemnly affirm and dcclare as under:-

2. That I am purchaser of House No.2756, Gali No.68, Block E-II, Molar Band
Extn.P.O.Badarpur, New Delhi-110044.
3. That original GPA, Agreement sell documents of the above said property’s have been
lost/misplaced and is not traceable inspite of my best efforts.
4. That above documents have not involved in any court case/dispute any criminal
activity/and challan.
5. That If I fund in original I will submit to the concerned authority and I will not misuse
the same.
DEPONENT
VERIFICATION:-
Verified at New Delhi on this 25th day of August 2014 that the contents of the above affidavit
are true and correct to the best of my knowledge.
DEPONENT
AFFIDAVIT
** 2 **
AFFIDAVIT
To,
Accounts Dept.,
Pal Real Group,
Jaipur, Rajasthan.
Subject : Regarding transfer of my plot
Dear Sir / Mam,
I VINOD KUMAR JHA… S/o …LATE KASHI NATH JHA… R/o…A-47 (4th
Floor), Above Arora Marble and Sanitary house, Main Road
Mandawali, New Delhi…
Do here by solemnly affirm and declare as under:-
1. That I am permanent resident of above mentioned address.

2. That I am the Citizen for India.
3. That I hereby declare that I am the allottee of …C-93… in the residential project Shanti City, Jaipur,
Rajasthan.
4. That I wish to transfer the above said plot to my son Mr. Rajeev Kumar Jha… S/o
A-47 (4th Floor), Above Arora Marble and
Vinod Kumar Jha…. R/o ..
Sanitary house, Main Road Mandawali, New Delhi…
5. That all the money has been paid by my account and I don’t have any problem in transferring these
payments to new allottee.
6. That I will not claim any plot or amount in future against C93, Shanti City from the company.
7. That I am attaching all my (documents allotment letter, welcome letter and original receipts) with this.
VERIFICATION
Verified at New Delhi on this 30th August, 2014 dated that the contents of above
letter are true and correct to the best of my knowledge and belief.
(………………………………..)
Documents Required :
1. Address Proof & ID Proof
2. Photograph
All original allotment letter and receipts
I, NAZIR HUSSAIN SON OF MR. JALIM MIYA Resident of House No.E-1/9, Gali
No.1, Roop Nagar, Harsh Vihar, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-110044,
Contd…2.
** 2 **
many years.
3. That my family annual income from all sources is Rs.96,000/-(Rupees Ninety Six

5. That the actual name of my son/daughter named “MOHD. ASIF ALI” whose D.O.B. is
27.08.2004 who is studying in IXth Class, Section-B, in Govt. Boys Sr. Sec. School
6. That his/her Mother’s name is MRS. REHANA.
given to the student under the scheme of “Hr. Sec. Scholarship for students belonging to
the SC communities” could be withdrawn and legal action as deemed fit, may be taken
against me or my ward.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, RATANVEER SON OF SHRI MAHA SINGH Resident of House No.L-471,

Contd…2.
** 2 **
many years.
Rs.96,000/-(Rupees Ninety Six Thousand only), per annum.
4. That the actual name of my son/daughter named “NISHA” whose D.O.B. is 22.09.2001
who is studying in Xth Class, Section-A, in Govt. Girls Sr. Sec. School No.2, Badarpur,
New Delhi-44.
6. That his/her Mother’s name is MRS. SUNITA.

DEPONENT
VERIFICATION :-
DEPONENT
I, RATANVEER SON OF SHRI MAHA SINGH Resident of House No.L-471,

Contd…2.
** 2 **
many years.
4. That the actual name of my son/daughter named “VARSHA” whose D.O.B. is

01.09.2003 who is studying in IXth Class, Section-G, in Govt. Girls Sr. Sec. School
No.3, Badarpur, New Delhi-44.
6. That his/her Mother’s name is MRS. SUNITA.
DEPONENT
VERIFICATION :-
DEPONENT
I, RAJENDER SON OF SHRI GYAN CHAND Resident of House No.F-257A, Harsh

Vihar, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2.
** 2 **
3. That I belong to JATAV Caste (Hindu Religion) which is belonging SC communities

4. That the actual name of my son/daughter named “SHIVANI” whose D.O.B. is

01.02.2000 who is studying in XIth Class, Section-F, in Govt. Girls Sr. Sec. School
5. That his/her Mother’s name is MRS. MUNESH.
given to the student under the scheme of “Sr. Secondary” scholarship for students
belonging to the SC communities” could be withdrawn and legal action as deemed fit,
may be taken against me or my ward.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, SANJAY RAJAK SON OF SHRI BABU RAM RAJAK Resident of House No.23,
Gali No.2, F-Block, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
3. That I belong to RAJAK Caste (Hindu Religion) which is belonging SC communities

4. That the actual name of my son/daughter named “TRISHA KUMARI” whose D.O.B.
is 26.09.2006 who is studying in Vth Class, Section-A, in South Delhi Nagar Nigam
Prathmik Vidyalaya, Molar Band Extn. No.1, Badarpur, New Delhi-44.
5. That his/her Mother’s name is MRS. RINKI RAJAK.
given to the student under the scheme of “Primary scholarship for students belonging to
the SC communities” could be withdrawn and legal action as deemed fit, may be taken
against me or my ward.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
I, BINOD SINGH SON OF CHANDESHWAR SINGH Resident of House

No.D-85, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2.
** 2 **
3. That the actual name of my son named “RAHUL SINGH” whose D.O.B. is 09.08.1999
who is studying in IXth Class, Section-A, in Govt. Boys Sr. Sec. School No.4, Sarojini
Nagar, New Delhi-110023.
4. That his/her Mother’s name is MRS. REENA DEVI.
given to the student under the scheme of “Hr.-Sec. scholarship could be withdrawn and
legal action as deemed fit, may be taken against me or my ward.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT
I, SURYA LAL GUPTA SON OF LATE SHRI BHAGIRATHI GUPTA Resident of

House No.G-43, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-44, do hereby solemnly
Contd…2..
*** 2 ***
1. That I am retired from MTNL.
2. That SMT. PHULOU is my wife & her date of birth is 21.4.1957 (21 st day of April
Nineteen Hundred Fifty Seven).
3. That my wife is a House wife and She doesn’t work at anywhere.
4. That my wife is not availing any medical facility from any government or any other
department.
5. That my wife if fully depended on my pension.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SUBODH KUMAR SON OF CHANDESHWAR SINGH Resident of House

No.K-270, Behind Arpan School Mehrauli, Jaitpur, South Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***

2. That my father SHRI CHANDESHWAR SINGH is suffering from Hepatitis B illness &
his treatment is going on through my ESIC Card, bearing ESIC Card
No._____________________.
3. That my father is not doing any work at anywhere, he has not any source of income.
4. That my father is living with me and fully depended upon me.
DEPONENT
VERIFICATION:-
Verified at Delhi on 01st day of August 2015, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, MD. IMRAN ALI SON OF MD. USMAN ALI Resident of Village Chandana Hat,
P.O.Pawey, P.S. Sonarayphari, Distt. Deoghar, Jharkhand, do hereby solemnly affirm and
declare as under:-
2. That I am a Student.
3. I am unemployed and not doint any job at anywhere.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT
I, RASHID JAHANGIR SON OF MOHD. JAHANGIR Resident of House No.RZ-

529, Gali No.21, Tughlakabad Extn. New Delhi-110019, do hereby solemnly affirm and declare
as under:-
2. That I am resident of above said address.

3. That my name and address is correct.
4. That I am resident of the above said address for 6 years.
5. That I am not a defaulter of any bank.
6. That I am not affiliated to any bank.
7. That I am not a Director or Office/Employee of State Bank of India or relative having

the same means under stion 6 of the Companies Act 1956.
8. That I am not working any business correspondent.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT
I, RAMBIR SHARMA SON OF SHRI MOTI LAL SHARMA aged 35 years, Resident
of House No.F-19, Hari Nagar Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***
1. That I have applied in Delhi state Industrial & Infrastructure Development Corporation
for opening of a liquor Shop (L-6/L-8), in the premises bearing no.F-19, Hari Nagar,
Part-II, P.O.Badarpur, New Delhi-110044.
2. That the above said premise belongs to me/my wife/e & my wife and the same is in
conformity with the rules and regulations.
3. That the above said premise is free from all kind of encumbrances.
4. That the above said premise is fitted with the temporary/permanent electricity meter
bearing connection number 2541223944 and water meter number
____________________.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 03rd day of August 2015, that the contents of this affidavit are
DEPONENT
AFFIDAVIT
I, VIJAY KUMAR SHARMA SON OF SHRI RAM NIWAS SHARMA Resident of

House No.I-15, Gali No.4, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly
Contd…2…
*** 2 ***
2. That my son MASTER KSHITIJ KUMAR PATHAK was student of Gulab Public
School at Aurangabad, Distt. Faridabad, Haryana & he had passed out 12th class in the
year of 2013-2014.
3. That my son did not take admission in any college or institution after passing 12 th Class
to till date and will not take admission anywhere in this current session.
4. That my son wants to apply for improvement of subject Physics, Chemistry & Maths.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 23rd day of September 2014, that the contents of this Affidavit
therein.
DEPONENT
AFFIDAVIT
I, ARVIND KUMAR SON OF SHRI RANVIR SINGH Resident of House

No.C-211, Katyayani Sector 6, Dwarka, New Delhi, do hereby solemnly affirm and declare as
under:-
Contd…2…
*** 2 ***
2. That I am living at C-211, Katyayani Sector 6, Dwarka, New Delhi.
3. That I am not drawing fixed cash medical allowance.
4. That Mrss. Neeraj is my wife and she is wholly dependent upon me and residing with
me at C-211, Katyayani, Sector 6, Dwarka, New Delhi.
5. That my wife is not employed in any govt./semi-govt. undertaking/private organization
DEPONENT
VERIFICATION:-
Verified at Delhi on this 29th day of September 2014, that the contents of this Affidavit
therein.
DEPONENT
AFFIDAVIT
I, SHYAM SINGH SON OF SHRI KHYALI RAM Resident of House No.I-238, Gali
No.9, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2…
*** 2 ***
2. That my correct and exact date of birth is 01.01.1943 (01st day of January Nineteen
Hundred Forty Three).
3. That my son named SHRI INDRA SINGH (Army No.6930130Y) works as a

HAWALDAR in Indian Army at Pune Mumbai.
4. That I am wholly dependent upon my said son & residing with him.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 21st day of March 2017, that the contents of this Affidavit are
DEPONENT
AFFIDAVIT
I, MAHA DEVI WIFE OF SHRI SHYAM SINGH Resident of House No.I-238, Gali
No.9, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2…
*** 2 ***
2. That my correct and exact date of birth is 01.01.1953 (01st day of January Nineteen
Hundred Fifty Three).
3. That my son named SHRI INDRA SINGH (Army No.6930130Y) works as a

HAWALDAR in Indian Army at Pune Mumbai.
4. That I am wholly dependent upon my said son & residing with him.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 21st day of March 2017, that the contents of this Affidavit are
DEPONENT
AFFIDAVIT
I, KUSHAM SHARMA @ KUSHUM SHARMA WIFE OF SHRI RAMESHWAR

SHARMA Resident of House No.H-88, Gali No.4, Saurabh Vihar, Hari Nagar Extn. Jaitpur,
Contd…2…
*** 2 ***
2. That SHRI RAJESH BHARDWAJ is my real son & he is residing with me.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAKHI MISHRA DAUGHTER OF SHRI OM PRAKASH MISHRA Resident of

House No.C-96, Budh Vihar, Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2…
*** 2 ***
1. That I have taken regular admission in Diploma Course in session 2009-2012 in Manav
Bharti University, Distt. Solan, (H.P.).
2. I declare that all the documents enclosed related to my qualification regarding the
admission are genuine and authentic. If the documents/certificates submitted by me at
any stage are found incorrect/fake then I shall be solely responsible for its
consequences.
3. I have taken regular admission and I shall not claim to the aforesaid university to refund
my deposited fees in any eventually.
4. If I am found ineligible for admission to a class, at any stage, aforesaid University shall
be entitlted to reject my application even if my result has been finally declared and
consequently such result would also be void.
5. I have gone through the rules, regulations and educational programmes offered by the
said university.
Place : New Delhi.

Dated : 30.9.2014.
DEPONENT
VERIFICATION:-
I hereby further declare that the contents of this Affidavit are true and correct to the best
of my knowledge and belief and nothing has been concealed hereunder.
DEPONENT
AFFIDAVIT
I, PRAVEEN THAKUR SON OF SHRI BHAGWAT THAKUR Resident of House

No.C-96, Budh Vihar, Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2…
*** 2 ***
consequences.
said university.
Place : New Delhi.

Dated : 30.9.2014.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, ASIM KUMAR SON OF SHRI RAM EKBAL SANGAHI Resident of House No.C-
96, Budh Vihar, Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2…
*** 2 ***
consequences.
said university.
Place : New Delhi.

Dated : 30.9.2014.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, KUMAR GOURAV SON OF SHRI MAKHENDU DEO KUMAR Resident of

House No.C-96, Budh Vihar, Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2…
*** 2 ***
consequences.
said university.
Place : New Delhi.

Dated : 30.9.2014.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
WE, SHIVAM RAWAT SON OF SHRI BHOLA SHANKAR & BHOLA SHANKAR
SON OF LATE SHRI NATTHI LAL Both Resident of House No.I-637, Hari Nagar Extn.
Contd…2..
*** 2 ***
1. That We are citizen of India.
2. That We are bonafide residents of House No.I-637, Hari Nagar Extn. P.O.Badarpur,
New Delhi-110044.
3. That neither we nor any member of our family has applied for/availed any type of
Education Loan for any member of the family from any Bank/Financial Institution.
4. That we have applied for an education loan from State Bank of India for Shivam Rawat
for B.Tech (Electrical & Electronics) Four Year Course from Noida Institute of
Engineering & Technology.
5. That this is a true statement.
DEPONENT 1 DEPONENT 2
(Shivam Rawat) (Bhola Shankar)
Verification:
Verfied at Delhi on this 04th day of August 2017, that the contents of above affidavit are
true and correct to the best of our knowledge and belief.
(Shivam Rawat) (Bhola Shankar)
AFFIDAVIT
WE, AVINASH KUMAR SONI SON OF SHRI SUDHIR PRASAD SONI &
SUDHIR PRASAD SONI SON OF SHRI RAMCHANDRA PRASAD Both Resident of
House No.B-106/9, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
1. That We are citizen of India.
2. That We are bonafide residents of House No.B-106/9, Jaitpur Extn. Part-I,

3. That my ward shall not keep any motorized vehicle in the University, he shall keep only
bicycle which is allowed in DTU Campus for local/internal transport.
4. That I shall not keep any motorized vehicle in the University, I shall keep only bicycle
which is allowed in DTU Campus for local/internal transport.
5. That this is our true statement.
(Avinash Kumar soni) (Sudhir Prasad Soni)
Verification:
Verfied at Delhi on this 19th day of July 2017, that the contents of above affidavit are
true and correct to the best of our knowledge and belief.
(Avinash Kumar soni) (Sudhir Prasad Soni)
AFFIDAVIT
I, PRINCY CHANDRA aged about 20 Yrs DAUGHTER OF SHRI PRABHAT
CHANDRA Resident of House No.L-104, Saurabh Vihar, Jaitpur, P.O.Badarpur, New
Contd…2..
*** 2 ***
2. That I am bonafide resident of House No.L-104, Saurabh Vihar, Jaitpur, P.O.Badarpur,

New Delhi-110044.
3. That neither I nor any member of my family have applied for/availed any type of
4. That I have applied for an education loan from Punjab National Bank.
DEPONENT
Verification:
Verfied at Delhi on this 22nd day of December 2016, that the contents of above affidavit
are true and correct to the best of my knowledge and belief.
DEPONENT
AFFIDAVIT
I, PREETI aged about 19 Yrs DAUGHTER OF SHRI PRABHAT CHANDRA
Resident of House No.L-104, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do
Contd…2..
*** 2 ***
2. That I am bonafide resident of House No.L-104, Saurabh Vihar, Jaitpur, P.O.Badarpur,

New Delhi-110044.
3. That neither I nor any member of my family have applied for/availed any type of
4. That I have applied for an education loan from Punjab National Bank.
DEPONENT
Verification:
Verfied at Delhi on this 22nd day of December 2016, that the contents of above affidavit
are true and correct to the best of my knowledge and belief.
DEPONENT
I, MALKIYAT SINGH SON OF SARDAR RESHAM SINGH Resident of House

No.I-211, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2.
** 2 **
2. That my son/daughter named “MANPREET SINGH” is studying in GREEN

VALLEY PUBLIC SCHOOL standard of Vth Sect.A.
3. That I belong to SIKH (Rai Sikh) community which is notified minority community in
Govt. of NCT Delhi.
4. That the above statement is true to the best of my knowledge and belief.
DEPONENT
VERIFICATION :-
DEPONENT
I, KAMAR SINGH SON OF SHRI CHARAN SINGH Resident of House No.E-4, Hari
Nagar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2.
** 2 **
2. That my son/daughter named “REKHA KAUR” is studying in RAJ MODERN

PUBLIC SCHOOL standard of Xth.
3. That I belong to SIKH community which is notified minority community in Govt. of

NCT Delhi.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, GAURI SHANKAR SON OF SHRI ASHARFI YADAV Resident of House No. D-

48, Saurabh Vihar, P.O. Badarpur, New Delhi-110044, do hereby solemnly affirm and declare
as under:-
Contd…2.
** 2 **
2. That my actual and complete address is House No.I-630/B, I-Block, Hari Nagar Extn.
Near MTNL Telephone Exchange, P.O.Badarpur, New Delhi-110044, but by mistake
my address has written wrongly as I-628 I-Block, Hari Nagar Extn. Near MTNL
Telephone Exchange, P.O.Badarpur, New Delhi-44, in my General Power of Attorney,
Agreement to sell, Affidavit, Receipt, Possession Letter, Deed of Will.
3. That now I want to install my new meter Electric Connection from House No.I-
630/B, I-Block, Hari Nagar Extn. Near MTNL Telephone Exchange, P.O.Badarpur,
New Delhi-110044.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, VIMLA DEVI WIFE OF LATE SHRI RAJENDRA PRASAD Resident of House

No.D-267, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
2. That my actual and complete address is House No.D-267, Saurabh Vihar, Hari Nagar
Extn. P.O.Badarpur, New Delhi-110044, but by mistake my address has written wrongly
as G-266, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, in hospital
records, where my husband had expired.
3. That now I wish to change my address as No.D-267, Saurabh Vihar, Hari Nagar Extn.
P.O.Badarpur, New Delhi-110044, instead of G-266, Saurabh Vihar, Hari Nagar Extn.
P.O.Badarpur, New Delhi-44, in hospital records.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT
I, REETA DEVI WIFE OF LATE SHRI SUBHASH KUMAR Resident of House

No.G-21, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
1. That I namely Reeta Devi has been on Ant retro Viral Treatment at A.I.I.M.S. Hospital,
New Delhi, ART Center (Name of the Hospital).
2. That my total family income is Rs.5,000/-(Rupees Five thousand only), per month. The
source of Inocme is by way of Labour work (Give Specific details).
3. That the details of my spouse and children whose age is up to 21 Yrs. is as below:-
S.No. Name & Age Relation Profession Income per month
1. Vishal Kumar -12 Yrs. Son student Nil
4. That I am not in a position to bear the cost of traveling to access treatment and affore
proper nutrition required to be taken with ART medicines, hence am applying for
financial assistance from Delhi Govt.
5. That I know that to make a false statement is an offence punishable under relevant Act
and law and whatever is stated above is true to the best of my knowledge and belief.
DEPONENT
VERIFICATION :-
DEPONENT
I, MOHD. SAKIR SON OF MOHD. SATTAR Resident of House No.M-200, Saurabh

declare as under:-
Contd…2..
*** 2 **
1. That “TASKEEN” has born on 18.07.2004, (18th day of July Two thousand Four), and I
am her father.
2. That my daughter has born in Delhi at Home/Nursing Home, H.No.B-30, Hari Nagar,
Part-II, P.O.Badarpur, New Delhi-110044.
4. That I & my family annual income from all sources is Rs.36,000/-(Rupees Thirty Six
6. That I have been living in Delhi since by birth or residing more then 25 years and my
(I) House :- H.No.M-200, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New
Delhi-110044.
Contd…3.
** 3 **
(a) Permanent address :- H.No.M-200, Saurabh Vihar, Hari Nagar Extn.

(b) Present address :- H.No.M-200, Saurabh Vihar, Hari Nagar Extn.

Mobile No.9968370543.
7. That my daughter namely “TASKEEN” is the student of 09 th Class Sect-H, Govt. Girls
Sr. Sec. School No.2, Molar Band, New Delhi-110044, and her Student
I.D.No.20150048782 & School I.D.No.1925053.
8. That her Mother’s name MRS. BURIDA KHATOON.
DEPONENT
VERIFICATION :-
DEPONENT
I, GOURI KANT JHA SON OF SHRI KAPILESHWAR JHA Resident of House

No.K-9, Arpan Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 **
1. That “SHIVANI JHA” has born on 15.06.2004, (15th day of June Two thousand Four),
and I am her father.
2. That my grand daughter has born in Delhi at Home/Nursing Home, Hindu Rao
bearing regn. No.MCDLORO4102096, date of regn. 27.06.2004.
4. That I & my family annual income from all sources is Rs.92,000/-(Rupees Ninety Two
5. That I have Two daughter & the daughter to whom I am making the application is on
the Second at serial (first/second/third).
(I) House :- House No.K-9, Arpan Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New
Delhi-110044.
Contd…3.
** 3 **
(a) Permanent address :- House No.K-9, Arpan Vihar, Jaitpur Extn. Part-I,
(b) Present address :- House No.K-9, Arpan Vihar, Jaitpur Extn. Part-I,
Mobile No.9310041420.
7. That my daughter namely “SHIVANI JHA” is the student of 06 th Class Sect-B, Raj
Modern Public School, Hari Nagar Extn. Part-II, P.O.Badarpur, New Delhi-110044, and
her Student I.D.No.260657173682 & School I.D.No.1925094.
8. That her Mother’s name MRS. MAMTA JHA.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 03rd day of October 2015, that the contents of this affidavit are
DEPONENT
I, VINOD DAS SON OF SHRI MEGHNATH DAS Resident of House No.F-217, Hari
Nagar Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare
as under:-
Contd…2..
*** 2 **
1. That “VISHAKHA DAS” has born on 22.01.2003, (22nd day of January Two Thousand
Three), and I am her father.
2. That my daughter has born in Delhi at Home/Nursing Home, Safdarjung Hospital, New
Delhi.
4. That I & my family annual income from all sources is Rs.80,000/-(Rupees Eighty
5. That I have Two daughters & the daughter to whom I am making the application is on
the Second at serial (first/second/third).
(I) House :- House No.F-217, Hari Nagar Extn. Part-II, P.O.Badarpur, New
Delhi-110044.
Contd…3.
** 3 **
(a) Permanent address :- House No.F-217, Hari Nagar Extn. Part-II,

(b) Present address :- House No.F-217, Hari Nagar Extn. Part-II,

Mobile No. 9810749674.
7. That my daughter namely “VISHAKHA DAS” is the student of 06 th Class Section-B,

Govt. Girls Sr. Sec. School No.2, Molar Band, New Delhi-110044, and her Student
I.D.No.________________ & School I.D.No._________.
8. That her Mother’s name MRS. KALPANA.

DEPONENT
VERIFICATION :-
DEPONENT
Contd…2..
*** 2 **
I, SIYA RAM SHARMA SON OF SHRI AMOL SINGH Resident of House No.H-95,
1. That “ANNU” has born on 16.07.2001, (16th day of July Two Thousand One), and I am
her father.
2. That my daughter has born in Delhi at Home/Nursing Home, Home.
bearing regn. No.MCDOLIR-0113-005863955, date of regn. 12.11.2013.
4. That I & my family annual income from all sources is Rs.60,000/-(Rupees Sixty
5. That I have Five daughters & the daughter to whom I am making the application is on
the Fifth at serial (first/second/third).
(I) House :- House No.H-95, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New
Delhi-110044.
Contd…3.
** 3 **
(a) Permanent address :- House No.H-95, Saurabh Vihar, Hari Nagar Extn.
(b) Present address :- House No.H-95, Saurabh Vihar, Hari Nagar Extn.
Mobile No. 9810507721.
7. That my daughter namely “ANNU” is the student of IX th Class Section-A, Govt. Girls
Sr. Sec. School No.2, Badarpur, New Delhi-110044, and her Student
I.D.No.20120228154, School I.D.No.1925054.
8. That her Mother’s name MRS. SUSHMA SHARMA.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, BHARAT SINGH SON OF SHRI KESHAR SINGH Resident of House No.L-76,

Contd…2..
*** 2 **
1. That my family members are residing with me and family members details give is as
under:-
Sl.No. Name Age/d.o.b. Relationship with deponent

i). Bharat Singh 13.03.1961 Self
ii). Kaushalya Devi 15.5.1967 Wife
iii). Pallavi 30.07.1987 Daughter
iv). Barkha 11.07.1988 Daughter
v). Leena 03.05.1992 Daughter
2. That my family members all are citizen of India.

DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT
I, MOHD. ANSAR ANSARI SON OF MOHD. AMERUL ANSARI Resident of House

No.G-77B/7, Mohan Baba Nagar, Tajpur, Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
2. That my correct and exact date of birth is 01.01.1986 (01 st day of January Nineteen
Hundred Eighty Six).
3. That my educational qualification is Matriculation, but my matriculation certificate has

been lost at anywhere.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, ARCHANA JHA WIFE OF SHRI NAVIN JHA Resident of House No.L-83, Gali
No.2, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2.
** 2 **
2. That I further state that I am the owner and in possession of the Plot No.K-246, Arpan
Vihar, Jaitpur Extn. P.O.Badarpur, New Delhi-110044, and the same is being
constructed by me with own funds and resources.
3. That I further declare that I would use all the techniques and measures for construction
that are completely safe and non hazardous of any neighbourhood and shall also not
carry any sort of notice or air, pollution within the neighbouhood and also that all the
raw materials that shall be used for also that all the construction, shall always lie within
the boundry of my said property.
4. That I am further state that any pollution or harm caused to any neighbour due to my
construction shall be my exclusive responsibility and all the damages shall be borne by
me.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAVINDERI DEVI WIFE OF SHRI MANVIR SINGH Resident of House

No.C-429, Harsh Vihar, Hari Nagar, Part-III, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 **
2. That my correct & exact date of birth is 08.07.1978, (08 th day of July Nineteen Hundred
Seventy Eight).
3. That I am permanently residing at the above mentioned address for last 1 year.
4. That the above said statement is true and correct.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT
I, RADHA DEVI WIFE OF SHRI HARI SHANKER Resident of House No.E-150,

under:-
Contd..2..
*** 2 ***

Twenty Four thousand only), per annum.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
Affidavit of Mritunjay Narayan Jha S/o Lt. Shri Beda Nand Jha R/o F-26/5, Jaitpur Extn. Part-II,
P.O.Badarpur, N.Delhi-44.
I, the deponent above named do hereby solemnly affirm and declare as under:-
1. That I am the Proprietor of M/s Janhavi Construction having its Head Office / Regd.
Office at R/o F-26/5, Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-44.
Contd….p/2
-:: 2 ::-
2. That the information / documents / Experience certificate submitted by M/s Janhavi

Construction along with the tender for CIVIL & ELECTRICAL FURNISHING,
WORKS TO BE CARRIED OUT IN THE OFFICE OF THE COMPANY
REGISTRAR , WEST COTT BUILDING , CIVIL LINES , MALL ROAD KANPUR
‘Application for Pre Qualification of Construction Contractors to NBCC Ltd. are
genuine and true nothing has been concealed.
3. I shall have no objection in case NBCC verifies them from issuing authority (ies). I
shall also have no objection in providing the original copy of the document(s), in case
NBCC demand so for verification.
4. I herby confirm that in case, any document, information & / or certificate submitted by
me found to be incorrect / false / fabricated, NBCC at its discretion may disqualify /
reject the bid out rightly of M/s Janhavi Construction / terminate the contract and also
forfeit the EMS / All dues from participating in any future tenders/PQ.
I, Mritunjay Narayan Jha the Proprietor of M/s Janhavi Construction do hereby confirm that
the content of above Affidavit is true to my knowledge and nothing has been concealed there
from and that no part of it is false.
Verified at New Delhi this 02nd day of January 2015.
DEPONENT
AFFIDAVIT
I, Service No.14536142F, Rank-Havildar, Mahendra Prasad Semwal solemnly affirm and
declare as follows:-
I, Mahendra Prasad son of Shri Sobha Ram Semwal Service No.14536142F, Rank-Havildar,
Mahendra Prasad Semwal solemnly affirm and declare as follows:-
Contd…2..
*** 2 ***
1. That I am drawing pension vide PCDA Pension Payment Order No.S/043021/2001

dated 01.07.2001.
2. That I have the following legal dependent(s) whose photgraph(s) are affixed below on
this affidavit:-
Name Relationship Age D.O.B. Part II Order No/CRD/SD/POR No.
Premlata Semwal Wife 50 15.3.1965
Bisheshwari Devi Mother 76 01.7.1939
3. (a) That the combined monthly income accruing from house/other immovable
property/fixed deposit etc) of my dependant father and/or dependent mother is less than
Rs.3,500/- plus DA.
(b) That is hereby certified that my parents (father/mother or both) do not draw any
pension from Central Govt/State Govt/PSUs/any Private Organisation and are
physically residing with me.
4. That my child/children is/are dependant on me and is/are NOT earning more than
Rs.3,500/- plus DA per month, & that my daughter(s) is/are NOT married.
5. I shall inform the ECHS immediately of his/her/their employment of earning more than
Rs.3,500/- plus DA.
6. That in case of any change in the status of my dependants (due to death, marriage,
employment), I will inform Station Headquarters, ECHS Cell a the earliest and will stop
use of ECHS facilities. I will refund in full, the cost of any treatment that my dependent
may have received after he/she became ineligible. I shall be liable for civil/criminal
action should I fail to do so.
7. (a) That I am NOT a member of any other medical scheme funded by Central Govt.
PSU or any other Govt. undertaking.
Contd…3…
*** 3 ***
8. I understand that in case I have submitted any incorrect information, or if any ECHS
Membership Card is misused or used by any unauthorized person, my membership will
be cancelled without any notice or further hearing. In addition, I will forfeit my
contribution and I will pay the entire cost of expenditure incurred on such unauthorized
person(s). I will also be liable for legal action by the ECHS Organisation. I will also
immediately report the loss of my ECHS membership card to the nearest Station
Headquarters.
9. That In case of any misuse of Smart Cards(s) or tampering with bills or attempt to
defraud, once I become a member, I will forfeit my membership automatically.
10. I undertake that in case of any misbehaviour on my part with Polyclinic Staff, my
membership may be suspended/cancelled/terminated.
11. I understand that the contribution I am making is a one time token amount and is not
refundable even if I do not make use of any ECHS facility or opt out of ECHS Scheme.
VERIFICATION
I, the deponent above named, do hereby solemnly declare and verify that the contents of
the above affidavit are true to the best of my knowledge and belief, and nothing material has
been concealed or suppressed therefrom.
Signature of Deponent
ATTESTATION
Certified that the above statement is declared before me at New Delhi on this 07 th day of
January 2015 by DEPONENT Service No.14536142F, Rank-Havildar, Mahendra Prasad
Semwal Who is identified by Mahendra Prasad Semwal son of Shri Sobha Ram Semwal and
witnessed by Neelam Kumar Semwal son of Mahendra Prasad Semwal & Mohan Singh son of
Shri Umed Singh.
WITNESS
Signature of Witness No.1 Signature of Witness No.2

NEELAM KUMAR SEMWAL MOHAN SINGH
H-321, Saurabh Vihar, Jaitpur, A-140, Jaitpur Extn. Part-I
Badarpur, New Delhi-110044. Badarpur, New Delhi-110044.
Form DIR-2
Consent to act as a director of a company

[Pursuant to section 152(5) and rule 8 of Companies (Appointment and Qualification of
Directors) Rules, 2014]
To
ARKSS TECHNOLOGIES PRIVATE LIMITED

C-260/4, Pandav Nagar,
NEW DELHI
Delhi-110092
INDIA
Subject: Consent to act as a director.
Contd…2…
*** 2 ***
I Raj Kishore Rai, hereby give my consent to act as director of ARKSS TECHNOLOGIES PRIVATE LIMITED,
pursuant to sub-section (5) of section 152 of the Companies Act, 2013 and certify that I am not disqualified to
become a director under the Companies Act, 2013.
1. Director Identification Number (DIN):- 07061617

2. Name (in full):- RAJ KISHORE RAI
3. Father’s Name (in full):- LATE SHRI. RAM BARAN RAI
4. Address: - L-44 BLOCK L SAURABH VIHAR, BADARPUR JAITPUR, NEW DELHI-110044
5. E-mail id: - rajkishoreray@hotmail.com
6. Mobile no: - 9555320095
7. Income-tax PAN.: - BPYPR1026K
8. Occupation: - BUSINESS
9. Date of birth: 18th SEP. 1988
10. Nationality: INDIAN
11. No. of companies in which I am already a Director and out of such companies the names of the companies in
which I am a Managing Director, Chief Executive Officer, Whole time Director, Secretary, Chief Financial Officer,
and Manager: N/A
12. Particulars of membership No. and Certificate of practice No. if the applicant is a member of any professional
Institute. Specifically state NIL if none: NIL
DECLARATION
I declare that I have not been convicted of any offence in connection with the promotion, formation or
management of any company or LLP and have not been found guilty of any fraud or misfeasance or of any breach
of duty to any company under this Act or any previous company law in the last five years. I further declare that if
appointed my total directorship in all the companies shall not exceed the prescribed number of companies in which
a person can be appointed as a Director.
Signature
Designation: Director
Date: 09/01/2015
Place New Delhi
Form DIR-2

[Pursuant to section 152(5) and rule 8 of Companies (Appointment and Qualification of
Directors) Rules, 2014]
To
ARKSS TECHNOLOGIES PRIVATE LIMITED

C-260/4, Pandav Nagar,
NEW DELHI
Delhi-110092
INDIA
Contd…2…
*** 2 ***
I Arun Kumar, hereby give my consent to act as director of ARKSS TECHNOLOGIES PRIVATE LIMITED,
pursuant to sub-section (5) of section 152 of the Companies Act, 2013 and certify that I am not disqualified to
become a director under the Companies Act, 2013.
1. Director Identification Number (DIN):- 07061622

2. Name (in full):- ARUN KUMAR
3. Father’s Name (in full):- SHRI VISHWANATH
4. Address: - D-157, BLOCK D SAURABH VIHAR, BADARPUR JAITPUR, NEW DELHI-110044
5. E-mail id: - arunrao247@hotmail.com
6. Mobile no: - 9873264235
7. Income-tax PAN.: - BMBPK2375N
8. Occupation: - BUSINESS
9. Date of birth: 05th AUG. 1990
10. Nationality: INDIAN
11. No. of companies in which I am already a Director and out of such companies the names of the companies in
which I am a Managing Director, Chief Executive Officer, Whole time Director, Secretary, Chief Financial Officer,
and Manager: N/A
12. Particulars of membership No. and Certificate of practice No. if the applicant is a member of any professional
Institute. Specifically state NIL if none: NIL
DECLARATION
I declare that I have not been convicted of any offence in connection with the promotion, formation or
management of any company or LLP and have not been found guilty of any fraud or misfeasance or of any breach
of duty to any company under this Act or any previous company law in the last five years. I further declare that if
appointed my total directorship in all the companies shall not exceed the prescribed number of companies in which
a person can be appointed as a Director.
Signature
Date: 09/01/2015
Place New Delhi
AFFIDAVIT
I, SHANKAR LAL SON OF LATE SHRI KISHAN SINGH Resident of House No.F-
25/3, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly declare and
affirm as under:-
Contd…2..
*** 2 ***
1. That I am Manager of Sai Shankar Vidya Niketan and competent to depose this
affidavit.
2. That the school has hiked tuition fee in the session 2009-2010 in pursuance to order
dated 11.2.2009 so issued by Director of Education.
3. That the school has not implemented the recommendation of 6 th Pay Commission
towards payment of salary to the staff.
4. That the school has not increased tuition fee prior to session 2009-10 i.e. 2008-09
DEPONENT
VERIFICATION:-
Verified at Delhi and the contents of the above affidavit are true to the best of my
knowledge and belief and nothing has been concealed therefrom.
DEPONENT
AFFIDAVIT
I, GOPAL SINGH BISHT SON OF LATE SHRI BISHAN SINGH Resident of Village
& P.O.Dhanachuli, Distt. Nainital, (Uttrakhand), presently residing at House No.2522, Gali
NO.66, Block E-II, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
2. That my son SHRI KRIPAL SINGH used to work with Motherson Sumi System Ltd, at
Faridabad, Haryana, who had died on 16.12.2014, at hometown Village Village &
P.O.Dhanachuli, Distt. Nainital, (Uttrakhand), unfortunately due to natural disaster, the
copy of death certificate enclosed herewith.
3. That I don’t have any source of income I and my family was full depended upon our
deceased son.
DEPONENT
VERIFICATION :-
Verified at New Delhi on this 20th day of January 2015 that the contents of the above
DEPONENT
AFFIDAVIT
I, SANDEEP RAI SON OF SHRI SUDARSHAN ROY Resident of House

No.281/1E/7, Gali No.7, Block I, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby
Contd…2.
** 2 **
2. That my actual and correct name is SANDEEP RAI but by mistake my name was
mentioned as SANDEEP ROY in my Bank A/c records.
3. That SANDEEP RAI & SANDEEP ROY are the name of same person.
DEPONENT
VERIFICATION:-
Verified at Delhi on 23rd day of January 2015, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, RAM BABU SINGH SON OF SHRI RAM NIHORA SINGH Resident of House
No.E-1/97, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2.
** 2 **

2. That I have not purchased a car after retirement.
3. That I shall not sell the car for next two years.
4. That I understand that any violation of above will make me liable to pay back the entire
excise/sales tax concession to the Govt.
5. That the vehicle is for personal use.
6. That Vehicle will be registered on self name.
7. That I have completed 15 years of colour service. I have been released honorably from
the Armed Forces.
DEPONENT
VERIFICATION:-
Verified at Delhi on 27th day of January 2015, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, RAMESH CHANDRA TRIPATHI SON OF LATE SHRI VIDYADHAR TRIPATHI

Resident of House No.L-138A, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-
Contd…2..
*** 2 ***
1. That I being the owner/lawful occupant of premises bearing Shop No.F-19, Hari Nagar,
Part-II, P.O.Badarpur, New Delhi-110044, offered DSCSC to shift/open a liquor vend in
it.
2. That there is no suit pending in any court regarding the above said shop.
3. That That I intend to accept rent compensation in r/o the said premises @ 15% of gross
profit of sale per month.
4. That the said property lies in the conforming area as per the rules and regulations of the
local bodies/authorities.
5. That the said property is dul fitted with an electric connection.
DEPONENT
VERIFICATION :-
DEPONENT
*** 2 ***
1. That I being the owner/lawful occupant of premises bearing Shop No.RZB-17, Khasra
No.80/11/2, Nihal Vihar, Nangloi, New Delhi-110041, offered DSCSC to shift/open a
liquor vend in it.
2. That there is no suit pending in any court regarding the above said shop.
3. That That I intend to accept rent compensation in r/o the said premises @ 15% of gross
profit of sale per month.
4. That the said property lies in the conforming area as per the rules and regulations of the
local bodies/authorities.
5. That the said property is dul fitted with an electric connection.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
Affidavit of Mritunjay Narayan Jha S/o Lt. Shri Beda Nand Jha R/o F-26/5, Jaitpur Extn. Part-II,
P.O.Badarpur, N.Delhi-44.
I, the deponent above named do hereby solemnly affirm and declare as under:-
1. That I am the Proprietor of M/s Janhavi Construction having its Head Office / Regd.
Office at R/o F-26/5, Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-44.
Contd….p/2
-:: 2 ::-
2. That the information / documents / Experience certificate submitted by M/s Janhavi

Construction along with the tender for CIVIL & ELECTRICAL FURNISHING,
WORKS TO BE CARRIED OUT IN THE OFFICE OF THE COMPANY
REGISTRAR , WEST COTT BUILDING , CIVIL LINES , MALL ROAD KANPUR
‘Application for Pre Qualification of Construction Contractors to NBCC Ltd. are
genuine and true nothing has been concealed.
3. I shall have no objection in case NBCC verifies them from issuing authority (ies). I
shall also have no objection in providing the original copy of the document(s), in case
NBCC demand so for verification.
4. I herby confirm that in case, any document, information & / or certificate submitted by
me found to be incorrect / false / fabricated, NBCC at its discretion may disqualify /
reject the bid out rightly of M/s Janhavi Construction / terminate the contract and also
forfeit the EMS / All dues from participating in any future tenders/PQ.
I, Mritunjay Narayan Jha the Proprietor of M/s Janhavi Construction do hereby confirm that
the content of above Affidavit is true to my knowledge and nothing has been concealed there
from and that no part of it is false.
Verified at New Delhi this 02nd day of January 2015.
DEPONENT
To
Date:- 07-09-2018
The Manager
National Insurance Co. Ltd.
Contd…2..
*** 2 ***
Dear Sir,
My Vehicle No.DL2CAQ-7532 insured by your Company. Unfortunately My Vehicle
(MARUTI SWIFT LDI BSIV) damages on 01.08.2018. When I was coming from lucknow to
towards agra then suddenly the tyre of my car has been burst therefore, the vehicle has lost the
control and it has rammed to the divider, at around 3:00 P.M., Near Sefai, Lucknow-Agra
Expressway, U.P. In this incident there in no “Third party Claim” or any injury. If in future
some body claim against this incident, insurance company is not responsible, myself is full
responsible.
Thanking You.
Yours Faithfully
ARUN KUMAR SHUKLA

Address :- House No.853/6, Lakhpat Colony,
Part-I, Mithapur Extn. P.O.Badarpur, New
Delhi-110044.
To
Date:- 27-06-2017
The Manager
HDFC ERGO General Insurance Company Ltd.
Contd…2..
*** 2 ***
Dear Sir,
My Vehicle No.DL-03-SDE-9886 insured by your Company. Unfortunately My Vehicle
Two-Wheeler (TVS JUPITER) damages on 16.06.2017. Due to hit by Four Wheeler (Toyota
Innova), at the Place Peera Garhi, New Delhi. In this incident there in no “Third party Claim”
or any injury. If in future some body claim against this incident, insurance company is not
responsible, myself is full responsible.
Thanking You.
Yours Faithfully
SIMRANJEET KAUR
Address :- House No.D-234, Gali No.6, Saurabh Vihar, P.O.Badarpur, New Delhi-110044.
To
Date:- 25-05-2017
The Manager
National Insurance Co. Ltd.
Contd…2..
*** 2 ***
Dear Sir,
My Vehicle No.DL3SCW-6881 insured by your Company. Unfortunately My
Vehicle/MCYL (SUPER SPLENDER DRS CAST) damages on 25.05.2017. Due to hit by Four
Wheeler (Trailor No.HR38S-3341), at the Place Aali, Main Mathura Road, New
Delhi-110044. In this incident there in no “Third party Claim” or any injury. If in future some
body claim against this incident, insurance company is not responsible, myself is full
responsible.
Thanking You.
Yours Faithfully
PANKAJ BHARDWAJ
Address :- House No.178-A, Jaitpur Extn.
To
Date:- 16-08-2019
The Manager
ICICI Lombard
Contd…2..
*** 2 ***
e-Stamp Certificate No.IN-DL39720127146898R
Dear Sir,
My Vehicle No.HR51AN-0300 insured by your Company. Unfortunately My Vehicle
(I20 ASTA (O) CRDI) damages on 03.08.2019 at around 1 P.M.. Due to hit by Two Wheeler, at
Park Plaza, Sector 21, Faridabad, Haryana, In this incident there in no “Third party Claim” or
any injury. If in future some body claim against this incident, insurance company is not
responsible, myself is full responsible.
Thanking You.
Yours Faithfully
RAVI KANT VERMA
Address :- House No.521, Sect. 37,

Faridabad, Haryana.
To
Date:- 22-11-2019
The Manager
Iffco-Tokio General Insurance.
Contd…2..
*** 2 ***
Dear Sir,
My Vehicle No.DL3CCM-7626 insured by your Company. Unfortunately My Vehicle
(CRETA 1.4 CRDI E+) damages on 18.11.2019. Due to hit by Two Wheeler (Bike), at
Faridabad, Opposite Sect. 28 Metro Station, Haryana, In this incident there in no “Third party
Claim” or any injury. If in future some body claim against this incident, insurance company is
not responsible, myself is full responsible.
Thanking You.
Yours Faithfully
NAVEEN SHARMA SON OF SHRI

MOTI LAL SHARMA R/o House
No.B-17, Hari Nagar Extn. Saurabh Vihar,
AFFIDAVIT
I, IPSITA MUKHERJEE WIFE OF SHRI SUBHANKAR MUKHERJEE Resident of

House No.I-950 (Old No.850), Gali No.20, Hari Nagar Extn. Jaitpur Road, P.O.Badarpur, New
Contd…2..
*** 2 ***
2. That my date of birth is 25.12.1987.
3. That I am the previous resident of H.No.B-43, Sudarshan Park Colony, Mithapur Extn.
4. That presently I am residing at House No.I-950 (Old No.850), Gali No.20, Hari Nagar
Extn. Jaitpur Road, P.O.Badarpur, New Delhi-110044, since October 2016 to till date.
5. That I am permanent resident of H.No.B-43, Sudarshan Park Colony, Mithapur Extn.

DEPONENT
VERIFICATION :-
DEPONENT
To
Date:- 12-08-2017
The Manager
Bajaj Allianz Insurance Co. Ltd.
Contd…2..
*** 2 ***
Dear Sir,
My Vehicle No.HR51BL-6543 insured by your Company. Unfortunately My Vehicle
(MAHINDRA SCORPIO) damages on 06.08.2017, when a labour came infront of my car there
was a construction site I taken left then suddenly hiten a trolly by my vehicle and the same
trolly hit bamboo therefore a brick fallen from top on my windscreen & bumper and, etc. at the
Place Vasant Kunj, New Delhi, In this incident there in no “Third party Claim” or any injury. If
in future some body claim against this incident, insurance company is not responsible, myself is
full responsible.
Thanking You.
Yours Faithfully
SATYA PAL SINGH

Address :- House No.616, Sect.91, Phase-II, Faridabad, Haryana..
AFFIDAVIT
I, HARI KISHAN SINGH SON OF SHRI OM PRAKASH SINGH Resident of House No.A-
36, Hari Nagar Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
1. That I am citizen of India and a resident of the circle area where the vacancy is notified.
Contd…2..
*** 2 ***
2. That I am the proprietor/partner/office bearer/director of the firm by the name M/s S.K.
PRINTERS.
3. That I have the valid possession over the premises in the area for which the vacancy has
been notified. The structure of the shop is permanent in nature and does not have more
than one door/shutter.
4. That the premises is located at a central point and accessible to traffic The size of the
premises is 12’x 20’x 10’ (LxBxH mtrs.) and it is not less than the size prescribed the
department.
5. That I am financially sound and able to run the FPS on my own.
6. That my Educational qualification is 10th Pass and I can maintain books of accounts
meant for PDS outlet.
7. That I am not a proprietor/partner of a canceled FPS/KOD and not connected in any

way with any FPS/KOD cancelled prior to the date of application.
8. That I am not a proprietor/Partner of a FPS/KOD being run at present. None of the

family members as defined by the department of Food & Supplies from time to time,
has/have another license under Essential Commodities Act, 1955.
9. That I have not convicted under the essential commodities Act, 1955.
10. That, no Atta Chakki exists in the adjoining premises and that I do not have any license
of Food grains, Wheat, Edible Oils or Sugar, issued by the department.
OR
No Halwai Shop, Dhaba or my such fire hazard establishment in the immediate

proximity and adequate number of fire extinguishers functional in the shop.
11. That I belong to DHOBI category for which vacancy has been notified.
DEPONENT
The Facts given above are true and correct to the best of my knowledge.
AFFIDAVIT
I, SATISH CHANDRA SON OF SHRI BENCHEY LAL Resident of House

No.D-1A, Prince Colony, Ismailpur Road, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-
44, Aged 47 years do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 ***
1. That I am an allottee of a DDA Flat No.45, First Floor, situated at Block A-2, Pocket-8,
Sector 23B, Dwarka, Delhi, allotted to me vide their allotment letter
No.L/312(77)2015/DDA14/DW dated 02.01.2015.
2. That as in therms of the allotment letter DDA, require the following documents back in
original before handing over of the possession of the Flat related to me:
_________________________________________________________________________
SI. No. Details of Documents
_________________________________________________________________________
1. Acknowledgement Slip
_________________________________________________________________________
3. That in-terms of the allotment offer the flat would ultimately be converted into a
freehold property.
4. That since there is mortgage lien of the Delhi Cooperative Housing Finance Corporation
Ltd. on the flat for a loan of Rs…………………(……………………….
……………………………………………………) raised by me.
5. That I hereby irrevocably undertake that in the event of execution/registration

conveyance deed, will ask the DDA to hand over the duly executed Conveyance Deed
to the Delhi Cooperative Housing Finance Corporation Ltd. as a Mortgagee also putting
thereon a Seal that there is a mortgage lien of Delhi Cooperative Housing Finance
Corporation Ltd. on the said property.
6. That I undertake to indemnify the Delhi Cooperative Housing Finance Corporation Ltd.
and shall always keep it indemnified against any loss or damage that it may suffer or
sustain or any claim that may be preferred against it on account of execution of
aforesaid Conveyance Deed.
7. That I further undertake not to create any charge, lien or encumbrance on the aforesaid
property on the basis of a certified copy of the Conveyance Deed or otherwise while the
original Conveyance Deed remains in the custody of Delhi Cooperative Housing
Finance Corporation Ltd.
Contd…3..
*** 3 ***
8. That in view of the above declaration on oath I may be released the aforesaid
documents stated in para 2 which I undertake to hand over to the DDA and intimate the
compliance of handing over of these documents to the DDA within a period of 10 days
from the release of these documents to the Delhi Cooperative Housing Fiance
Corporation Ltd.
9. That it is declared on oath that the above said statements are true and correct and
nothing has been concealed therein.
DEPONENT
VERIFICATION:-
I, the above named deponent verify that the contents of above affidavit are true and
DEPONENT
Place:- Delhi.
Date :- 21.03.2015.
AFFIDAVIT
I, SATISH CHANDRA SON OF SHRI BENCHEY LAL Resident of House

No.D-1A, Prince Colony, Ismailpur Road, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-
44, Aged 47 years do hereby solemnly affirm and declare on this 21 st day of March 2015 as
under:-
Contd…2..
*** 2 ***
1. That I am an allottee of a DDA Flat No.45, First Floor, situated at Block A-2, Pocket-8,
Sector 23B, Dwarka, Delhi, allotted to me vide their allotment letter
No.L/312(77)2015/DDA14/DW dated 02.01.2015, in the scheme as per details given
below:-
i). Location:- Block A-2, Pocket-8, Sector 23B, Dwarka, Delhi.

ii). Category/Flat Type: LIG
iii). Floor :- First Floor
iv). Estimated cost :- Rs.17,70,983/-
2. That I have been sanctioned a loan of Rs.15,30,000/-(Rupees Fifteen Lac Thirty

thousand only), for the said flat for payment to Delhi Development Authority by the
Delhi Cooperative Housing Finance Corporation Ltd. vide sanction letter No.32
(1958)2014-2015/DCHFC/2783dated 11.3.2015.
3. That the said loan shall be secured by a mortgage lien of Delhi Cooperative Housing
Finance Corporation Ltd. for the said flat for the said loan of Rs.15,30,000/- .
4. That in-terms of the allotment offer of the DDA, the said flat would be converted into a
free-hold property.
5. That I hereby Irrevocabley undertake that as and when the flat is converted into free-
hold during the currency of the mortgage loan, the Delhi Cooperative Housing Finance
Corporation Ltd. shall be my duly or authorized Attorney as Mortgagee for the purposes
of collection of executed Conveyance Deed in respect of said Flat from The DDA as
security for Mortgage loan by way of Depositing the title Deed and also I hereby
Irrevocabely authorize the Delhi Cooperative Housing Finance Corporation Ltd., to
send a copy of this Affidavit to the Delhi Development authority, (Housing Department)
for putting Seal on the Conveyance Deed before execution of Conveyance Deed for
conversion of flat from leasehold to freehold indicating that there is a mortgage lien of
Delhi Cooperative Housing Finance Corporation Ltd. on the said property.
6. That in view of the above declaration on Oath I may be/have been released the loan
sanctioned and it may be/has been sent to DDA through a Pay Order towards my share
for the payment of flat.
Contd…3..
*** 3 ***
7. That I further undertake not to create any charge, lien or encrumbance on the aforesaid
property on the basis of a certified copy of the Conveyance Deed or otherwise while the
original Conveyance Deed remains in the custody of the Delhi Cooperaive Housing
Finance Corporation Ltd. or in the process of handing over to the DCHFC by the DDA
as agreed above.
8. That it is declared on oath that the above said statements are true and correct and
nothing has been concealed therein.
DEPONENT
VERIFICATION:-
I, the above named deponent verify that the contents of above affidavit are true and
DEPONENT
Place:- Delhi.
Date :- 21.03.2015.
AFFIDAVIT
I, BALWANT SINGH SON OF SHRI PATHANA SINGH Resident of Chaudharywas,

Distt. Hissar N/Wat, 28, Jaitpur, Distt. South Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
1. I am the Rgistered owner of Vehicle No.HR-09-A-1009 Jeep Mahindra, Chassis

No.DX-320567, Engine No.DX-320567, Model 2000.
2. That I have sold out the aforesaid vehicle to Shri Amrik singh son of Shri Bakhtawar
Singh Resident of Loha-Khera, Tehsil Tohana, Distt. Fatehabad, Haryana, and received
the full and final payment of the above said vehicle.
3. That I shall be responsible for all type of liabilities i.e. previous challan, accident taxes
etc. prior to the date.
4. That I have handed over the possession of the above said vehicle to the purchaser.
5. That I have no objection, if the above said vehicle is transferred in the name of
purchaser.
Deponent
Verification:-
Verified that the above statement is true & correct to the best of my knowledge and
belief cancelled therein.
Place:- Delhi
Date:- 05.05.2015.
Deponent
AFFIDAVIT
I, POOJA GUPTA DAUGHTER OF SHRI DEVKI NANDAN GUPTA Resident of
House No.6, Block 19, IInd Floor, Spring Field Colony, Faridabad, Haryana, do hereby
Contd…2..
*** 2 ***
1. That I have taken Regular admission in M.Com in Manav Bharti University in Session
2010-2012 in Manav Bharti University, Distt. Solan, (H.P.).
consequences.
be entitled to reject my application even if my result has been finally declared and
said Univeristy.
Deponent
Verification
I hereby further declare that the contents of my affidavit are true and correct to take best
of my knowledge and belief, and nothing has been cancealed hereunder.
Deponent
AFFIDAVIT
I, SUDHIR KUMAR SINGH SON OF SHRI KAPIL DEV SINGH Resident of House
Cont..2..
**2**
1. That I am the permanent resident of the above said address.
2. That “Shashikant Singh” is my real son and his date of birth is is 10.05.1999.
3. That my above said Shashikant Singh is going for admission in Gurukul Indraprastha,
Arya Nagar, Sarai Khwaja, Faridabad, Haryana.
4. That Shashikant Singh shall live in said Gurukul and if he does not stay in Gurukul and
runs away from there, then the Gurukul and its official shall not be liable and
responsible for the same.
5. That in future my son Shashikant Singh does go anywhere or he does any illegal
activity then Gurukul has full rights to take legal action against Shashikant Singh.
DEPONENT
VERIFICATION:-
DEPONENT
UNDERTAKING
Contd…2..
*** 2 ***
I, Om Prakash Sharma father/mother of Shubham Sharma (Enrolment No.03524501713), class

IV A (E) of BBA/B.Com) programme do hereby undertake that if any son/daughter does not
fulfill the university mandated attendance norm in the IV Semester, the institute may debar
him/her on the following basis in the End-Term University Examination.
Attendance Criteria Debarring criteria

1. Below 40% All subjects
2. Between 40% and 50% 3 subjects
3. Between 50% and 60% 2 subjects
4. Between 60% and 70% 1 subject
(…………………………..)
Mr. Om Prakash Sharma
Signature of Parents
AFFIDAVIT
Contd…2.
** 2 **
I, RAM GOPAL GIRI SON OF SHRI RAMPHAL GIRI Resident of House No.R-37,
Gali No.4, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, hereby solemnly
affirm and declare that:-
1. I am citizen of India.
2. That my son namely “PARVEEN” who is studying in class XIIth, Sect-C, in Govt.
Boys. Sr. Secondary School No.1, Badarpur, New Delhi-110044.
3. That my ward did not fulfill the school mandated attendance norm in 12 th Class in the
last year of 2014, therefore the school has debarred him from school.
4. I hereby solemnly aver and undertake that my ward will attend the classes regularly to
fulfill the criteria of attendance, failing which then school has full rights to take legal
action against my ward.
5. That my ward, further agree and maintain the discipline, behaviour, cordial relation in
the school If my ward will found guilty of the same, the school is entitled to take any
actions against my ward.
DEPONENT
VERIFICATION:-
affidavit are true to the best of my knowledge and given on my own without any coercion or
pressure from anybody.
DEPONENT
AFFIDAVIT
I, RAMKESH CHAPRANA SON OF SHRI INDER SINGH Resident of House

No.44, Village Molar Band, P.O.Badarpur, New Delhi-110044 & presenty residing at Shiv
Farm, Hari Nagar, Jaitpur Road, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2.
** 2 **
1. That I am the Chairman of Green Valley Public School Educational Society, I-Block,
Hari Nagar Extn. Badarpur, New Delhi-110044.
2. That no member of our society and in Managing Committee in Blood Relation among
themselves.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 22nd day of May 2015, that the contents of this affidavit are true
DEPONENT
AFFIDAVIT
I, RAMKESH CHAPRANA SON OF SHRI INDER SINGH Resident of House

No.44, Village Molar Band, P.O.Badarpur, New Delhi-110044 & presenty residing at Shiv
Farm, Hari Nagar, Jaitpur Road, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2.
** 2 **
1. That I am the Chairman of Green Valley Public School Educational Society, I-Block,
Hari Nagar Extn. Badarpur, New Delhi-110044.
2. That Green Valley Public School at above address is run by Green Valley Public School
Educational Society.
3. That Green Valley Public School Educational Society is registered under the Society
Registration Act, 1860 of Govt. of India as educational society having no-proprietary
character.
4. That school is not run for profit to any individual, group of association of individuals or
any other persons.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT/N.O.C
I, MAMTA CHAUDHARY WIFE OF SHRI CHHATRA PAL Resident of House

No.37, Village Sehatpur, Ward No.21, Near Vijay Convent School, Tehsil & Distt. Faridabad,
Haryana, do hereby solemnly affirm and declare as under:-
Contd…2.
** 2 **
2. That I am the owner of Vodafone Mobile No.9999999940 which is running in my name.

3. That I am using the above said mobile number for last many years.
4. That I will not have any objection if the said mobile number will transfer in the name of
MANISH BHATIA SON OF VIJAY BHATIA Resident of House No.G-5/307, Sect.16,
Rohini, New Delhi-110089 by the VODAFONE.
DEPONENT
VERIFICATION:-
Verified at Delhi on 22nd day of May 2015, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, PRIYANKA SANGER DAUGHTER OF SHRI LALA RAM Resident of House

Contd…2.
** 2 **
2. That I am the owner of Handset MICROMAX Q39 (DOODLE 4), its IMEI
No.911433702720344.
3. That I had leaved my said my Mobile Phone at Micromax Store, Lajpat Nagar, New
Delhi-110024 for repairing. They had given me a work order slip bearing reference
No.____________ in respect of my said mobile phone.
4. That the work order slip of my mobile phone has been lost at anywhere, and is not
traceable, if in future the aove said work order slip shall found anywhere, then I will
surrender the slip without misuse.
DEPONENT
VERIFICATION:-
DEPONENT
Declaration for Summer Internship Programme
Contd…2.
*** 2 ***
I, SHUBHAM SHARMA S/o SHRI OM PRAKASH SHARMA of class BBA IInd Year Enrollment
No.03524501713 hereby declare that I will be seeking my summer internship for the year 2015 by
myself. I don’t wish to take summer training from Jagannath International Management School, Kalkaji,
Signature of student
Details of company where summer training will be done
Company Name : M/s Teleecare Network (I) Pvt. Ltd.
Concern Person : Anand Jay Ghosh
Designation : Assistant Manager
Company Address : Zen House, Plot No.01, Khasra No.261, Kohinoor Enclave,
Westend Marg, Saidulajaib, New Delhi-110030.
E-mail ID : anandadmin2008@gmail.com
Request you to issue me the NOC for the same procedure.

Jagannath International Management School
Declaration for Summer Internship Programme
I, SHUBHAM SHARMA, SON OF SHRI OM PRAKASH SHARMA of class IVA Evening

IInd Year BBA (G) Enrollment No.03524501713 hereby declare that I will be seeking my
summer internship for the year 2015 by myself. I don’t wish to take summer training from
Jagannath International Management School, Kalkaji,
Signature of student
Details of company where summer training will be done
Company Name :- POWER GRID CORPORATION
Concern Person :- Mr. V.K. SINGH
Designation :- Deputy General Manager
Company Address :- Plot No.2, Sect.29, Gurgaon, Haryana.
Contact Number :- 9717697104
E-mail ID : ………………………………………………………………….....
Request you to issue me the NOC for the same procedure.

UNDERTAKING ON PROHIBITION OF RAGGING
Contd…2..
** 2 **
I, TRILOK NEGI SON OF SHRI NANDAN SINGH NEGI Resident of House
No.I-181, Gali No.10, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, hereby declare that I
am aware of the law regarding prohibition of ragging as well as punishments, and that, if found
guilty of the offence of ragging and/or abetting ragging, I am liable to be punished
appropriately.
Place: New Delhi Signature of the Candidate
Date: 12.07.2016. Name of the candidate:

(TRILOK NEGI)
I, NANDAN SINGH NEGI Father/ Guardian of MR. TRILOK NEGI Resident of

House No.I-181, Gali No.10, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, hereby
declare that I am aware of the law regarding prohibition of ragging and I agree to abide by the
punishment meted out to my ward in case the latter is found guilty of ragging.
Signature of Parent/ Guradian
Name of Parent/ Guardian: NANDAN SINGH NEGI.

AFFIDAVIT/ON PROHIBITION OF RAGGING
Contd…2..
** 2 **
I, ANURAG THAPLIYAL SON OF SHRI ASHA RAM THAPLIYAL Resident of
House No.C-42, Saurabh Vihar, Jaitpur, P.O.Badapur, New Delhi-110044, hereby declare that I
am aware of the law regarding prohibition of ragging as well as punishments, and that, if found
guilty of the offence of ragging and/or abetting ragging, I am liable to be punished
appropriately.
Place: New Delhi Signature of the Candidate
Date: 21.07.2015. Name of the candidate:

(ANURAG THAPLIYAL)
I, ASHA RAM THAPLIYAL Father/ Guardian of ANURAG THAPLIYAL Resident

of House No.C-42, Saurabh Vihar, Jaitpur, P.O.Badapur, New Delhi-110044, hereby declare
that I am aware of the law regarding prohibition of ragging and I agree to abide by the
punishment meted out to my ward in case the latter is found guilty of ragging.
Signature of Parent/ Guradian
Name of Parent/ Guardian: ASHA RAM THAPLIYAL.

AFFIDAVIT
I, SUDHIR VERMA SON OF SHRI ROSHAN SINGH VERMA manager, Bharat

Public School, J-1/10, Saurabh Vihar, New Delhi-110044, do hereby solemnly affirms and
declares as under:-
Contd…2..
*** 2 ***
1. That I am the Managaer of this school.
2. That being Manger of this school, I am fully competent to depose this affidavit on
behalf of school named Bharat Public School, J-1/10, Saurabh Vihar, New
Delhi-110044.
3. That School named Bharat Public School, J-1/10, Saurabh Vihar, New Delhi-110044,
has been granted Provisional recognition by Directorate of Education, Govt. of NCT of
Delhi vide letter dated 23/04/2015.
4. That I had requested on 14/10/2011 to issue the NOC for applying for up gradation of
this school.
5. That I regret and apologize for applying for up gradation of this school with Directorate
of Education, Govt. of NCT of Delhi.
6. That No teacher will be removed form service and all the students passing out from this
school will be given admission in this school.
7. That my request for realease of FDR may please be acceded to and the FDR may please
be released.
Deponent
Verification:-
Verified at New Delhi today 14.7.2015. This is also verified that this is true to best of
my knowledge and belief. This is also verified that nothinbg has been concealed there
from.
Deponent
AFFIDAVIT
Contd…2.
** 2 **
I, ABHISHEK YADAV SON OF SHRI RAM BIRESH YADAV Resident of House

No.I-172, Gali No.10, Block I, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, hereby
solemnly affirm and declare that:-
2. That I am studying in Jagannath Institute of Management Studies at Knowledge

Park-III, Greater Noida, (U.P.), in its B-Tech (Mechanical) Course.
3. I hereby solemnly aver and undertake that I shall attend the classes regularly to fulfill
the criteria of attendance (75%), failing which then Institution has full rights to take
legal action against me.
4. That I, further agree and maintain the discipline, behaviour, cordial relation in the
Institution If I will found guilty of the same, the school is entitled to take any actions
against me.
DEPONENT
VERIFICATION:-
affidavit are true to the best of my knowledge and given on my own without any coercion or
pressure from anybody.
DEPONENT
AFFIDAVIT
I, MANOJ SAINI SON OF SHRI JAGDISH SAINI Resident of House No.A-3, Gali
No.6-C, Molar Band Extn. P.O.Badarpur, New Delhi-110044, (vide D.L. No.DL-
0320030150213©, do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 ***
1. That Shri Rajender Singh son of Shri Shivani Singh is the Rgistered owner of Vehicle
LMV (SWIFT VDI BS4 M), bearing Regn. No.DL8CNB-9482, Chassis
No.MA3FSEB1S00540606, Engine No.D13A1386801 Model March 2010, Made by
MUL.
2. That I have purchased the aforesaid vehicle from Shri Rajender Singh son of Shri
Shivani Singh Resident of House No.350, Kumar Mohalla, Village Badarpur, New
Delhi-110044.
3. That I shall be responsible for all type of Claim, Accident, all Challans, dues, Road Tax,
any installment etc, since 03.8.2015 after time 7:31 P.M.
4. That I have taken over the possession of the above said vehicle from the said seller.
5. That I shall transfer the above said vehicle in my name within 15 days from 03.8.2015.
Deponent
Verification:-
Place:- Delhi
Date:- 04.08.2015.
Deponent
AFFIDAVIT
I, MAAN SINGH SON OF SHRI RAM SINGH Resident of House No.F-251, Gali
No.13, Harsh Vihar, Hari Nagar Extn. Part-III, Bhati Market, P.O.Badarpur, New Delhi-
Contd…2..
*** 2 ***
1. That I belong to DHOBI (Hindu) Caste which is belonging to SC communities notified

by Central Government
2. That I have been ordinarily residing on the above mentioned address since by birth.
3. That I am a Student/unemployed/employed as Labour work and my annual income is

abount Rs. 96,000/-(Rupees Ninety Six thousand only) per annum.
4. That I have not been issued SC certificate from Delhi or any other state/Union Territory.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, UTTAM KUMAR SON OF SHRI MANOJ KUMAR Resident of House No.E-96,

Ground Floor, Roop Nagar, Harsh Vihar, Hari Nagar Extn. Part-III, P.O.Badarpur, New
Contd…2..
*** 2 ***
1. That I am a citizen of India and presently residing at House No.E-96, Ground Floor,
Roop Nagar, Harsh Vihar, Hari Nagar Extn. Part-III, Jaitpur, P.O.Badarpur, New Delhi-
110044, and my permanent address is House No.E-96, Ground Floor, Roop Nagar,
Harsh Vihar, Hari Nagar Extn. Part-III, Jaitpur, P.O.Badarpur, New Delhi-110044.
2. That I am the guardian of Bharat Badwal.
3. That Bharat Badwal son of Shri Dharam Pal Singh Resident of House No.E-92, Roop
Nagar, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-110044 is known to me for
last 20 years. I take his/her responsibility for him/her in all respects. He/She bears a
good moral character.
4. I take oath solemnly declare/affirm that the particulars furnished by me, above are true
and correct that I have not concealed or misrepresented any facts.
Deponent
Verification:-
Verification at Delhi on this 07th day of August 2015 that the contents of my above
affidavit are true to my knowledge and nothing has been concealed therefrom.
Deponent
AFFIDAVIT
I, VINOD KUMAR SON OF SHRI SAT PAL SINGH Resident of House No.69, Shakti
Vihar, Mithapur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2..
*** 2 ***
1. That I am a citizen of India and presently residing at House No.69, Shakti Vihar,
Mithapur, P.O.Badarpur, New Delhi-110044, and my permanent address is House
No.69, Shakti Vihar, Mithapur, P.O.Badarpur, New Delhi-110044.
2. That I am the guardian of Bharat Badwal.
3. That Bharat Badwal son of Shri Dharam Pal Singh Resident of House No.E-92, Roop
Nagar, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-110044 is known to me for
last 15 years. I take his/her responsibility for him/her in all respects. He/She bears a
good moral character.
4. I take oath solemnly declare/affirm that the particulars furnished by me, above are true
and correct that I have not concealed or misrepresented any facts.
Deponent
Verification:-
Verification at Delhi on this 07th day of August 2015 that the contents of my above
affidavit are true to my knowledge and nothing has been concealed therefrom.
Deponent
AFFIDAVIT
I, KAUSHALYA WIFE OF LATE SHRI RAM NIWAS Resident of House

No.K-47, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly
Contd…2..
*** 2 ***
2. That I am the owner and in possession of a Built up House No.K-154, land measuring
75 Sq.Yds. with all roof rights, Part of Khasra No.940, Situated at C-Block, Harsh
Vihar, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-110044, by virtue of
Relinquishment Deed duly attested by Notary Public Delhi on 20.8.2010.
3. That my all five legal heirs had executed a relinquishment deed in favour of me, in
which some 2-3 last pages of the said deed has been lost at anywhere, and is not
traceable.
4. That now I have sold the above said property to SHRI MUNESH KUMAR CHAUHAN
SON OF SHRI KHET PAL SINGH all executed all concerned documents in favour of
him.

DEPONENT
VERIFICATION:-
Verified at Delhi on 21st day of September 2014, that the contents of the above affidavit
DEPONENT
RENT AGREEMENT
This Rent agreement is hereby executed at NEW DELHI on this 13TH day of August,
2015 between:
Contd…2..
*** 2 ***
MR. DEV RAJ SHARMA, owner of the premises SHOP IN H.NO. E-1, H N EXTN,
JAITPUR ROAD, BADARPUR, NEW DELHI-110044 (hereinafter referred to as First
party/landlord) which expression shall mean and include his heirs, successors, legal
representatives and assigns etc.
AND
WHIZZ EXPRESS INDIA PRIVATE LIMITED, through its Director, ABHISHEK
DIXIT S/o DEVRAJ DIXIT R/o E-1 HARI NAGAR EXTN PART- 1, JAITPUR,
NEW DELHI-110044 (hereinafter called the tenant/Second party) of the other part,
which expression shall mean and include his heirs, successors, legal representatives and
assigns etc.
Whereas the first party is owner in possession of Office/Space: SHOP IN H.NO. E-1,
H N EXTN, JAITPUR ROAD, BADARPUR, NEW DELHI-110044 And Whereas the
first party wants to let out the said property to the second party, and the second party also
has agreed to take on rent the said property on the following terms and conditions of this
rent agreement.
NOW THIS AGREEMENT WITNESSETH AS UNDER:-
1. That the rate of the rent of the said property is settled at Rs 8000/-(Rupees Eight
thousand only) per month exclusive of electricity charges and the second party shall
handover the receipt of electricity bill to the first party from time to time and the second
party will further pay the said monthly rent in advance on or before the day of each
English calendar month.
2. That the tenancy shall be effective from 10th day of August, 2015 and shall remain
enforced for the period of 11 months.
3. That the second party has deposited a sum of Rs. 16,000/- (Rupees Sixteen thousand
only) as the security amount, which will be refunded /adjusted at the time of vacating the
said premises after deducting all rental arrears, damages, charges etc.
Contd…3..
*** 3 ***
4. That the second party shall not sublet, part with possession assigned the same to anybody
else during the tenancy period.
5. That in case the second party fails to pay the monthly rent to the first party consequently
for the period of two months, then the second party shall have to get vacated the premises
in question immediately.
7. That the second party shall use the said premises for commercial purposes. That the
second party will not make any addition or alteration in the existing structure. That the
second party shall be responsible for the repairs of any damage to the structural electrical
or sanitary installations under his/her/their occupancy.
8. That all minor repairs shall be carried out by the tenant and all other major repairs will be
carried out by the first party/owner as and when required.
9. That the second party shall not do any illegal or unlawful activities in the above said
premises.
10. That the second party shall not keep any unauthorised inflammable and explosive things
in the said premises in any manner.
11. That the second party will permit the first party or his/her/their duly authorised agent to
enter in to the said premises for inspection or required work at any reasonable time.
12. In case any cheque of the second party will be bounced the then first will pay Rs. 200/-
as a penalty to the first party beside the monthly rent.
13. That in case the tenant fails to comply with the above terms and conditions the first party
shall have the right to take possession of the premises from the said second party
without any prior notice and evict the said tenant from the said premises and terminate
the tenancy from the same day.
Contd..4.
*** 4 ***
14. That the second party shall not be entitled to terminate the lease by notice during the
first six months of the rent agreement. If the second party terminates the lease during
the first six months of the lease, the security amount will be forfeited by the first party.
That if the first party wants to get vacated the said premises after lock-in period then the
first party will serve one month notice to the second party. Similarly if the second party
wishes to vacate the said premises after lock-in period then the second party shall give
one month prior notice to the first party. The tenant shall vacate this premise after
clearing all the rental arrears along with other bills and will hand over the vacant
possession of the said premises to the first party.
IN WITNESSES WHEREOF, the parties have signed this agreement on the date, month
and year as written above.
WITNESSES:-
1- FIRST PARTY
2- SECOND PARTY
(WHIZZ EXPRESS INDIA PRIVATE LIMITED)
(Director)
TO WHOM SOEVER IT MAY CONCERN
Contd…2..
***2***
NOC
It is stated that I DEV RAJ SHARMA owner of the premises at SHOP IN H.NO. E-1, H
N EXTN, JAITPUR ROAD, BADARPUR, NEW DELHI-110044 have given on rent to
the M/s WHIZZ EXPRESS INDIA PRIVATE LIMITED and have no any objection if
the Company “WHIZZ EXPRESS INDIA PRIVATE LIMITED” runs the business at the
premises situated at SHOP IN H.NO. E-1, H N EXTN, JAITPUR ROAD, BADARPUR,
NEW DELHI-110044.
DEV RAJ SHARMA

ADDRESS: SHOP IN H.NO. E-1, H N EXTN, JAITPUR ROAD, BADARPUR,
NEW DELHI-110044
Form No. INC - 10

Form for verification of signature of subscribers
[Pursuant to rule 16 (1) (q) of Companies (Incorporation) Rules, 2014]
 Names, father’s name and Address of subscribers/first directors:
ABHISHEK DIXIT, S/o DEVRAJ DIXIT , R/O E-1 HARI NAGAR EXTN
PART- 1, JAIT PUR, NEW DELHI-110044
 Specimen signatures:
Attestation
(Signature of witness)
Name:
Address:
ID Number:
Form No. INC - 10

Form for verification of signature of subscribers
[Pursuant to rule 16 (1) (q) of Companies (Incorporation) Rules, 2014]
 Names, father’s name and Address of subscribers/first directors:
MUNESH SHARMA, S/o RAJENDER SHARMA, R/o E-14/1 BLOCK – E, HARI
NAGAR EXTN, NEW DELHI-110044
2. Specimen signatures:
Attestation
(Signature of witness)
Name:
Address:
ID Number:
FORM NO. INC -8
Declaration
Pursuant to section 7(1) (b) and rule 14 of the Companies (Incorporation) Rules, 2014]
Contd…2..
*** 2 ***
WHIZZ EXPRESS INDIA PRIVATE LIMITED
I, SANTOSH OJHA,
 An advocate who is engaged in the formation of the company
 A Chartered Accountant in India who is engaged in the formation of the
company
 A Cost Accountant in India who is engaged in the formation of the
company
 A Company Secretary in Practice in India who is engaged in the formation
of the Company
Declare that all the requirements of Companies Act, 2013 and the rules made there
under relating to registration of the Company under the Act and matters precedent or
incidentals thereto have been complied with.
Name and Signature: (Santosh Ojha)

Membership No.: A31394
Certificate of practice: 11517
Landline: 0120-4569717
Mobile: 9910067914
FORM NO. INC -9
AFFIDAVIT
[Pursuant to section 7(1)(c) of the Companies Act, 2013 and rule 15 of the Companies
(Incorporation) Rules, 2014]
Contd…2..
*** 2 ***
Name of the proposed Company: WHIZZ EXPRESS INDIA PRIVATE LIMITED

I ABHISHEK DIXIT, being the subscriber to the memorandum / named as first
director in the articles, of the above named proposed company, hereby solemnly
declare and affirm that:
 I have not been convicted of any offence in connection with the promotion,
formation or management of any company during the preceding five years; and
 I have not been found guilty of any fraud or misfeasance or of any breach of
duty to any company under this Act or any previous company law during the
preceding five years; and
 All the documents filed with the Registrar for registration of the company
contain information that is correct and complete and true to the best of my
knowledge and belief.
Name and Signature:

ABHISHEK DIXIT
DIN: 07257059
FORM NO. INC -9
AFFIDAVIT
[Pursuant to section 7(1)(c) of the Companies Act, 2013 and rule 15 of the Companies
(Incorporation) Rules, 2014]
Contd…2..
*** 2 ***
Name of the proposed Company: WHIZZ EXPRESS INDIA PRIVATE LIMITED

I MUNESH SHARMA, being the subscriber to the memorandum / named as first
director in the articles, of the above named proposed company, hereby solemnly
declare and affirm that:
 I have not been convicted of any offence in connection with the promotion,
formation or management of any company during the preceding five years; and
 I have not been found guilty of any fraud or misfeasance or of any breach of
duty to any company under this Act or any previous company law during the
preceding five years; and
 All the documents filed with the Registrar for registration of the company
contain information that is correct and complete and true to the best of my
knowledge and belief.
Name and Signature:

MUNESH SHARMA
DIN: 07257065
FORM DIR-2
[Pursuant to section 152(5) and rule 8 of Companies (Appointment and Qualification
of Directors) Rules, 2014]
Contd…2..
*** 2 ***
To,
I ABHISHEK DIXIT, hereby give my consent to act as director of
WHIZZ EXPRESS INDIA PRIVATE LIMITED, pursuant to sub-section (5) of section
152 of the Companies Act, 2013 and certify that I am not disqualified to become a
director under the Companies Act, 2013.
1. Director Identification Number (DIN): 07257059
2. Name (in full): ABHISHEK DIXIT
3. Father’s Name (in full): DEVRAJ DIXIT
4. Address: E-1 HARI NAGAR EXTN PART- 1, JAIT PUR, NEW DELHI-110044
5. E-mail id: ashudevrajvashisth@gmail.com

6. Mobile no. 9311111415
7. Income-tax PAN: BJVPD9035K
8. Occupation: Self-Employed
9. Date of birth: 11/09/1990
10. Nationality: Indian
11. No. of Companies NIL in which I am already a Director and out of such companies
the names of the companies in which I am a Managing Director, Chief Executive
Officer, Whole time Director, Secretary, Chief Financial Officer, Manager.
12. Particulars of membership No. and Certificate of practice No. if the applicant is a
member of any professional Institute. Specifically state NIL if none. NIL.
Declaration
I declare that I have not been convicted of any offence in connection with the
promotion, formation or management of any company or LLP and have not been
found guilty of any fraud or misfeasance or of any breach of duty to any company
under this Act or any previous company law in the last five years. I further declare
that if appointed my total Directorship in all the companies shall not exceed the
prescribed number of companies in which a person can be appointed as a Director.
ABHISHEK DIXIT
DIN: 07257059
FORM DIR-2
[Pursuant to section 152(5) and rule 8 of Companies (Appointment and Qualification
of Directors) Rules, 2014]
Contd…2..
*** 2 ***
To,
I MUNESH SHARMA, hereby give my consent to act as director of
“TINKU E-SERVICES PRIVATE LIMITED”, pursuant to sub-section (5) of section
152 of the Companies Act, 2013 and certify that I am not disqualified to become a
director under the Companies Act, 2013.
1. Director Identification Number (DIN): 07257065
2. Name (in full): MUNESH SHARMA
3. Father’s Name (in full): RAJENDER SHARMA
4. Address: E-14/1 BLOCK – E, HARI NAGAR EXTN, NEW DELHI-110044
5. E-mail id: monusharma1990delhi@gmail.com
6. Mobile no. 9873493266

7. Income-tax PAN: GEWPS5024A
8. Occupation: Self-Employed
9. Date of birth: 12/03/1992
10. Nationality: Indian
11. No. of Companies NIL in which I am already a Director and out of such companies
the names of the companies in which I am a Managing Director, Chief Executive
Officer, Whole time Director, Secretary, Chief Financial Officer, Manager.
12. Particulars of membership No. and Certificate of practice No. if the applicant is a
member of any professional Institute. Specifically state NIL if none. NIL.
Declaration
I declare that I have not been convicted of any offence in connection with the
promotion, formation or management of any company or LLP and have not been
found guilty of any fraud or misfeasance or of any breach of duty to any company
under this Act or any previous company law in the last five years. I further declare
that if appointed my total Directorship in all the companies shall not exceed the
prescribed number of companies in which a person can be appointed as a Director.
MUNESH SHARMA
DIN: 07257065
Affidavit for not Accepting Deposits Unless It Complies with the Applicable
Provisions Of Companies Act, 2013, RBI Act, 1934 and SEBI Act, 1992
And Non- Acceptance of MLM Activities.
Contd…2..
*** 2 ***
“I ABHISHEK DIXIT, First Directors/Subscribers of “WHIZZ EXPRESS INDIA

PRIVATE LIMITED” shall not accept Deposits unless complies with the
applicable provisions of the Companies Act, 2013, RBI Act, 1934 And SEBI
Act, 1992 And Rules/Directions/Regulations made there under And will not
carry out any money circulation scheme or multi level/pyramid scheme.”
(ABHISHEK DIXIT)
Subscriber/First Director
DIN: 07257059
Address: E-1 HARI NAGAR EXTN PART- 1, JAIT PUR, NEW DELHI-
110044
Affidavit for not Accepting Deposits Unless It Complies with the Applicable
Provisions Of Companies Act, 2013, RBI Act, 1934 and SEBI Act, 1992
And Non- Acceptance of MLM Activities.
Contd…2..
*** 2 ***
“I MUNESH SHARMA, First Directors/Subscribers of “WHIZZ EXPRESS INDIA

PRIVATE LIMITED” shall not accept Deposits unless complies with the
applicable provisions of the Companies Act, 2013, RBI Act, 1934 And SEBI
Act, 1992 And Rules/Directions/Regulations made there under And will not
carry out any money circulation scheme or multi level/pyramid scheme.”
(MUNESH SHARMA)
Subscriber/First Director
DIN: 07257065
Address: E-14/1 BLOCK – E, HARI NAGAR EXTN, NEW DELHI-110044
AFFIDAVIT
I, MUKENDER SON OF SHRI RAMESHWAR MANDAL Resident of Village

Mathiya, P.O.Dhaka, Distt. Motihari, (Bihar), do hereby solemnly affirm and declare as under:-
Contd…2.
** 2 **
2. That I am suffering from Cancer Disease at Safdarjung Hospital, New Delhi.
3. That my total family income is Rs.18,000/-(Rupees Eighteen thousand only), per

annum.
4. That I am not in a position to bear the cost of traveling to access treatment, hence am
applying for financial assistance from concerned Govt.
5. That I know that to make a false statement is an offence punishable under relevant Act
and law and whatever is stated above is true to the best of my knowledge and belief.
DEPONENT
VERIFICATION :-
DEPONENT
I, AJAY PAL SINGH NEGI SON OF SHRI KUNDAN SINGH NEGI Resident of
Village Nail Talla, P.O.Nail, Tehsil Tehri Janpad, Distt. Tehri Garhwal, (Uttrakhand), do hereby
Contd…2..
*** 2 ***
2. That I was born on 07.01.1976, (07th day of January Nineteen Hundred Seventy Six).
3. That I was born at Village Nail Talla, P.O.Nail, Tehsil Tehri Janpad, Distt. Tehri
Garhwal, (Uttrakhand).
4. That the Registrar of Birth & Death has issued a Certificate to me regn. No.06/2011,
date of regn.14.06.2011
5. That I have enclosed a copy of birth certificate herein.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
UNDERTAKING
(All students issued with a laptop/notebook are required to read and sign the following
policy)
I ARADHNA DAUGTER OF SHRI VISHWANATH Resident of House No.D-157, Saurabh
Vihar, Near Shiv Mandir, Hari Nagar Extn. Jaitpur, P.O.Badarpur, New Delhi-110044, presently
student of B.Sc. Honors (Food technology) 01 st year roll No. (Course, Year & roll
no.) at Shaheed Rajguru College of Applied Science for Women College, Vasundhra Enclave,
Mayur Vihar Extn. Delhi-110096, (College/Department) do hereby affirm and undertakes as
under:
Contd…2.
** 2 **
1. That I have received the laptop/Notebook along with all required software and power cable
from my College/Department having following details:
a) Name: (Laptop/Notebook): HP PROBOOK 445 b) Laptop Box : Yes
2. I acknowledge that laptop/notebook provided to me is to enhance my studies and learning in

my College/Department. I will not allow anyone else to use this laptop. I will ensure that the
laptop is available to me at college /Department. I will not allow anyone else to use this laptop.
I will ensure that the laptop is available to me at College/Department on teaching days.
3. That if the hard disk is damaged or unusable or any other technical fault arises in the same, I
will report the same to the authorities in this regard without fail and I will not disable the
antivirus software installed on the machine or alter system files or change hardware settings.
4. That I am required to take reasonable precautions against loss, theft or damage of my

laptop/notebook. I agree to safeguard the laptop by taking reasonable precautions against theft
while my laptop is unattended at College/Department and other places.
5. That I will keep the machine away from food and drink at all times, and store it in a certain
location. I will not leave the laptop/Notebook, where it might be accidently damaged. I will not
leave the laptop is secure in its protective bag when travelling between locations.
6. That I undertake not to use unauthorized copies of software or pirated media, which are in
breach of copyright. I also understand that the use of unauthorized software may damage the
laptop/Notebook. I undertake not to do this.
7. That if any damage/ or loss occur due to all above it will be my own responsibility and I will
be liable to pay the compensation for the same as decided by the competent authority.
8. That I will return the laptop/notebook to the College/Department at any time, when called
upon to do by the college/Department.
9. That my mark sheet / degree / provisional certificate may be forfeited in the event of failure
to return the notebook.
10. That I will bring the notebook to my College / Department for inspection at least once in
three months during my course of study or as per the directives issued to me from time to time.
Contd…3.
** 3 **
11. That I undertake to pay the yearly premium for the insurance cover arranged by the
college/ Department and abide by the warranty conditions provided by the manufacturer.
Accidental damage is covered by insurance, and if I will be found to have willfully or
carelessly damaged the laptop/notebook issued to me or of any other student’s
laptop/notebook, I will be liable for the cost of repair and if not repairable then the full cost of
the device.
WIRELESS NETWORK AND INTERNET ACCESS SERVICES:
12. That the network services provided by the College/Department/University reserves the
right to monitor the use of the facilities and that the same may, in certain situations, be
compelled to access and to disclose information such as e-mail and message content and data
relating to the use of Internet facilities.
13. That I undertake not to engage in any activity which:
a) Disrupts the intended use of the resources. b) Wastes resources (people, capacity,
computer, network, data etc.). c) Compromises the legal rights of others. d) Modifies,
Damages or destroys computing resources or the data on them. e) Jeopardize, in any
way , the integrity, performance or reliability of the College’s /Department’s/
University’s computing resources by indulging in circumvent data protection schemes,
to uncover security loopholes, to “hack” into systems or to interfere with the intended
operation of the computer resources.
AFFIDAVIT
I, RAJENDRA PRASAD SON OF SHRI TORI SINGH Resident of House No.C-100,

Contd..2..
*** 2 ***

2. That SMT. MUNNI DEVI is a House Wife and fully depended upon me.
3. That her Date of birth is 10.09.1958 (10 th day of September Nineteen Hundred Fifty
Eight).
4. That She is not doing any Government/Private Job.
5. That She is not availing any medical/Pension facility from anywhere.
6. That She has no other source of income.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, RAMBIR SINGH SON OF SHRI TULSI RAM Resident of House No.N-122/9, Hari
under:-
Contd..2..
*** 2 ***

2. That I am father of TINKU KUMAR GAUTAM who is studying in MARATHWADA
INSTITUTE OF TECHNOLOGY at Mundka, New Delhi-110041.
3. That the deponent is the present and permanent resident of the above said address.
4. That my family income from all sources is Rs.1,20,000/- Per annum.
6. That I know very well not more than two of my sons are entitled for the post-matric
scholarship.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT FROM PARENTS (SPONSOR) SIDE
I, Dhir Singh Nagar (student’s father) resident of House No.1, Village Hari
Nagar,P.O.Badarpur, New Delhi-110044, India, (address) do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
1. That I the above named deponent do hereby declare to sponsor my son Puneet Nagar
for the course of Masters of Construction Mangagement starting from 29 February 2016
for a period of 1 year.
2. That I shall bear the financial expenses for the required duration.
3. That I further declare that I have sufficient funds to financially sponsor him for the
requisite period.
4. I am fully aware of the NZ student visa regulations and in any case if information or
documents submitted are fraudulent or tempered within any way. I shall be personally
liable for legal action as determined by court.
Deponent
Verification:- Verification at New Delhi on this 09 th day of October 2015, that the
contents of the above affidavit are true and correct of my knowledge and belief and
nothing has been concealed there from.
Deponent
AFFIDAVIT FROM PARENTS (SPONSOR) SIDE
I Puneet Nagar son of Shri Dhir Singh Nagar resident of House No.1, Village Hari Nagar,
P.O.Badarpur, New Delhi-110044, (India), do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 ***
1. That I have personally signed the application form presented to New Zealand
immigration services, New Delhi.
2. Information provided in the attached forms is true and correct to the best of my
knowledge.
3. All certificates presented including academic and financial documents are genuine and
authentic and can be verified.
4. I declare that my Consultant/agent has in no way influenced my decision to apply and

neither has helped me in procuring the documents submitted.
5. I am fully aware of the New Zealand Immigration Services student visa regulations and
in any case if information or documents submitted are fraudulent or tempered within
any way. I shall be personally liable for legal action as determined by court.
Deponent
Verification:- Verification at New Delhi on this 30 th day of September 2015, that the
contents of the above affidavit are true and correct of my knowledge and belief and
Deponent
AFFDAVIT
I, RAM AVTAR SHARMA SON OF SHRI SURAJ BHAN SHARMA Resident of

House No.A-400, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
1. That the deponent is working as a pharmacist with M/s Amod Brothers at K-88B,
Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044.
2. That Neither the Firm Nor the employee of the Firm has Ever Been Convicted Under
the Drug and Cosmetic Act 1940.
3. That the premises is Situated at K-88B, Jaitpur Extn. Part-I, P.O.Badarpur, New
Delhi-110044, are in physical and legal possession of the Firm.
4. That the Premises isnot Situated on DDA residential Plot/Land/Flat.
5. That in Case Any Statement/document accompanying my application is found to be

false/misleading at any stage, my approval/license so obtained would be liable to be
cancelled by the Licensing Without any notice.
DEPONENT
VERIFICATION:-
Verification at New Delhi on this 01st day of October 2015, that the contents of
the above affidavit are ture and correct of my knowledge and belief and nothing has
been concealed there from.
DEPONENT
ANNEXURE-III
DECLARATION OF FIDELITY AND SECRECY
I, INDU SHARMA DAUGHTER OF SHRI SITARAM SHARMA d.o.b. 24.4.1994

Resident of House No.C-858, A Sangam Vihar, New Delhi-110062, hereby declare the
+following:-
Contd…2..
*** 2 ***
1. I have opted/joined Umeed Vision Producer Co. Ltd. as a CSC Incharge (Branch Head)
of the company with effect from 01.07.2015.
2. I will not disclose any matter of the company as I am aware that by virtue of my
employment in this company where I will have to access the company’s data, some of
which could be higly confidential.
3. I am further aware that any leakage of data through any of my acts of mission or
commission may lead to an adverse effect on the business interests of the company.
4. I undertake that data in this case includes facts such as the state of progress of various
schemes, the kinds of schemes, plan and projects etc, during my employment, to treat
all data as confidence where so marked or not authorized person within or outside the
company.
5. I, further ensure the safe custody of all liquid cash, data, record, and equipment, in my
custody, I shall hand over such record, data etc. only to authorized person authorized by
the Head Office in written, against proper receipt.
6. I shall avoid any communicaltion of information on open channel such as telephone fax
or other methods that may lead to a loss of secrecy of information.
7. I will not pass on any information, know or believed by me to be classified or sensitive

even after my leaving the organization for at least a period of five years.
8. I will also not possess any agency code in my name or in the name of any family
members in any concern.
Deponent
I do also hereby declare that the above mentioned fact are true and best to my knowledge,
hence I set my hands in the presence of the following witnesses.
Deponent
Witnesses:-
1. A.P. Tiwari 2. Bharti Gupta.

AFFIDAVIT
Affidavit of Mr. Mritunjay Narayan Jha S/o Late Beda Nand Jha, R/o H- 211/33A SAURAV
VIHAR BADARPUR NEW DELHI 110044, I, the deponent above named do hereby solemnly
affirm and declare as under:
1. That I am the Proprietor/Authorized signatory of M/s JANHAVI CONSTRUCTION

Having its Head Office/Regd. Office at F- 26/5 Jaitpur Extn. Part II Badarpur New
Delhi 110044
Contd…2..
*** 2 ***
2. That the information/documents/Experience certificates submitted by M/s JANHAVI
CONSTRUCTION along with the tender for Renovation of Staff Quarters ‘A’ &
‘C’ Blocks at NSEZ- NOIDA-UP” To NBCC Ltd. are genuine and true and nothing
has been concealed.
3. I shall have no objection in case NBCC verifies them from issuing authority(ies). I
shall also have no objection in providing the original copy of the document(s), in
case NBCC demand so for verification.
4. I hereby confirm that in case, any document, information & / or certificate

submitted by me found to be incorrect / false / fabricated, NBCC at its discretion
may disqualify / reject / terminate the bid/contract and also forfeit the EMD / All
dues.
5. I shall have no objection in case NBCC verifies any or all Bank Guarantee(s) under
any of the clause(s) of Contract including those issued towards EMD and
Performance Guarantee from the Zonal Branch /office issuing Bank and I/We shall
have no right or claim on my submitted EMD before NBCC receives said verification.
6. That the Bank Guarantee issued against the EMD issued by (name and address of
the Bank) is genuine and if found at any stage to be incorrect / false / fabricated,
NBCC shall reject my bid, cancel pre-qualification and debar me from participating
in any future tender for three years.
I, Mritunjay Narayan Jha the Proprietor / Authorised signatory of M/s JANHAVI

CONSTRUCTION do hereby confirm that the contents of the above Affidavit are true to my
knowledge and nothing has been concealed there from and that no part of it is false.
Verified at Delhi on 17th day of October 2015.
DEPONENT
AFFIDAVIT
I, Mritunjay Narayan Jha son of Late Shri Bedanand Jha Resident of House No.F-26/5,
Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare
as under:-
Contd…2..
*** 2 ***
2. That I am sole proprietor of M/s Janhavi Construction, Situated at F-26/5, Jaitpur Extn.
Par-II, P.O.Badarpur, New Delhi-110044.
3. That favour of company my digital signature on power of attorney it’s my.

4. That I am the sole proprietor of company M/s Janhavi Construction, and I am not
authorized any person sign authority and power of attorney. And company favour of my
signature are as under below:-
5. That my present speciment signatures are as under:-
__________________
__________________
__________________
6. That the above facts are true and correct.
DEPONENT
VERIFICATION:-
Verification at New Delhi on this 19th day of October 2015, that the contents of
the above affidavit are ture and correct of my knowledge and belief and nothing has
DEPONENT
AFFIDAVIT
I, SANTOSH KUSHWAHA SON OF SHRI VIDYANAND KUSHWAHA Resident of
House No.B-2, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
affirm and state on oths as follows:-
Contd…2..
*** 2 ***

2. That my date of birth is 07th November 1985.
3. I have never been in custody or jailed and there is no criminal case is pending against me in
any court of law in India/Abroad.
4. I have not been ever convicted for any offence under the law.
DEPONENT
VERIFICATION:-
Verification at New Delhi on this 31st day of October 2015, that the contents of the
above affidavit are ture and correct of my knowledge and belief and nothing has been
concealed there from.
DEPONENT
AFFIDAVIT
 I, CHANDAN SAHOO Son of:- RAMNIWAS, resident of H.NO :- I-200,Colony:- SAURABH
VIHAR,MAIN NALA ROAD,HARI NAGAR EXTN, PO:- BADARPUR, PS:-JAITPUR, Tehsil:-SARITA
VIHAR, District:-SOUTH-EAST, State:- NEW DELHI,PIN:-110044.
Do solemnly declear and affirm as under:-
 That as per discharge book my mother name mentioned as SMT MIRA, where as per
my 10th education certificate my mother name mentioned as MEERA.
 That both the name SMT MIRA and MEERA are pertains to my mother name and
correct name of my mother is MEERA.
 That as per discharge book my mother date of birth is mentioned as 05 sep

1996,which is correct as there is no other proof for date of birth is available.
 That as per discharge book, relation certificate and PAN card my father name
mentioned as RAM NIWAS,whereas as per 10th education certificate my father name
mentioned as RAMNIWAS.
 That both the name RAM NIWAS and RAMNIWAS are pertains to my father name and
correct name of my father is RAM NIWAS.
 That I had passed my 12th standard Aug 2014, since Aug 2014 to till date i have not
took admission in any of the educational institute/college and preparing my self to get enrol
in INDIAN ARMY.
 That during the period with effect from Aug2014 to till date there is no case of
crime/miss-conduct registered against me in any court of law in INDIAN/ABROAD.
 So,I swear to this affidavit that the declaration made by me above is true and correct
Candidate sign
AFFIDAVIT
 I No:- 14601864k, Rank:-EX-HAV ,Name:- RAMNIWAS Arms/Services EME, son of LATE
MANI RAM,
Resident of H.NO:- I-200, colony:- SAURABH VIHAR,MAIN NALA ROAD,HARI NAGAR EXTN, P.O:-
BADARPUR,
Tehsil:- SARITA VIHAR, District:- SOUTH-EAST, PIN:-110044, State:- NEW DELHI, Caste:-OBC,
Sub caste:- TELI,
And Religion:- HINDU, do hereby solemnly affirm as under:-
 I am well aware that ONLY ONE REAL SON can be enrolled in the Army on the basis of
my RELATION CERTIFICATE issued by record office.
 That CHANDAN SAHOO is my real son .
 That his date of birth is 30 MARCH 1996 as recorded in the education certificate.
 That his date of birth is 30 MARCH 1996 as recorded in the relation certificate.
 That I wish to join my son in Indian Army. Corps of EME at 1 EME CENTER,
Secunderabad on the basis of relationship certificate issued by EME
RECORDS,SECUNDERABAD .
 That I had/have never enrolled my other son earlier on the basis of my relationship.
 That I will not ask for enrolment of my SON other than above in future.
 I am making this affidavit in order to enroll my son in the Army. I do hereby declare
that the above stated facts are true and correct to the best of my knowledge and
belief. I am completely responsible for any legal case against me. If the facts stated
above are found incorrect at any stage letter.
Signature of sponcer SWEAR BEFORE ME
AFFIDAVIT
 I, CHANDAN SAHOO son of RAMNIWAS aged 19 years, mother’s name MEERA,
resident of H.NO:- I-200, Colony:- SUARABH VIHAR, MAIN NALA ROAD,HARI NAGAR EXTN,
post office:- BADARPUR, Tehsil:- SARITA VIHAR, District:- SOUTH-EAST, state:- NEW DELHI,
PIN:- 110044, caste:- OBC, sub caste:- TELI, and religion HINDU do hereby solemnly affirm
and state on oths as follows:-
 My date of birth is 30 MARCH 1996.
 I had/have not been a member of any banned/political organization.
 I have never been in custody or jailed and there is no criminal case is pending
against me in any court of law in India/Abroad.
 I have not been ever convicted for any offence under the law.
 It is certified that:-
 I have passed 10th exam in 21-05-2012 vide certificate –cum-Grade sheet No:-
SSE/2012 420367, TC NO:- 189082 and secured 7.4 CGPA out of 10 CGPA.
 I have passed 12th exam 06-08-2014 vide certificate No:-SSCE/2014 094326, Mark
sheet No:-SSCE/2014/118101, TC No:-352/13-14, and secured:- 281,Marks out of 500
marks.
 So, I swear this affidavit is the declaration made by me as given above is true and
correct .
Signature of candidate swear before me
AFFIDAVIT/N.O.C.
Contd…2..
*** 2 ***
I, LAXMI DEVENDRAN WIFE OF SHRI RAJAN Resident of House No.S-221/3-A-1, Gali
No.7, Vishnu Garden, Tilak Nagar, West Delhi, Delhi-110018, (vide Aadhaar Card No.8291
4837 8830), do hereby solemnly affirm and declare as under:-
2. That I am the co-owner and in possession of a Built up House No.37, Ground Floor,
land measuring 75 Sq.Yds & First Floor land measuring 100 Sq.Yds. Part of Khasra
No.20/1, 20/2 & 21, Situated at Gali No.13, Molar Band Extn. P.O.Badarpur, New
Delhi-110044.
3. That I have no objection if the INDUS TOWER LTD at Okhla, Phase-I, New
Delhi-110020, shall transfer the Quarterly remuneration/funds or make the payment
cheques in the account of GUDDI SAXENA WIFE OF SHRI MADAN SAXENA on
behalf of me.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAMESH CHANDRA TRIPATHI SON OF LATE SHRI RAM SHANKAR

TRIPATHI Resident of House No.G-80, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-
Contd…2..
*** 2 ***
2. That “ANKIT TRIPATHI’ was my real son who had died in a Road Accident on dated
04.11.2015.
3. That I want to issued me a Death Certificate of my said son from the concerned
authority.
DEPONENT
VERIFICATION :-
Verified at New Delhi on this 28th day of November 2015 that the contents of the above
DEPONENT
AFFIDAVIT
I, SANJAY KUMAR SINGH SON OF LATE SHRI L.B. SINGH Resident of House
No.B-24C, Ekta Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***
2. That “REETU SINGH is my real daughter who is studying in 10 th Class, Section-A, in

Kendriya Vidhyalaya, Sadiq Nagar, Masjid Moth, New Delhi.
3. That I have admitted my daughter in Kendriya Vidhyalaya for better education & bright
future.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, KUNAL JHAMB SON OF SHRI HARBANS LAL Resident of House No.A-25,

Hari Nagar, Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly undertake, affirm
Contd…2..
*** 2 ***
1. That I Kunal Jhamb as MANAGER of NEW KALINDI PUBLIC SCHOOL at J-36,

Saurabh Vihar, Hari Nagar Extn. Badarpur, New Delhi-44.
2. That our school does not use the Two Rooms of Third Floor of School Building built on
Property No.J-36, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 04th day of January 2016, that the contents of my above
DEPONENT
AFFIDAVIT
I, RAMVIR SHARMA SON OF SHRI MOTI LAL SHARMA Resident of House
No.F-29, Hari Nagar, Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
2. That I being the owner premises bearing Shop No.F-19, Hari Nagar, Part-II,
3. That from D & E-Block, Madanpur Khadar to Agra Canal Road, via-Hari Nagar, Part-
II, Property No.F-19, Mithapur, Faridabad, Palwal, Haryana, is a commercial road.
4. I have paid the conversion charges of Shop No.F-19, Hari Nagar, Part-II, P.O.Badarpur,
New Delhi-110044, in MCD, which conversion slip attached herewith.
5. That Shop No.F-19 is a commercial Shop and the above said shop is situated in
commercial area.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, TINU OOMMEN, Christian, aged 26 years son of Mr. UMMACHAN
VILAYILPADEETTATHIL OOMMEN residing at VILAYIL PADEETTATHIL,
CHUNAKARA PO, CHUNAKARA NADUVIL, MAVELIKARA, ALAPPUZHA, Kerala, Pin:
690534, having Indian Passport Number K 2840111 do hereby solemnly affirm and state as
follows:
Contd…2..
*** 2 ***
1. That I have no income chargeable to Income Tax in INDIA for the Assessment Years
2008-09 to 2015-16 and my PAN is AAQPO1351E
2. That I have not filed my return of income for the Assessment Years 2008-09 to 2014-15
and filed return of income for the Assessment Year 2015-16 and I have no taxable
income during that years. The details of my taxable income are as follows
2008-09 Nil
2009-10 Nil
2010-11 Nil
2011-12 Nil
2012-13 Rs.1,15,500/-
2013-14 Rs.1,86,000/-
2014-15 Nil
2015-06 Rs.1,47,000/-
3. That my income from all sources will not come under the purview of Income Tax Act
1961
4. I once again affirm that I have no income which is liable to be assessed to Income Tax
and Wealth Tax
All the statements made above are true and correct to the best of my knowledge and belief
Dated this 6th day of January 2016 at New Delhi
Deponent: TINU OOMMEN

From
TINU OOMMEN,
VILAYIL PADEETTATHIL,
CHUNAKARA PO,
MAVELIKARA,
ALAPPUZHA - 690534
To
The Income Tax Officer,
Ward – 5,
Thiruvalla
Sub: Issue of Income Tax Clearance Certificate
Sir,
I am in need of Income Tax Clearance Certificate to produce before CANADA

Embassy for VISA processing. I hereby by attach an affidavit that I have no income
assessable to Income Tax. I request you to kindly issue the certificate at your
earliest.
Thanking You,
Yours Faithfully
TINU OOMMEN
Dated this 6th day of January 2016 at New Delhi
AUTHORISATION
Contd…2..
*** 2 ***
I, TINU OOMMEN, residing at VILAYIL PADEETTATHIL, CHUNAKARA PO, CHUNAKARA
NADUVIL, MAVELIKARA, ALAPPUZHA, Kerala, Pin: 690534 do hereby authorise and appoint
Adv.M.J.MATHEW, KOTTUKULAM, NANGIARKULANGARA, HARIPPAD - 690513 to represent
me before The Income Tax Authorities in connection with application for Issue of Income Tax Clearance
Certificate to produce before CANADA Embassy for VISA processing and all notices served, acts
done or appearances made by him in connection therewith shall be binding on me as though such
notices were served, acts done or appearances were made by me in person.
Place : New Delhi
Date : 06-01-2016 TINU OOMMEN
I M J MATHEW, do hereby declare that being an Advocate I am qualified under the provisions of the
Income Tax Act to represent the above assessee.
Place : New Delhi
Date : : 06-01-2016 M J MATHEW

AFFIDAVIT
Contd…2..
*** 2 ***
I, MANISH RAGHAV authorized signatory of AASHIYANA INFRASTRUCTURE at

D-601, Prince Appartment, I.P. Extn. Patparganj, Delhi-110092, do hereby solemnly affirm and
declare as under:-
1. That I am citizen of India and permanent resident of above said address.
2. That I have lost my original Registration Certificate (RC) of Vehicle No.DL8C-NB-

2022 has been lost while traveling.
3. That said RC is not been impounded by Police or court and no challan etc. is pending
against the said vehicle.
4. That I have also lodged FIR/NCR in this regard and I assure that after issuing the
duplicate of same if I found original, I will not misuse the same and return it to the
Authority or concerned department.
5. That the above statements are true and correct.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, MAAN SINGH SON OF LATE SHRI RAM SINGH Resident of House No.F-251,
Harsh Vihar, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***
1. That I belong to DHOBI (Hindu) Caste which is belonging to SC communities notified

by Central Government
2. That I have been ordinarily residing on the above mentioned address for last many
years.
3. That I am a Student/unemployed/employed as Labour work and my annual income is

abount Rs. 96,000/-(Rupees Ninety Six thousand only) per annum.
4. That I have not been issued SC certificate from Delhi or any other state/Union Territory.
DEPONENT
VERIFICATION :-
DEPONENT
To,
South Delhi Municipal Corporation,
Central Zone, Lajpat Nagar,
New Delhi-110024.
1. That from D & E-Block, Madanpur Khadar to Agra Canal Road, via-Hari Nagar,
Part-II, Commercial Shop No.F-19, Mithapur, Faridabad, Palwal, Haryana, is a
commercial road according to Master Plan Delhi-2021, mentioned on Page No.306
and serial No.17.
2. That the conversion charges of Shop No.F-19, Hari Nagar, Part-II, P.O.Badarpur, New
Delhi-110044, had already paid in MCD, which conversion slip attached herewith
bearing Slip No.72585 on 11.12.2015-2016.
3. That Shop No.F-19 is a commercial Shop and the above said shop is situated in
commercial area.
Date:- 22.1.2016
Amit Kumar
(Junior Engineer)
AFFIDAVIT
I, SACHIDANAND SON OF LATE SHRI RAM LAKHAN Resident of House

No.J-96, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly
Contd…2..
*** 2 ***
1. That I am citizen on India.
2. That I was working as a Shunting Master with Northern Railway at Tughlakabad, New
Delhi-110044 for last 42 years, after I had retired on 31.5.2015.
3. That I have leaved Delhi on 18.12.2015, after my retirement.
4. That Now I am permanent resident of Village Bageshwari, P.O.Shampur, P.S. Shampur
(Haveli Kharagpur), Distt. Munger Bihar.
DEPONENT
VERIFICATION :-
Verified at New Delhi on this 09th day of February 2016 that the contents of the above
DEPONENT
AFFIDAVIT
1. I, Name Rohit son of Shri Dinesh while applying for enrolment in Army solemnly
affirm & state the following in my respect:-
Contd…2..
*** 2 ***
(a) I belong to the following Caste/Religion:-
Caste:- General Subh Caste____________ Religion Hindu.
(b) My Residential Addresses are as under:-
(i) Permanent Address (Address as per Nativity/Permanent Resident

Certificate).
Father’s Name:- Dinesh House No.3404, Gali No.75, Block E-II, Molar
Band Extn. P.O.Badarpur, New Delhi-110044, Distt. South-East, State
Delhi.
(ii) Postal Address
Father’s Name:- Dinesh House No.3404, Gali No.75, Block E-II, Molar
Band Extn. P.O.Badarpur, New Delhi-110044, Distt. South-East, State
Delhi.
© I am unmarried.
(d) I hereby certify that I am not involved in any civ/criminal case

OR
Following court cases/FIR are pending against me:-
(e) Consent Certificate. I am below 18 yrs and my parents give their consent, for
attending the Army Rect Rally. (if applicable) Sig of Father
_________________
2. I give an undertaking that all documents submitted by me are correct. All documents
issued by govt org/offices have been signed by authorized designated and govt officials.
If any docu at any stage is found fake, I am aware that I will be dismissed from service
and FIR will be lodged against me.
Signature of Candidate
AFFIDAVIT
I, REKHA DEVI WIFE OF SHRI SHAILENDER PRASAD GUPTA Resident of

House No.C-246, Harsh Vihar, Hari Nagar, Part-III, P.O.Badarpur, New Delhi-44, do hereby
Contd…2..
*** 2 ***
2. That I was the actual owner and in possession of a Built up House No.C-246, (Old
No.C-237), land measuring 30 Sq.Yds. Consisting of One Room set on Ground Floor,
with all roof rights, Part of Khasra No.940, Situated at C-Block, Harsh Vihar, Hari
Nagar, Part-III, P.O.Badarpur, New Delhi-44.
3. That I have sold my above mentioned property to SHRI MANOJ SON OF SHRI
VIJENDRA Resident of House No.78, Mohalla Kotla-3, Village & P.S. Meerapur, Distt.
Muzaffar Nagar, (U.P.).
4. That One Original/Photocopy Chain of the above said property which was executed by
Smt. Ramwati wife of Shri Chander Pal Singh in favour of Smt. Saroj Devi wife of Shri
Jayanti Prasad 27.4.2004, has misplace at the time of execution of Power of Attorney
and concerned documents.
5. That I shall provide the above said misplaced documents of the above said property to
the said purcher Shri Manoj within the fixed period of on or before ________________.
6. That in future if found any problem, dispute shall creat then I will fully responsible for
the same.
DEPONENT
VERIFICATION:-
Verified at Delhi on 01st day of April 2016, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
I, Suresh Kumar son of Shri Har Swaroop Singh Resident of House No.D-192, Saurabh
Vihar, P.O.Badarpur, New Delhi-110044, do hereby affirm and declare as under:-
1. That I retired from Municipal Service on 29.2.2016, Electrical Deptt. (E.E.E-IV), Office
South-Zone SDMC as A.E. (Electrical) South-Zone, New Delhi.
Contd…2..
*** 2 ***
2. That I am bonafide pensioner of South Delhi Municipal Corporation.
3. That I could not join the scheme “Medical Facilities to Municipal Penioners”/Family
pensioners” of South Delhi Municipal Corporation (hereinafter called the scheme) for
personal reasons within due date.
4. That I wish to join the said scheme.
5. That neither I am in receipt of monthly Medical Allowance nor I will resort to the same
at a later date once joining the scheme.
6. That I shall claim all benefits from prospective effect i.e. from date of joining the
scheme (deposition or contribution).
7. That I shall not claim any expenditute Insured or treatment on self or dependent
members prior to joining the scheme.
8. That I am fully aware of the terms/conditions of the said schemem and the rules
governing the same and do hereby affirm to abide by them.
9. That the family members as detailed in the option form are fully dependent upon me.
10. That in the event any of my dependent family members ceases to be dependent upon me
as per rules laid down, I shall voluntarily disclose the same and get his/her name deleted
from list of dependent.
DEPONENT
VERIFICATION:-
DEPONENT
CONSENT LETTER
Contd…2.
** 2 **

I/We MOHD. SHAMSHAD own a vehicle bearing Registration No.DL-3SCW0854,
Engine No.HA10ELEHD61323, Chasis No.MBLHA110A3EHD28515, which is insured with
Reliance General Insurance Co. Ltd. vide Policy No.1305552312010578 for the period from
22.04.2015 to midnight of 21.04.2016. My/Our vehicle got stolen on 30.10.2015 for which
I/We have lodged a claim with RGICL.
I/We hereby agree to accept the full and final settlement of my theft claim on “Total Loss” basis
for Rs.___________/- (Rupees __________________________________________only).
This consent is given by me/us after clearly understanding the mode of settlement of claim.
I/We also agree to the condition that my/our policy will stand cancelled immediately upon
Settlement. I/We also confirm that I shall not raise any dispute/ issue against settlement of this
claim.
Date:- 02.05.2016
Place:- New Delhi
(Signature of the insured)
Signature & Name of Witness :
(1) _____________________
(2) ______________________
UNDERTAKING
Contd…2.
** 2 **

Whereas I, SURINDER KUMARI WIFE OF SHRI RAMESH CHAND SAINI Resident of
House No.E-71, Gali No.3, Jaitpur Road, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044,
have been working in the Education Department of South Delhi Municipal Corporation in the
pay band 2 grade pay of Rs.4,800/- on permanent basis my present scale is Rs.18,730/- and
present posting is in S.D.M.C. primary School, Molar Band Village-I, P.O.Badarpur, New
Delhi-110044.
Whereas I, the said Surinder Kumari intend to going Australia to visit my daughter the visit will
be financed by my husband.
Now therefore in consideration of the South Delhi Municipal Corporation granting me a No

Objection Certificate for going Australia I hereby declare and undertake to abide the following.
1. That I the said Surinder Kumari shall not have India without getting the leave
sanctioned by the competent authority and would also clear all S.D.M.C. dues
which I may be owning to the corporation on the date of the grant of No Objection
Certificate.
2. That I the said Surinder Kumari would apply for special earn leave required by me for
the purpose of visiting my daughter accompany my daughter Dr. Shikha Saini for the
purpose of registration.
3. That I would along with the application for leave submit a no due certificate indicating
that I do not own any money or dues to corporation I state that leave is urgently
required and the no due certificate is attached. I shall furnish two sureties who are
permanent employees of the corporation and are younger to me in age.
4. That I the said Surinder Kumari which while in Australia shall not take up any
employment or do my private business or commercial activity during the period of
leave without first resigning from South Delhi Municipal Corporation duly
authorized leave by me for the period I remain on leave abroad shall always be subject
to the me furnishing a certificate to the aforesaid always be subject to the me furnishing
a certificate to the aforesaid effect to the drawing and disburse officer.
Contd…3.
** 3 **
5. That the leave sanctioned to me by the corporation for the visit Australia would not be
got extended by me in case I fail to resume duty on the expiry of sanctioned leave, it
may be taken that I have resigned from S.D.M.C. with effect from the date I was
supposed to join my duty after the expiry of leave.
6. That immediately on my reaching Australia, I shall communicate under a proper

acknowledge meant my residential address abroad to the Deputy Director (Education)
S.D.M.C. Director personal SDMC. And the office to which I was posted at the time of
my proceedings aborad on leaves any subsequent change of address shall be
punctually and regularly communicated to the aforesaid authorities / a officers under
proper acknowledge mean in the event of my failure the South Delhi Municipal
Corporation would be at liberty to take action as provided in clause (5) above.
7. That during my absence on leave Australia I will take appropriate for directing to meet
any local address in India and the same shall deemed to have been received by me even
if these are returned to the corporation office as undelivered or otherwise.
8. That my husband will bear all the expenditures of my visit to Australia.
9. That in addition to above the SDMC would also authorized to take action in the event of
my going on unauthorized absence as it may be necessary in terms of actions 95 of
SDMC Act, 1957 read with rule 9 (11) of SDMC services conduct and appeal relation
1959.
DEPONENT
WITNESS :
1.
2.
AFFIDAVIT
Contd…2.
** 2 **

I, SURINDER KUMARI WIFE OF SHRI RAMESH CHAND SAINI Resident of House
No.E-71, Gali No.3, Jaitpur Road, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044,
1. That I hereby declare and undertake that which Australia I shall not take up any
employment or do any private business or commercial activity without first resigning
from the Municipal service.
2. That I shall not extent sanctioned to me by the South Delhi Municipal Corporation to
visit foreign land in case I fail to resume duty upon expiration of leave it may be taken
that resigned from the S.D.M.C.
3. That during the leave period my address for communication will be as follows and the
letter (S) delivered at this address shall be deemed to have been delivered to me.
Ashish
9b Wittering Crescent, Balga,
WA-6061
DEPONENT
VERIFICATION :-
Verified at New Delhi on this 03rd day of May 2016 that the contents of the above said
been concealed therefrom.
DEPONENT
AFFIDAVIT
I, Surendra Singh (Advocate) son of Late Shri Vikram Singh Resident of House
Contd…2..
*** 2 ***
1. That the deponent is a practicing Advocate having his Enrolment No.D/1675/2009.
2. That the deponent is involved in the profession of legal consultancy from his chamber
No.573, Saket Distt. Court, New Delhi, since the date of his enrolment.
3. That the deponent is also indulged in the profession of property related legal drafting.
4. That it is true and correct statement of the deponent.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 14th day of May 2016, that the contents of this Affidavit are
DEPONENT
UNDERTAKING
Contd…2..
*** 2 ***
I, RAJESH KUMAR SHARMA SON OF SHRI PHOOL CHAND SHARMA

proprietor of M/s HARI OM BROTHERS at A-1111, Jahangirpuri, Delhi-110033, do hereby
I/We undertake and confirm that eligible similar work(s) has/have not been got
executed through another contractor on back to back basis. Further that, if such a
violation comes to the notice of Department, then I/we shall be debarred for biding in
CPWD in future forever. Aslo, if such a violation comes to the notice of Department,
then I/we shall be debarred for bidding in CPWD in future forever. Also, if such a
violation comes the notice of Department, before date of start of work, the Engineer –
in-charge shall be free to forfeit the entire amount of Earnest Money
Deposit/Performance Guarantee.
For HARI OM BROTHERS

DECLARATION
Contd…2..
*** 2 ***
I, Suman Kumar Secretary/authorized representative of NISHULK SHIKSHA SAMITI, son

of Shri Mahendra Pal aged 33 years and resident of House No.B-27, Gali No.9, Gagan Vihar,
P.O.Badarpur, New Delhi-110044, hereby declare that the Trust/Society/company vide its
executive meeting held on ________ vide item no._____________ had resolved to establish the
proposed ITI namely BRILLIANT PRIVATE I.T.I.
It is also declare that the full form/extension of the name of proposed ITI name of the proposed
ITI as mentioned in online portal is BRILLIANT PRIVATE I.T.I. The
tools/equipment’s/machines/power connection/other facilities, purchased/obtained in the name
of BRILLIANT PRIVATE I.T.I. as mentioned in online portal> shall only be used for
BRILLIANT PRIVATE I.T.I.
It is affirmed that the facts stated in this declaration are true to my/our knowledge and no part
of the same is false/nothing material has been concealed therefrom.
The event of violation of the undertaking mentioned herein, NABET shall be free to take
appropriate action against the ITI <BRILLIANT PRIVATE I.T.I.> without consideration of any
related issues and that all liabilities arising out of such action shall solely be that of the
(NISHULK SHIKSHA SAMITI).
Further, I SUMAN KUMAR Secretary/authorized representative of NISHULK SHIKSHA

SAMITI on behalf of <NISHULK SHIKSHA SAMITI> hereby authorize NABET QCI to
make necessary modification in the name of the proposed ITI in the online portal by replacing
<B.P.I.T.I.> as presently mentioned, with BRILLIANT PRIVATE I.T.I.
Signatures of the secretary

Stamp Seal
Ref. No……….. Date:-
TO WHOM IT MAY CONCERN
This is to certify that Mr. Santosh Kumar son of Mr. Murli Dhar has worked as
Assistant Lecturer in Computer Science department of our Institute from May
2011 to May 2016 During that time he was the faculty of mobile Computing and
software engineering He was also playing a very active. Role as a software
eingineer.
We found him honest, dedicated Hardowrking and well behaved during his
working Period with us.
We wish him every success in life.
All the best for your future endeavour.
Dr. P.K. Bharti

DECLARATION
I, Suman Kumar Secretary authorized representative of <NISHULK SHIKSHA SAMITI> son

of Shri Mahendra Pal aged 32 years and resident of B-27, Street No.9, Gagan Vihar,
P.O.Badarpur, New Delhi-110044, on behalf of my trust hereby certify that:
Contd…2..
*** 2 ***
1. I am fully aware regarding the details / information (namely: <NISHULK SHIKSHA

SAMITI> at B-27, Street No.9, Gagan Vihar, P.O.Badarpur, New Delhi-110044, land,
building, trades & units tools & equipment’s, bills, staff power connection and other
facilities) w.r.t the proposed ITI namely <BRILLIANT PRIVATE ITI> at C-353, Gali
No.13, Shiv Mandir Marg, Om Nagar, P.O.Badarpur, New Delhi-110044.
2. The details provided in the online portal are unmistakably accurate & true to best of my
knowledge and no part of the same is false or nothing material has been concealed there
from.
3. I am also fully aware, the information w.r.t organisational details, name & address of
ITI and trades & units applied for, once filled in the online portal is final and cannot be
changed ( trades/units can be surrendered but not enhanced) and hence, no request to
this effect shall be made to QCI/DGT in future.
4. The application fee / the site visit fee, once paid is non-refundable (even if the trust
/Society/company/applicant/ITI) surrenders the application / trades / units after its
payment.
In the event, if any of the information / details given in the portal is found to be untrue / false,
NABET shall be free to take appropriate action against the ITI < BRILLIANT PRIVATE ITI >
without consideration of any related issues and that all liabilities arising out of such action shall
solely be that of the (NISHULK SHIKSHA SAMITI).
Signatures of the chairman\Secretary
Stamp/seal
AFFIDAVIT
I, MOHD. TUFAIL SON OF MOHD. IRSHAD Resident of House No.R-14, Gali
No.5, Hari Nagar Extn. Saurabh Vihar, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
1. That “MOHD. SUHAIL” is my real son.
2. That my above said Son has taken admission in your school namely KALKA PUBLIC
SCHOOL, Alaknanda, Kalkaji, New Delhi-110019.
3. That my above said son/daughter has taken transfer certificate for further admission in
any other school.
4. That I have deposit caution money at the time of admission of my ward as a security.
5. That the security receipt of the above said security has misplaced anywhere.
6. That the above said security amount may kindly be given to me on the basis of the
affidavit.
DEPONENT
VERIFICATION :-
Verified that contents of the above affidavit are true and correct to the best of my knowledge
and nothing has been concealed therein.
DEPONENT
AFFIDAVIT
I, ANAND SINGH MEHRA SON OF LATE SHRI BHIM SINGH MEHRA Resident
of House No.I-1030, Gali No.23, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do
Contd…2..
*** 2 ***
1. That “PRIYA MEHRA” is my real daughter.
2. That my above said daughter has taken admission in your school namely SOS
HERMANN GMEINER SCHOOL, Sect. 29, Police Line, Faridabad, Haryana.
3. That my above said son/daughter has taken transfer certificate for further admission in
any other school.
4. That I have deposit caution money at the time of admission of my ward as a security.
5. That the security receipt of the above said security has misplaced anywhere.
6. That the above said security amount may kindly be given to me on the basis of the
affidavit.
DEPONENT
VERIFICATION :-
Verified that contents of the above affidavit are true and correct to the best of my knowledge
and nothing has been concealed therein.
DEPONENT
ANNEXURE-III
FORM OF MEDICAL CERTIFICATE

(To be signed by a Registered Medical Practitioner)
I certify that I have carefully examined Shri Naveen son of Shri Padam Singh whose signature
is given below. As a result of his/her examination, I certify that nothing has been found which
may disqualify him/her from admission to a course in a techincal institution under the
Government of Delhi. I have further to report that:
1) His/her eyes appear to be …………………………………………

2) His/her heart & lungs are clear …………………………………………
3) His/her chest measurement is normal …………………… expanded …………………..
4) His/her weight is ……………………………..
5) His/her height is ……………………………
6) He/she wears glass/does not wear glass with ……………………… vision.
7) He/hse has no disease, mental and bodily infirmity, which makes him/her, unfit in the
near future for an active life and studies.
Marks of Identification………………………………….
Signature of Candidate ………………………………….
Date:
Name & Signature of the
Medical Officer with Stamp and Registration No.
AFFIDAVIT
I, DEVENDRA KUMAR SHARMA SON OF SHRI MANGAT RAM SHARMA

Resident of House No.529, Sect. 37, Faridabad, Haryana, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
2. That I am permanent residence of the above said address.
3. That KHUSHBOO SHARMA is my real daughter and her true and correct date of birth
is 20.5.1995, and she is the student of Ist Year in MSW Course.
4. That I am giving permission to my daughter, for going outside of the hostle/University

and time, in case any incidence occurs with my daughter then I will responsible for that
incident.
5. That hostel/Univeristy staff will not be responsible for that incident.
6. That my above statement is true and correct.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NAVAL KISHORE BAJPAI SON OF SHRI V N BAJPAI Resident of House

No.I-56/1, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2.
** 2 **
2. That my actual and complete name is NAVAL KISHORE BAJPAI, but my name has
mentioned as NAVAL KISHOR on my PAN Card & N K BAJPAI on my Election ID
Card.
3. That NAVAL KISHORE BAJPAI, NAVAL KISHOR & N K BAJPAI are the names of
same person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, POONAM KUSHWAHA DAUGHTER OF SHRI NARSINGH KUSHWAHA

Resident of House No.D-15, Gali No.25, Molar Band Extn. P.O.Badarpur, New Delhi-110044,
Contd…2.
** 2 **
2. That my actual and complete name is POONAM KUSHWAHA but my name has
mentioned as POONAM on my Election ID Card.
3. That POONAM KUSHWAHA & POONAM are the names of same person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, KULWANT SINGH YADAV SON OF SHRI ROSHAN LAL Resident of House

No.13A, Masani, Tehsil & Distt. Rewari, Haryana, do hereby solemnly affirm and declare as
under:-
Contd…2.
** 2 **
2. That my actual and complete name is KULWANT SINGH YADAV but my name has
mentioned as KULWANT SINGH on my Election ID Card.
3. That KULWANT SINGH YADAV & KULWANT SINGH are the names of same
person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, ASHOK KUMAR SON OF SHRI NARAYAN PRASAD Resident of House No.198,

Block A, Gali No.5, Shakti Vihar, Meethapur, P.O.Badarpur, New Delhi-110044, working in
South Delhi Municipal Corporation (on Contract Basis), do hereby solemnly affirm and declare
as under:-
Contd…2.
** 2 **
1. That I want to admit my son/daughter SHREYA in class Ist in KV N.T.P.C.

Badarpur, New Delhi-44. The particulars given in Registration Form, Admission Form
and Transfer Certificate are correct to the best of my knowledge and belief and I have
not admitted my ward by giving any wrong information.
2. If any information of document is found false or wrong later on, the admission of my
ward may be treated as cancelled. The decision of the Principal will be accepted by me
and I will not go to any court against the decision of the Principal of KV N.T.P.C.
Badarpur, New Delhi.
3. That I hereby give an undertaking to the effect that I shall not request for local transfer
of my ward to any other KV in Delhi.
Date :- 24.04.2018.
Place:- New Delhi.
Witnesses:-
1.
Signature of Parent
2.
AFFIDAVIT
1. I, SUDHIR KUMAR SON OF SHRI NARESH BABOO & RAJ KUMARI Resident of
House No.G-356, Gali No.8, Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-110044,
solemnly affirm on oath the following:-
Contd…2..
*** 2 ***
2. I have passed the Class ______(Roll No………………), in the Year _________ from
______________________________________________(Board/institution), as a
Regular/Private student/examinee.
3. I took admission in Shri Venkateshwara University, Gajraula in the Year …………. in

the Class (two/three yearly programme) …………………………………. and I have
passed all the examinations of the University in the year……………..
4. I am submitting herewith the certified/self-attested copy/copies of the mark sheet of the

said examination and I am also submitting the original Migration Certificate/Transfer
Certificate from the last Institution attended herewith.
5. I hereby declare that after passing the examination of the Class……... In the
Year…………………., I have not taken admission in any class/course from any other
Institution/University at any other place except in Shri Venkateshwara University,
Gajraula.
6. I am enclosing herewith the self attested copy of ………………………………. in

support of my identification.
I do hereby declare that all the above statements in paras from SI. No.1 to 6 above are
true to my belief and nothing has been concealed from my side.
Almighty may please help.
DEPONENT
Date:- 27.8.2016
AFFIDAVIT
I, BINDU DEVI WIFE OF SHRI MANOJ KUMAR Resident of House No.A-271,

Jaitpur Extn. P.O.Badarpur, New Delhi-110044, (vide Voter Card No.WGL2788767/dt.
6.1.2012), do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 ***
2. That presently I am residing at House No.A-271, Jaitpur Extn. Part-I, P.O.Badarpur,

New Delhi-110044.
3. That I shall handed over the above House No.A-271, Jaitpur Extn. Part-I, P.O.Badarpur,
New Delhi-110044, to SHRI RAMA SHANKAR SON OF SHRI CHULHAI RAM
Resident of House No.A-271, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, on
or before 15.11.2016.

Deponent
Verification:-
Place:- Delhi
Date:- 26.09.2016.
Deponent
Witnesses:-
1.
2.
AFFIDAVIT
Affidavit of Molhi Devi wife of Late Shri Upender Ram Resident of House No.R-29/4,
declare as under:-
Contd…2..
*** 2 ***
1. That my husband Shri Upender Ram son of Late Shri Ram Kishun Ram had expired on
9.8.2016, at Moolchand Hospital, Lajpat Nagar, Part-III, New Delhi-110024.
2. That I am legally wedded wife and lawfully entitled to all the dues of my late husband
i.e. Mediclaim etc. and if anybody else claim them I shall be held responsible for the
same.
and belief.
DEPONENT
VERIFICATION:-
DEPONENT
I, PAWAN KUMAR PATHAK SON OF LATE SHRI SHYAM DEV PATHAK

Resident of House No.E-49/2, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby
Contd…2..
*** 2 ***
2. That the actual and correct date of birth of my son/daughter named “PRIYANKA
PATHAK” is 30.05.2001 (30th day of May Two thousand One), who is studying in XIIth
Class, in Satyawati Sood Arya Girls Sr. Sec. School, Nizaamuddin East, New
Delhi-110013.
annually.
DEPONENT
VERIFICATION :-
DEPONENT
Hello Dear Sir/Madam,

I have placed an order for Xiaomi redmi note 3 gold 32 gb yesterday bearing order
No.5161024286210205, about 10:01 P.M. on the official website of MI & had done full
and payment for the said phone through Credit Card.
Suddenly, I heard my grand mother is suffering from a serious illness, she is not good
health wise. I have to go my home town immediately. So, therefore I am not able to
receive the delivery of said phone.
Kindly I am requesting to you plz cancel my above said order & refund my transaction
amount.
Regards
Deepak Kumar Jha
Phone No.9711113316
I, NARESH KUMAR SON OF SHRI DEVRAJ SAINI Resident of House No.H-14,

Aali Village, P.O.Sarita Vihar, New Delhi-110076, do hereby solemnly affirm and declare as
under:-
Contd…2..
*** 2 ***
2. That the actual and correct date of birth of my son/daughter named “VAISHALI SAINI”
is 27.10.1999 (27th day of October Nineteen Hundred Ninety Nine), who is studying in
BBA Ist Year in JB Knowledge Park, Faridabad, Haryana.
annually.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT
I, SANDEEP KUMAR SON OF LATE SHRI UPENDRA RAM Resident of House

No.R-29/4, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
solemnly affirm and declare that:-
Contd…2..
*** 2 ***
1. Following movable/immovable property (including cash/insurance

policy/plot/flat/house/agriculture land etc.) with value and income was held by my
family at the time of death of my father/husband:-
Details of property Value of Property (in Rs.)
1. H.No.R-29/4, Area 50 Sq.Yds. Rs.15,00,000/-

Khasra No.596, Situated at R-Block,
Saurabh Vihar, Hari Nagar Extn.
2. That the above said property shown in clause No.(1) is my ancestral property and in
which I have the ownership rights of 1/4th Undivided share.
3. The information provided above is correct and nothing has been concealed.
4. I fully understand the event of information provided by me proves to be incorrect, my

services if I am employed on compassionate ground are liable to be terminated at any
time.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
SELF DECLARATION
Contd…2..
*** 2 ***
I, SHYAM SHARAN SHARMA Father of Ms. Sikha Sharma who is studying in Ist
Year in Polytechnic Diploma in Meerabai Institute of Technology Maharani Bagh, New

Delhi-110065, do hereby declare that my annual Income from all sources is Rs.1,20,000/-
(Rupees One Lac Twenty thousand only).
If any stage, it is found that the information given by me is false/not true, all benefits given to
the student under welfare schemes could be withdrawn and legal action as deemed fit, may be
DEPONENT
VERIFICATION:-
DEPONENT
From:-
Sachin Kumar S/o Shri Pramod Singh

R/o J-137, Arpan Vihar, Jaitpur Extn. Badarpur,
New Delhi-110044.
To,
The Registrar,
Lingaya’s University (NAAC Accredited University Nacholi
Jasana Road, Old Faridabad, Haryana).
Subject:- Reply to Show Cause notice No.LU/Registrar/2016/1950 dated 13.12.2016.
Respected Sir,
In the above reference the applicant most respectfully submits that :-
1. That the para no.1 of is not admitted.
2. That in reply of para No.2 of show cause notice it is said that the alleged act was done
by the applicant under stress of some misunderstanding and for that the applicant has
admitted his fault in written before the Proctorial Board and also undertook to not to
repeat the such activities in further future and the dignity of University and its female
faculty as well as the teaching staff will be properly maintained by the applicant.
3. That in reply of para no.3 of show cause notice the applicant is under suspension from
30th November 2016, vide letter No.LU/Registrar/2016/1888 and prior to this
suspension the applicant had deposited his all outstanding in the account section for
appearing in the Ist Semester but due to the suspension the applicant could not appear in
the exam as has been conducted by the University and this would ruin the career of the
applicant.
4. That in reply of para no.4 of show cause notice it is correct that the parents of the
applicant i.e. the father Mr. Pramod Singh & Mother Mrs. Nisha Devi has also given in
written and apolozise on behalf of the applicant along with the confession of the
applicant that is the matter of record.
5. That para no.5 is admitted as the parents of applicant and applicant himself has admitted
in written for obnoxious involvement and for that submitted the apolozy letters.
6. In reply of para no.6 of show cause notice it is correct that the case of applicant was
produced before the proctorial board December 2016 after suspension of the applicant.
7. That in reply of para no.7 of show cause notice it is said that the Proctorial Board found
the applicant on guilty of cyber crime and on the basis of confession/written submission
of parents and applicant the University initiated the proceedings aginast the applicant.
8. That in reply of para no.8 & 9 of show cause notice the Proctorial Board had decided to
issue a show cause notice to the applicant which has been issued to give an opportunity
to the applicant for taking action of expulsion from the University due to the above said
involvement the applicant again admit his fault that was done under some
misunderstanding of some other pressures and apologize with the deep heart towards
the female staff as well as all the senior & junior managing staff & also undertakes that
the such type of activities will never be repeated by the applicant.
Therefore it is humbly prayed that the show cause notice may be filed in office and the
suspension of the applicant be set-aside and the applicant’s study and continuity be restored and
the applicant be permitted to appear in the First Semester examination for saving his future
career giving a chance for betterment. The applicant shall be cordially grateful to this act of
kindness of the management of the University.
I wish to receive my original academic testimonials from the University
Thanking You
Your’s sincerely
Sachin Kumar
AFFIDAVIT
I, BRIJESH KUMAR SON OF LATE SHRI INDER SINGH Resident of House

No.43, Village Molar Band, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***

2. That the correct and exact date of birth of my daughter namely “ISHIKA CHAPRANA”
is 22.05.2001 (22nd day of May Two thousand One).
3. I am applying for arms license of my said daughter in NRAI for shooting purpose.
4. That I undertake that I shall fully responsible for the act of my daughter in future for
any damages or mis-use of the arms license by my daughter.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 03rd day of January 2018, that the contents of this Affidavit are
DEPONENT
AFFIDAVIT
I, PRADEEP KUMAR SON OF SHRI BRAHAM PRAKASH GARG Resident of

House No.245, Sect. 37, Faridabad, Haryana, do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 ***
1. That I am the registered Owner of Vehicle bearing Registration No.HR51BK-3048,

Engine number _________________________and Chassis Number as
________________________ (hereinafter for the sake of brevity be referred to as
“vehicle”).
2. That on 31.12.2016 around 3 PM while my vehicle was prodeeding from my home

towards sector 12 by my son Mayank Garg met with an accident with Auto rickshaw.
3. That, at time of accident vehicle was drive by my son Mayank Garg and there win all 1
(including driver) persons traveling in and/or by the vehicle.
4. That in the said accident no person has sustained any bodily injury/ies and/or died.
Further the owner/s of the vehicle/s and/or property damaged in the said accident are
neithter claiming any compensation from me not have any grievance against the driver
of my vehicle.
5. That, the accident was neither reported to any Police Station not any Police Authority
has taken cognizance of the accident. After execution of these presents, if any police
complaint is filed and/or comes to my notice, I undertake to notify the same to you
without fail.
Contd…3..
*** 3 ***
6. That, I clearly understand that in the event of my above statement/s found to be

incorrect and/or false and thus would have deprived Liberty Videocon General
insurance Company Limited (hereinafter for the sake of brevity be referred to as the
“insurer”) of immediate opportunity to investigate into the matter, would be considered
as breach of duty on my part as envisaged u/s 134© of Motor Vehicle Act, 1988 r/w
condition 1 of the Polcity and in that case insurer will be well within its authority to
disclaim all and/or any kind of liablitiy/ies towards any such claim/s raised by third
party/ies including but not limited to revoerty of amount paid to me towards my own
damage claim.
DEPONENT
VERIFICATION
Verified at New Delhi on this 05th day of January 2017, that the contents of the above
said affidavit are true and correct to the best of my knowledge and belief and nothing has been
DEPONENT
AFFIDAVIT
I, PINKI KUMARI WIFE OF SHRI RAKESH KUMAR Resident of House

No.K-357/8, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
1. That I am the Co-Applicant of Space/Property Bearing No.B40005 project Eco village I

(hereinafter referred to as the “Said Property”) in the project called Eco village I, Plot-
08, Sector-1, Greater Noida-201303 constructed by M/s Supertech Limited, having its
Registered Office at 1114, 11th Floor, Hemkunt Chambers, 89, Nehru Place, New Delhi-
110019, also having its Corporate Office at Supertech House, B-28-29, Sector 58,
Noida, (U.P.), India (hereinafter referred to as the “Developer”) e booking form dated
28.8.2010 and have paid a sum of Rs.29,46,583/-(Rupees Twenty Nine Lac Forty Six
thousand Five Hundred Eighty three), vide receipt as per the details mentioned herein
under”
a. Cheque No.________ dated _______ drawn on ___________ Amount____________

b. Cheque No.________ dated _______ drawn on ___________ Amount____________
c. Cheque No.________ dated _______ drawn on ___________ Amount____________
d. Cheque No.________ dated _______ drawn on ___________ Amount____________
e. Cheque No.________ dated _______ drawn on ___________ Amount____________
f. Cheque No.________ dated _______ drawn on ___________ Amount____________
g. Cheque No.________ dated _______ drawn on ___________ Amount____________
h. Cheque No.________ dated _______ drawn on ___________ Amount____________
i. Cheque No.________ dated _______ drawn on ___________ Amount____________
(hereinafter referred to as the “Deposit Amount”)
2. That due to some personal reason I want to change my name from Mrs. Rajni kumari to
Mrs. Pinky kumari in the booking/allotment letter regarding said flat/unit my name was
written as Mr./Mrs. Rajni Kumari whereas my correct name is Mr./Mrs. Pinki Kumari.
Contd…3.
** 3 **
3. That I therefore, request the Developer to change my name from Mr.Mrs./Rajni kumari
to Mr./Mrs. Pinki kumari in the booking form and other subsequent
document/documents which shall be executed in relation to the said property.
4. That after change in my name in the booking form and subsequent documents of the
said Property, I shall have no claim, right, title, interest in the said Property, I shall have
no claim, right, title, interest in the Said Property in any manner whatsoever in the name
of Mr./Rajni kumari.
5. That I agree to surrender all past original documents including booking form dated
27/8/2010, receipts for the payments made, allotment letter, if issued, etc. regarding the
Said Property in my old name of Mr.Mrs. Rajni kumari.
6. That on the Developer acceding to my request and accordingly changing then name, I
hereby indemnify the Developer for any loss(s) and damage(s) or consequences that
may arise as a result of the above change and I hereby undertaken that I will make good
any loss or damages suffered by the Developer arising therefrom.
DEPONENT
Contd…4.
** 4 **
VERIFICATION:
Verified at Delhi on this 16th day of January 2016, that I am swearing the present
affidavit with my own free will without any undue influence, coercion or force in any
manner whatsoever and that the contents of all the paragraps of my above affidavit are
true and correct and nothing material has been concealed therefrom and no part of it is
false.
DEPONENT
Consent by Main-applicant for co-applicant name change in the property bearing Flat
No.B40005, project Eco village I situated at plot-08, sector-1, Greater Noida- 201303.
I Rakesh Kumar s/o Ram prabodh singh R/o K-357/8, Saurabh Vihar, Jaitpur, Badarpur, New
Delhi. Hereby give my unconditional consent as a main applicant for co-applicant name change
from Mrs. Rajni kumari to Mrs. Pinki kumari in the booking form/allotment letter and other
subsequent document in the above said property bearing Flat No.B40005, project Eco village I
situated at plot-08, Greater Noida-201303.
SIGNATURE OF MAIN-APPLICANT
AFFIDAVIT
I, BABITA WIFE OF LATE SHRI BRAJ MOHAN Resident of House No.50-A, Gali
No.54-H/1, Block E-III, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***
2. That my husband LATE SHRI BRIJ MOHAN had a Govt. Employee of Delhi Police.
3. That he had died on 22.12.2016 at B.K. Hospital, Faridabad, Haryana.
4. That I am the only legal heir of my deceased husband.
5. That I don’t have any source of income I and my family was full depended upon me.
DEPONENT
VERIFICATION :-
Verified at New Delhi on this 27th day of January 2017 that the contents of the above
DEPONENT
AFFIDAVIT
I, BABITA (vide Aadhaar Card No.4339 3397 4237) WIFE OF LATE SHRI BRAJ
MOHAN Resident of House No.50-A, Gali No.54-H/1, Block E-III, Molar Band Extn.
Contd…2..
*** 2 ***
2. That my husband LATE SHRI BRIJ MOHAN had a Govt. Employee of Delhi Police.
3. That he had died on 22.12.2016 at B.K. Hospital, Faridabad, Haryana.
4. That I, my daughter “ANNU SHARMA” & my son “ABHISHEK BHARDWAJ” are

the only legal heirs of deceased husband in which my daughter is under age/minor &
my above son is major. I wish to get job/employment for my above son from the
concerned department.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, MUKESH KUMAR SON OF LATE GEETA RAM Resident of House No.N-77/2,

Amar Market, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby
Contd…2..
*** 2 ***
2. That I am the proprietor of M/s GLOBE LABELS having its office at D-5/1A,
Basement, Main Road, Bhati Colony, Hari Nagar Extn. Part-II, P.O.Badarpur, New
Delhi-44.
3. That my above said firm is not registered to till date.
4. That I have a bank account from the name of my said firm M/s GLOBE LABELS
which copy of Bank Statement enclosed herewith.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 27th day of January 2017, that the contents of this Affidavit are
DEPONENT
AFFIDAVIT
I, SEEMA D/O Late Sh. Man Singh (W/O Sh. Raj Kishore) R/O H.No 5/9
Gagan Vihar, Meethapur, P.O.Badarpur, New Delhi 110044, do hereby solemnly
Contd…2..
*** 2 ***
1. That Sh. Man Singh was my father and expired on 06/04/15 at Batra
Hospital, Delhi.
2. That Late. She Man Singh was working in income tax department, Hans
Bhawan, New Delhi as a U .D.C.
3. That after death of my father it is request to the department that

the pension fund, dues, and other benefits regarding my father services may
be given to my sister RACHNA D/O Late Sh. Man Singh, R/O A 101, Jaitpur
extn, part 1, Badarpur, New Delhi 110044.
4. That I have no objection if the department may give the Job (Service)
on compassionate ground to my said sister RACHNA due to the death of my
father.

DEPONENT
VERIFICATION:-
Verified at Delhi on this 27th day of February, 2017 that the contents of
the above affidavit are true and correct to the best of my knowledge and
believe and nothing has concealed there from.
DEPONENT
AFFIDAVIT
I, SARITA D/O Late Sh. Man Singh ( W/O Sh. AKSHAY KUMAR) R/O
H.No.G-160, Swami Dayanand colony, Kishan ganj Delhi 110044, do hereby solemnly
Contd…2..
*** 2 ***
Hospital, Delhi.

father.

DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, BHUPESH RAO S/O Late Sh. Man Singh R/O A-101, Jaitpur Extn. Part-1,
Badarpur, New Delhi- 110044, do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 ***
Hospital, Delhi.

father.
5. That I am married and my wife name is ANUPA RAO, so I have no

objection if the department may give the Job (Service) on compassionate
ground to my said sister RACHNA due to the death of my father.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, NIKHAR VATS DAUGHTER OF SHRI ASHOK VATS Resident of House No.A-8

& 9, Om Vihar, Phase-V, Near Samadhi Road, Uttam Nagar, New Delhi-110059, do hereby
Contd…2..
*** 2 ***
1. That I have attained the age of majority, my date of birth is 13.01.1990.
2. That I am a Hindu.
3. That I am an Indian.
4. That my guardian has fixed my marriage on 15.4.2017, against my free consent, will, I
do not want marry with any person who was the choice of my guardian except Sunil
Kumar.
5. That I married to Mr. Sunil Kumar son of Shri Ram Vikas Resident of House No.179,
Block A, Gali No.12/1, Sindhu Farm Road, Mithapur Extn. P.O.Badarpur, New
Delhi-44, my free will and choice without any kind of undue pressure, coercion or force
from any side.
6. That our Court marriage has solemnized on 06.4.2017, at Arya Samaj, Manav Kalyan
Trust, Bodh Vihar, Akbarpur, Behrampur, Ghaziabad, (U.P.).
7. That after the solemnization of marriage with Sunil Kumar he will be my legalized
wedded husband.
8. That I have neither brought any cash or any kind of valuable from my house for
presentation to Sunil Kumar.
DEPONENT
VERIFICATION :-
Verified at New Delhi on this 07th day of April 2017 that the contents of the above
DEPONENT
AFFIDAVIT
I, PIYUSH KUMAR GUPTA SON OF SHRI VIRENDER KUMAR GUPTA Resident

of House No.180, Gali No.26-L, Molar Band Extn. P.O.Badarpur, New Delhi-44, (vide Driving
License No.DL-0320130374724(P), do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 ***
2. That I am unmarried.
5. That I am employed/unemployed.
6. That I intend to marry Miss Usha Negi daughter of Shri Hukum Singh Resident of
House No.19B/10-B, Gali No.10, Molar Band Extn. P.O.Badarpur, New Delhi-110044,
my free will and choice without any kind of undue pressure, coercion or force from any
side.
7. That our marriage will be solemnized in Arya Samaj, Arya Nagar (Regd.) at A-123A,
Ashoka Enclave, Part-II, Faridabad, Haryana.
8. That after the solemnization of marriage with Usha Negi daughter of Shri Hukum Singh
She will be my legalized wedded wife and I shall fulfil my duties as devoted and
faithful husband towards her and provide her food, lodging, comforts and necessaries of
life according to my resources.
presentation to Miss Usha Negi.
10. That I am not related to Miss Usha Negi within the prohibited degree of relationship
and not sapindas as per hindu marriage act 1955.
DEPONENT
VERIFICATION :-
Verified at New Delhi on this 03rd day of March 2017 that the contents of the above
DEPONENT
AFFIDAVIT
I, MONU SON OF SHRI RAM BABU Resident of House No.A-390, Gali No.8,
Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare
as under:-
Contd…2..
*** 2 ***
2. That my father “RAM BABU SON OF LATE SHRI NARAYAN SINGH” had died at
A-390, Gali No.8, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044 on 25.2.2017.
3. That due to lack of knowledge I could not register the name of my deceased father in
MCD record.
4. That I have the Application of the Jaitpur Extension Welfare Association.
DEPONENT
VERIFICATION:-
DEPONENT
To,
The Registrar,
Birth & Death Department MCD,
Lajpat Nagar, New Delhi-24.
Subject:- Application for Death Certificate.
Sir,
That my father “RAM BABU SON OF LATE SHRI NARAYAN SINGH” had died at
A-390, Gali No.8, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044 on 25.2.2017.
That kindly issue me a Death Certificate of my deceased father from the concerned
authority.
That I have the Application of the Jaitpur Extn. Welfare Association.
It is prayed.
(Shri Monu)
R/o A-390, Gali No.8, Jaitpur Extn. Part-I,
Dated:- 20.03.2017
AFFIDAVIT
I, NIKHAR VATS DAUGHTER OF SHRI ASHOK VATS Resident of House No.A-8

& 9, Om Vihar, Phase-V, Near Samadhi Road, Uttam Nagar, New Delhi-110059, do hereby
Contd…2..
*** 2 ***
2. That I am married.
5. That I intend to marry Mr. Piyush Kumar Gupta son of Shri Virender Kumar Gupta
Resident of House No.180, Gali No.26-L, Molar Band Extn. P.O.Badarpur, New
Delhi-44, my free will and choice without any kind of undue pressure, coercion or force
from any side.
7. That our marriage will be solemnized in Arya Samaj, Arya Nagar (Regd.) at A-123A,
Ashoka Enclave, Part-II, Faridabad, Haryana.
8. That after the solemnization of marriage with Piyush Kumar Gupta son of Shri
Virender Kumar Gupta he will be my legalized wedded husband and I shall fulfil my
duties as devoted and faithful wife towards him.
presentation to Mr. Piyush Kumar Gupta.
10. That I am not related to Mr. Piyush Kumar Gupta within the prohibited degree of
relationship and not sapindas as per hindu marriage act 1955.
DEPONENT
VERIFICATION :-
Verified at New Delhi on this 03rd day of March 2017 that the contents of the above
DEPONENT
AFFIDAVIT
Contd…2..
*** 2 ***
I, SAVITA WIFE OF SHRI UMESH GUPTA Resident of House No.B/601, Royal

Accord III, Shanti Park Mira Road (E), presently residing at House No.N-278A, Saurabh Vihar,
2. That I do not have Original Identity card so that’s why I got duplicate copy of Identity
Card from Net.
3. That I shall carry above said duplicate copy of my Identity card during traveling.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 21st day of April 2017, that the contents of this Affidavit are
DEPONENT
AFFIDAVIT
Contd…2..
*** 2 ***
I, CHANDAN MALAKAR SON OF SHRI JAGDISH MALAKAR Resident of House

2. That the correct & exact date of birth of my daughter named “JYOTIRADITYA
MALAKAR” is 16.08.2016 (16th day of August Two thousand Sixteen).
3. That I do not have birth certificate & any other Identity Card of my daughter.
4. That my daughter shall travel along with me.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 01st day of July 2017, that the contents of this Affidavit are true
DEPONENT
Undertaking by Student by way of Affidavit
Contd…2..
*** 2 ***
I, Deepak Kumar son of Shri Munna aged 23 years, permanent address at House No.K-171,
affirm and state on oath as under:
1. I certify that the documents submitted by me for admission in JNU Jaipur distance
education programme are true and exact photocopies of their respective originals and
same have been self-attested by me with my signatures on each and every page.
2. That if any, original or photocopy document(s) so submitted by me is found to be
fake/counterfeited/manipulated, then University in its sole discretion shall be well
within its right to take suitable legal action against me and cancel my admission in
University and in such eventuality, I shall not be having any claim(s) of any kind
whatsoever as against the Jaipur National University, Jaipur.
3. That in case any original or photocopy document so submitted by me is found to be

fake/counterfeited/manipulated after passing of course from Jaipur National University,
Jaipur, then in such eventuality, the degree/diploma/certificate so issued in my favour
by Jaipur National University, Jaipur shall ipso facto from inception shall be deemed to
be ineffective and I shall not be using said degree/diploma/certificate anywhere and
hereby confirm that Jaipur National University, Jaipur shall have no liability of any kind
whatsoever with regard to said degree/diploma/certificate and I shall not be having any
claim(s) of any kind whatsoever as against the Jaipur National University, Jaipur.
Contd…3..
*** 3 ***
Place: New Delhi.

Date: 27.4.2017.
Deponent
(…………………………….)
Verification
I, Deepak Kumar above named deponent, do hereby verify that the contents of Para No. 1 to 3
of the above affidavit are true and correct and nothing material fact has been concealed in it.
May God Help Me.
Deponent
(…………………………….)
Place: New Delhi.

Date: 27.4.2017.
AFFIDAVIT
I, Shankar Angrish Son of Late P.N.Angrish Aged 59 years, R/o 149, Golf Links, New Delhi-110003 do
hereby solemnly affirm and declare as under:
Contd…2..
*** 2 ***
 That I am fully authorized Director of “Opal Metal Engineering Private Limited” to execute
this affidavit and declare for and on behalf of “Opal Metal Engineering Private Limited”.
 That the company where I am one of the Directors wish to become a member of
Indraprastha Sehkari Bank Ltd., Delhi.
 That Administrative/Regd.Office of the Company is situated at B-1/H-4, Mohan Co-

Operative Industrial Estate, Mathura Road, New Delhi-110044 and business/ works is
carried out at B-1/H-4, Mohan Co-Operative Industrial Estate, Mathura Road, New Delhi-
110044.
 That the company deals in Export/Import/Renting & Consultancy activities.
 The present investment in the above said firm is Rs.2,70,76,000(Rupees two crore seventy
lakh seventy six thousand only)
 That the profit after tax is Rs.56,84,280(Rupees fifty six lakh eighty four thousand two
hundred eighty only) per annum for the Financial Year 2015-16.
 That the company “Opal Metal Engineering Private Limited” is not a member of any other
thrift & Credit Society / Co-operative Bank.
 That the company shall not raise any loan from any bank or any other financial institution
without the written permission from the bank in case application for membership of the
company is approved by the Bank.
 That the company and its all directors shall be abide by all terms of the bank.
(DEPONENT)
VERIFICATION
Verified at Delhi on this 03 rd day of May 2017, that the contents of the above affidavit are true to the
best of my knowledge and nothing has been concealed therein.
(DEPONENT)
AFFIDAVIT
I, Shankar Angrish Son of Late P.N.Angrish Aged 59 years, R/o 149, Golf Links, New Delhi-110003 do
Contd…2..
*** 2 ***
 That I wish to become a member of Indraprastha Sehkari Bank Ltd., Delhi.
 That I am working at Opal Metal Engineering Private Limited, Designation- Director.
 That I am a businessman my business is situated at B-1/H-4, Mohan Co-Operative

Industrial Estate, Mathura Road, New Delhi-110044 The business is in the name and style
of Opal Metal Engineering Private Limited.
 That my monthly income is Rs.2,00,000/-(Rupees two lakh only) which comes to

 I am not a member of any other thrift & Credit Society / Co-operative Bank.
 I have not borrowed any loan from any bank or any other financial institution and shall not
raise any loan from any other bank or any other financial institution without the written
permission from this bank for the same purpose.
 That I shall be abide by all terms of the bank.
(DEPONENT)
VERIFICATION
Verified at Delhi on this 03 rd day of May 2017, that the contents of the above affidavit are true to the
(DEPONENT)
AFFIDAVIT
I, Urmil Angrish W/o Mr. Shankar Angrish Aged 59 years, R/o 149, Golf Links, New Delhi-110003 do
Contd…2..
*** 2 ***
 That I am working at Opal Metal Engineering Private Limited, Designation- Director.

 That my monthly income is Rs.1,00,000/-(Rupees One lakh only) which comes to

(DEPONENT)
VERIFICATION
Verified at Delhi in this 03rd day of May 2017, that the contents of the above affidavit are true to the
(DEPONENT)
AFFIDAVIT
I, Babar Iqbal Yar Khan S/o Late Sagar Nizami Aged 59 years, R/o F-566, Sarita Vihar , New Delhi-110076
do hereby solemnly affirm and declare as under:
Contd…2..
*** 2 ***
 That I am working at Bayas Global Trading Private Limited, Designation- Director.

 That my monthly income is Rs.1,50,000/-(Rupees One lakh fifty thousand only) which
comes to Rs.18,00,000/- per annum.
(DEPONENT)
VERIFICATION
Verified at Delhi in this 03rd day of May 2017, that the contents of the above affidavit are true to the
(DEPONENT)
AFFIDAVIT/N.O.C.
I, CH. BHAGMAL SON OF LATE CH. KISHAN Resident of House No.50, Village
Molar Band, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2..
*** 2 **
2. That I am the legal & absolute owner of Built up Property No.I-674, land measuring
200 Sq.Yds. with all roof rights, Part of Khasra No.663, Situated in the revenue estate
of Village Molar Band, and abadi known as I-Block, Hari Nagar Extn. Jaitpur Road,
P.O.Badarpur, New Delhi-110044, (according to farad).
3. That I have appoint to my Grand Son’s wife named SMT. SAVITA KHARI
WIFE OF SHRI PARVESH VERMA through the General Power of Attonrey
vide a GPA duly attested by Notary Public Delhi on ___________.
4. That I shall have no objection if the concerned company shall make the cheques
of rent of the said premises bearing Built up Property No.I-674, in the name of
SMT. SAVITA KHARI.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT/N.O.C.
I, PUSHPA VERMA WIFE OF SHRI RAVI KANT VERMA Resident of House

declare as under:-
Contd…2..
*** 2 **
2. That my father-in-law is the legal & absolute owner of Built up Property No.I-674,
land measuring 200 Sq.Yds. with all roof rights, Part of Khasra No.663, Situated in the
revenue estate of Village Molar Band, and abadi known as I-Block, Hari Nagar Extn.
Jaitpur Road, P.O.Badarpur, New Delhi-110044, (according to farad).
3. That father-in-law have appoint to my daughter-in-law named SMT. SAVITA

KHARI WIFE OF SHRI PARVESH VERMA through the General Power of
Attonrey vide a GPA duly attested by Notary Public Delhi on ___________.
my daughter-in-law SMT. SAVITA KHARI.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT/N.O.C.
I, RAJAT VERMA SON OF SHRI RAVI KANT VERMA Resident of House No.50,
Village Molar Band, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare
as under:-
Contd…2..
*** 2 **
2. That my Grand father is the legal & absolute owner of Built up Property No.I-674,
land measuring 200 Sq.Yds. with all roof rights, Part of Khasra No.663, Situated in the
revenue estate of Village Molar Band, and abadi known as I-Block, Hari Nagar Extn.
Jaitpur Road, P.O.Badarpur, New Delhi-110044, (according to farad).
3. That Grand father has appointed to my sister-in-law named SMT. SAVITA

KHARI WIFE OF SHRI PARVESH VERMA through the General Power of
Attonrey vide a GPA duly attested by Notary Public Delhi on ___________.
my sister-in-law SMT. SAVITA KHARI.
DEPONENT
VERIFICATION :-
DEPONENT
REQUEST LETTER
To,
Respected Sir/Madam,
Indus Towers Ltd.,
09th Floor, DLF Cyber City,
Gurgaon, Haryana.
Sub:- To make the payment of rent bearing Premises No.I-674, from New Name.
Dear Sir/Madam,
I request to say that the rate of rent of Premises No.I-674, Khasra
No.663, Situated at I-Block, Hari Nagar Extn. Jaitpur Road, Badarpur, New
Delhi-110044, which had received by actual landlord (who is my husband’s Grand
Father), to till date from the concerned company. Now, I am requesting to the
conerned company Indus Towers Limited or his authorize delegate to make or issue
the payment through cheque/RTGS/NEFT in my name from next time in future.
Thanks
Date:- 21.05.2017.
Yours Faithfully
Savita Khari w/o Parvesh Verma
R/o H.No.50, Village Molar Band, P.O.Badarpur, New Delhi-110044.
** 2 **
e-Stamp Certificate No.IN-DL79424282498149P

This General Power of Attorney is made at Delhi on this 21 st day of May 2017, by CH.
BHAGMAL @ CHHOTE SON OF CH. KISHAN Resident of House No.50, Village Molar
Band, P.O.Badarpur, New Delhi-110044, hereinafter called the Executant/s.
IN FAVOUR OF: -
SMT. SAVITA KHARI WIFE OF SHRI PARVESH VERMA Resident of House No.50,
Village Molar Band, P.O.Badarpur, New Delhi-110044, hereinafter called General Attorney(s).
Contd…3.
** 3 **
Whereas the Executant/s is/are the absolute owner and in possession of a Built up
Property No.I-674, land measuring 200 Sq.Yds. with all roof rights, Part of Khasra No.663,
Situated in the revenue estate of Village Molar Band, and abadi known as I-Block, Hari Nagar
Extn. Jaitpur Road, P.O.Badarpur, New Delhi-110044, (according to farad), which is bounded
as under:-
East :- Road.
West :- Wall of Shri Shiv Kant Verma.

North :- Property of Shri Shiv Kant Verma.
South :- Property of Shri Ravi Kant.
(hereinafter called the property).
And Whereas, for management, control and supervision of my/our above mentioned
property. I/We the Executant/s, do hereby, appoint, nominate and constitute my/our above
mentioned true and lawful General Attorney, to do all acts, deeds and things in my/our name
and on my/our behalf, on the following terms and conditions of this General Power of Attorney,
as under:-
Contd…4.
** 4 **
NOW THIS G.P.A.WITNESSETH AS UNDER:-
1. To manage, control, look after, supervise and conduct all the matters relating to the above said
property.
2 To construct or reconstruct the said property, to sign on the building plan, to get the plan
sanction and perform all the duties on my/our behalf regarding the construction of the above
said property, issued by the authority concerned if necessary.
3. To apply for get the Electric, Water, Power and Sewerage connection and other services
installed in the said property from the authority concerned.
4. To let out the said property on rent to any person/persons to realize the rent his/her own name
from the tenant(s).
5. To execute, sign, present and verify all such papers, documents, etc. for me/us in my/our name
and on my/our behalf pertaining to sale and transfer of the said property.
6. To deposit all fees, dues, installment, house tax, and other charges of the concerned authorities
on my/our behalf.
7. To sell, mortgage, gift, lease, rent out and otherwise to deal with the said property, execute the
sale deed, rectification of sale deed, perpetual sub-lease deed, lease and conveyance deed, admit
its execution, transfer, the aforesaid property to any one and to receive the consideration amount
of earnest money to execute the proper deeds and documents and present the same for regn. in
the office of Sub-Registrar concerned and get the same regd. And to admit the execution
thereof, and if necessary to get the No Objection Certificate.
8. To receive the compensation or alternative site in case the said property is acquired by
authority/ Govt. concerned.
9. To apply and get the cement bricks and other building material for the construction, addition &
alteration of the said property.
Contd…5..
*** 5 ***
10. To file any affidavit, indemnity bond, declaration, or made any statement for getting any benefit
in respect of the above said property in any court or in any department.
11. To enter into an agreement for the sale of the said property, to receive the sale consideration and
give proper receipt thereof.
12. To pay all necessary dues and charges (remaining or further) to the authority(s) concerned on
demand.
13. To get the loan from any Bank or Society on the above said property on my/our behalf.
14. To file and suit complaint, petition, revision, written statement pertaining of any matters of the
said property or engage advocate to withdraw and compromise the cases.
15. To appoint further Attorney(s) and to engage pleader advocate for the performance of certain
Acts in connection with the said property.
16. To sign and admit the necessary forms for obtaining the sale permission of the said property in
the office of the competent authority.
17. To apply for sale permission or No-objection certificate of the above said property and to sign
on the papers and get the permission on my/our behalf, from the concerned authority
18. To apply for arrange, mutation, charges, entries in all concerned official records, in respect of
the aforesaid property.
19. To execute a rectification deed of any deed(s) executed in respect of the said property and to get
the same registered in the office of the Sub-Registrar at Delhi/New Delhi.
Contd…6..
*** 6 ***
20. Generally to do all other’s acts, deeds and things in connection with the above said property
which are given not specifically mentioned hereunder but the necessary to be done on my/our
behalf.
21. This General Power of attorney shall be irrevocable.
IN WITNESS WHEREOF I/We put my/our signature in this deed of G.P.A on this date, month
and year, first above written, in the presence of the following witnesses.
WITNESSES:-
1.
EXECUTANT/S
GENERAL ATTORNEY
2.
AFFIDAVIT/N.O.C.
I, RAJESH KUMAR SON OF LATE SHRI INDER SINGH Resident of Gate No.3,
Shiv Farm, Hari Nagar, Jaitpur Road, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 **
2. That I am the absolute owner and in possession of a property admeasuring 4846

sq.yds. out of Khasra No.757-758 and 701, situated in the area of Village-Moler
Band, Tehsil Kalkaji, P.O.Badarpur, New Delhi-110044.
of rent of the said premises property admeasuring 4846 sq.yds. out of Khasra
No.757-758 and 701, situated in the area of Village-Moler Band, Tehsil Kalkaji,
P.O.Badarpur, New Delhi-110044, in the name of my son SHRI YASH
CHAPRANA.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, MANOJ KUMAR SON OF JAGDISH GIRI Resident of House No.A-47, Block A,

Harsh Vihar, Hari Nagar Extn. Part-III, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 **
2. That I am residing at above said address i.e. A-47, Harsh Vihar, Hari Nagar Extn.
Part-III, P.O.Badarpur, New Delhi-110044.
3. That I am a Driver Cluster Bus Service.
4. That my Driving License No.DL-0319950039169(C), date of issue 05.2.1995

valid upto __________________.
5. That my date of birth is 11.05.1970.

6. That it would be happened by me as like challan, accident so I will take all
responsibility by myself.
7. That I oath and declare that I submitting my documents are true and correct to the best
of my knowledge.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT OF CONSENT FOR CHILDREN TRAVELLING ABROAD
Contd…2..
*** 2 ***
WE, SUNDER NAGAR SON OF LATE SHRI ATTAR SINGH NAGAR & SUBODH
NAGAR WIFE OF SHRI SUNDER NAGAR Both Resident of House No.I-85/4, Block-I, Hari
Nagar Extn. Delhi-110044, do hereby solemnly affirm and declare as under:-
1. That We are Citizen of India.
2. That our child named “DIVYANSH NAAGAR whose date of birth is 07.11.2000 (07 th
day of November Two thousand), born at New Delhi, having Passport No:- P8397426
issued dated 02.05.2017, India.
3. That our child has our consent to travel with his teachers as per the details below:-
Accompanying Person Name :- Mr. Aman Jindal
Relatioship to the child :- Teacher.
Passport No. :- Z2944215
Date of Issue & Issuing Country :- 28th July, 2014, India.
Destination :- Sydney, Australia
Travel Dates :- Departure:- 04th July 2017.
Arrival :- 13th July 2017.
Purpose of Travel :- To attend the FIRST LEGO league Asia
Pacific Open Championship.
Accommodation in Australia :- Hotel Courtyard Sydney-North Ryde
7-11, Talvera Road North Ryde,
New South Wales, 2113, Australia.
Ph:- +61-2-94919500.
Contd…3..
*** 3 ***
4. That we hereby confirm that the above statements are true to the best of our knowledge
and belief.
Parents Name Sunder Nagar Subodh Nagar

Relatinship Father Mother
Address I-85/4, Block-I, Hari I-85/4, Block-I, Hari
Nagar Extn. Delhi-110044. Nagar Extn. Delhi-110044.
Passport No. M9819509 K9480230
Date & Place of Issue 30th June, 2015. 07th Jan, 2013.
Delhi. Delhi.
Parents Contact number 9311444444 9212444444
DEPONENT/S
VERIFICATION:-
Verified at Delhi on this 29th day of June 2017, that the contents of this Affidavit are true
and correct to the best of our knowledge and belief and nothing has been concealed therein.
DEPONENT/S
Agreement for Accountants
I, Shobhit Sharma son of Shri Vipin Kumar resident of House No.292, Gali No.5, Surya Vihar,
Part-II, Near Agwanpur Chowk, Faridabad, Haryana, do hereby affirm as under:
Contd…2..
*** 2 ***
1. I understand that I am working at a very reputed and respoinsible post at New Age
International Pvt. Ltd. I will make sure to work with the company for long term with
full responsibility, dedication and commitment.
2. I will abide by all company’s rules and regulations. I will also make sure that all
employees working under me will also follow the company’s policies.
3. I will put my best efforts to manage the accounts properly and in the best interests of
the company and the management.
4. I would like to give assurance to the management that while working in the company I
will not do any personal business of any kind.
5. I will not indulge myself in any illegal activity, including piracy, since it is a crime.
6. I accept that as per the rules and regulations of New Age International Pvt. Ltd., I am
required to submit three month’s prior notice for the purpose of resignation. My three
(3) month notice will be effective from the date of giving resignation to the organization
while working and not while on leave. I also will not utilize balance earned leave during
the notice period. I will come regularly during the three month’s notice period.
7. I accept that before leaving I shall handover all the properties, documents and other
things that the company might have entrusted to me for the purpose of carrying out my
regular activities.
Contd…3..
*** 3 ***
8. I accept that before leaving the company I shall handover every document and explain
everything concerning my work to any person so designated by the management to take
over my work and shall disclose every information to him/her for smooth working.
9. I accept that I will work sincerely and will be faithful to the management and will
perform all my duties and will not do anything which is prejudicial to the interest of the
company and its management.
10. I am fully conscious of the fact that I am maintaining the full record of the company’s
financial status, the debtors, creditors assets and the other information of confidential
nature. I will keep all this information confidential and will not share it with any person,
either within or outside the organization, without the permission of the Managing
Director who, in my opinion, shall be treated as the sole custodian of the information. I
will also not divulge the financial status or any other information about the company’s
debtors, creditors or balance sheet to any person whether within the corganization or
outside even when I have to leave this organization.
Contd…4..
*** 4 ***
11. I accept if I leave the organization in-between without completing three month notice
period of if I leave suddenly without giving three month notice or in between while
serving the three month notice period, I will be liable to pay three months salary to the
company as compensation.
12. In case, I am unable to fulfill any one of the above requirements while leaving the
company, I understand that New Age International will then be forced to file a civil or
criminal case against me depending on the nature of irresponsibility shown on my part
and depending upon loss occurred to the company due to me. In case of such dispute,
New Age International will file the case in New Delhi jurisdiction, where their Head
Office is located.
Witness:
Name:- Shobhit Sharma.
Address:- House No.292,

Gali No.5, Surya Vihar,
Part-II, Near Agwanpur
Chowk, Faridabad,
Haryana.
Telephone: 9811554166
TO WHOM IT MAY CONCERN
Contd…2..
*** 2 ***
I, DINESH KUMAR GAUTAM SON OF SHRI B.S. GAUTAM Resident of House No.298/5,
Surya Vihar, Part-II, Agwanpur, Faridabad, Haryana, know Mr. Shobhit Sharma son of Shri
Vipin Kumar Resident of House No.292, Gali No.5, Surya Vihar, Part-II, Near Agwanpur
Chowk, Faridabad, Haryana, Personally, who has been appointed as Accountant by New Age
International (P) Ltd. 7/30A, Darya Ganj, New Delhi-110002.
I hereby undertake to stand the surey of Mr. Shobhit Sharma In respect of :-
(i) Safety & Secrecy of data

(ii) Hand over the work in hand with proper completion.
(iii) To handover the Pass-word if any to M.D.
(iv) Any damage or loss or corrupt the data cuased due to willful intention to New Age
International (P) Ltd. Or other Companies represented by this firm.
(v) One month surety: that he or she will leave service with proper notice of one month.
Contd…2..
*** 2 ***
In case of any dispute, jurisdiction will be Union Territory of Delhi.
…………………………………….
Signature (Guarantor)
Date- 06.07.2017.
Office Name and Address of Guarantor
National Heart Institute
East of Kailash, New Delhi.
Post held:- Health Care Manager
Offce Phone No..011-46606600
Residence Phone No.9891619706
PAN No.APBPG7139Q
CONTRACT AGREEMENT
This Agreement made at New Delhi on this 21-06-2017 between K.V. Tagore Garden, New
Delhi (hereinafter called as first party)
PRIYA GUPTA DAUGHTER OF SHRI SHYAM NARAYAN GUPTA Resident of House

No.1359A/8, First Floor, Govindpuri, Kalkaji, New Delhi-110019, (hereinafter called as second
party).
Contd…2..
*** 2 ***
WHEREBY, It has been agreed and declared by and between the parties as follows
1. Whereas the second party has offered herself to work as TGT Math Teacher on
Contractual Basis as per terms and conditoned provided by the first party.
2. That the engagement of Second party as TGT Math his purely on contractual basis for a
period from ________ to ___________ or rill such times the regular teachers are
appointed whichever is earlier.
3. That the engagement of Second party as TGT Math his purely a temporary arrangement
on contractual basis and the contract can be terminated at any time without assigning
any reason, thereto and without any notice to the second party.
4. That the second party shall discharge duties as TGT Math with complete dedication
under the control and supervision of Education Department.
5. That the Second party will not be entitled to any kind of leave, salary, and any other
benefits, which is available to regularly appointed teachers including transfer from K.V.
Tagore Garden.
Contd…3..
*** 3 ***
6. That the engagement of Second party will not confer any right or claim upon him/her
for regular post appointment for the post of TGT Math.
7. That Second party will not be any suit/petition or institute any legal proceedings against
the first party for claiming any regular appointment or benefits provided to the regular
teacher.
8. That the First party will verify the generousness/authenticity or all documents and
certificated furnished by the second party. In case any documents at any stage are found
invalid/forged, or there is concealment of any fact, the engagement of second party will
be cancelled immediately without any further notice to him/her. The First party will
have the right to proceed against the second party.
IN WITNESS WHEREOF the parties hereto have set and subscribed their respective
hands the day, month and year first herein above written.
Signed sealed and delivered at New Delhi in the presence of
WITNESSES
1.
FIRST PARTY
SECOND PARTY
2.
AFFIDAVIT
I, KALYANI JHA WIFE OF SHRI RAKESH KUMAR Resident of House No.A-437,

Mavi Mohalla, Tekhand, Okhla, Phase-I, New Delhi-110020, do hereby solemnly affirm and
declare as under:-
Contd…2.
** 2 **
2. That my actual and correct name is KALYANI JHA prior to marriage. which is
mentioned in my Aadhaar Card & my name has mentioned as KALYANI KUMARI in
my academic certificates.
3. That now I want to change my name as KALYANI MISHRA instead of KALYANI JHA
& KALYANI KUMARI in my Aadhaar Card, after marriage.
4. That all the above names are same person.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, ASGARI BANO WIFE OF MR. AMEEN Resident of House No.G-459, Gali No.7,
Mohan Baba Nagar, P.O.Badarpur, New Delhi-110044, (vide Aadhaar Card No.5359 2535
2443), do hereby solemnly affirm and declare as under:-
Contd…2.
** 2 **
2. That MR. AMEEN SON OF MOHD. ABDUL, is my husband.
3. That my father name is ABDUL MANEER which is mentioned on my Aadhaar Card.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, NAJIYA WIFE OF MR. HASNAYAN Resident of House No.314, Gali No.11,

Manbhari Kunj, Sindhu Farm Road, Mithapur, P.O.Badarpur, New Delhi-110044, do hereby
Contd…2.
** 2 **
2. That MR. HASNAYAN SON OF MOHD. TAJIM, is my husband.
3. That my father name is MANJOOR KHAN which is mentioned on my Aadhaar Card.
4. That after marriage I am residing with my husband at House No.314, Gali No.11,
Manbhari Kunj, Sindhu Farm Road, Mithapur, P.O.Badarpur, New Delhi-110044, which
is not mentioned in my Aadhaar Card .
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, ARUN KUMAR SON OF SHRI RAJ KUMAR Resident of House No.879, Gali No.1, Sai
Nagar, Mithapur Extn. P.O.Badarpur, New Delhi-110044, aged 24 years, do hereby solemnly
affirm and state as under:-
Contd…2.
*** 2 ***`
2. That I am residing at the above mentioned address for last six years.
3. That I am working as stamp vendor having my office at Shop No.1 & 2 of P.No.879,
Gali No.1, Sai Nagar, Mithapur Extn. P.O.Badarpur, New Delhi-110044.
4. That there is no criminal offence registered/pending in my name in any court and no
FIR has been registered against me in any Police Station in the country till date.
5. That I am well acquainted with the rules and procedures for issuance of eStamp
certificates in the NCT OF Delhi and agree to abide by the same as amended from time
to time.
DEPONENT
VERIFICATION:-
Verified on this 06th day of September 2017 that the contents of the above affidavit are
true and correct to my knowledge and belief and no part of it is false and nothing material has
DEPONENT
Witness:-
1.
2.
AFFIDAVIT
I, NAVEEN JHA SON OF SHRI SWAYMBER JHA Resident of House No.D-181 (Old
No.D-1), Gali No.6, Ground Floor, Wakil Vihar, Harsh Vihar, Hari Nagar Extn. Part-III,
P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and state as under:-
Contd…2.
*** 2 ***`
2. That I am the allottee of residential Apartment No.SUN 1-0805 on 8th Floor having
super area approx 1005.00 Sq.Ft. at Plot No.GH-03, Sector-OMICRON-3, Greater
Noida, (U.P.)
3. That I had purchased the above said residential Aparmtnet on loan basis in which
Indiabulls Housing Finance Limited financed me a loan amount Rs.22,42,020/- vide
Loan Account No.is HHLNOD00243735.
4. That I wish to cancel this residential apartment due to bad financial condititons.
5. That I am requesting to MIGUSN ULTIMO for return the loan amount which had
sanctioned to me to Indiabulls Housing Finance Limited.
DEPONENT
VERIFICATION:-
Verified on this 06th day of September 2017 that the contents of the above affidavit are
true and correct to my knowledge and belief and no part of it is false and nothing material has
DEPONENT
AFFIDAVIT
I, ROSHAN LAL SON OF SHRI DURGA RAM Resident of House No.N-457, Gali
No.15, Amar Market, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do
Contd…2..
*** 2 ***
1. That the above name and address true and correct.
2. That I have a vehicle Regd. No.DL1RTA-3230, Chassis No.MA3EWDE1S00A11112,

Engine No.K10BN7678136, Moldel February 2016.
3. That I am giving the above said vehicle to Smt. Kavita Devi wife of Shri Roshan Lal
Resident of House No.N-457, Gali No.15, Amar Market, Saurabh Vihar, Hari Nagar
Extn. P.O.Badarpur, New Delhi-110044, for the commercial purpose.
4. That Smt. Kavita Devi Account No.50281513509.
5. That I have no objection if Smt. Kavita Devi uses the above said vehicle in UBER
COMPANY for commercial purposes only.
and belief.
DEPONENT
VERIFICATION:-
Verified at Delhi, that the contents of this affidavit are true to the best of my knowledge
and belief and nothing has been concealed thereform.
DEPONENT
NO OBJECTION CERTIFICATE/AFFIDAVIT
Contd…2..
*** 2 ***
I, SACHCHEY RAM SON OF SHRI MANGAL SINGH Resident of House No.3, Gali No.1,
Block F, IIIrd 60 Foota Road, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do hereby
declare & affirm as under:-
1. That I am the Owner of Property No. 3, Situated at Gali No.1, Block F, IIIrd 60 Foota
Road, Molar Band Extn. P.O.Badarpur, New Delhi-110044.
2. That Mr. Lalit Bhati son of Late Shri Mahavir Bhati is my Nephew and is doing
business under the Name M/s M U B & Co. at my above said address Property No. 3,
Situated at Gali No.1, Block F, IIIrd 60 Foota Road, Molar Band Extn. P.O.Badarpur,
New Delhi-110044.
3. That I have no objection in doing of his business and obtaining of GST Registration
from the above said premises.
4. That I have given my consent to him for doing of his business and obtaining of GST
Registration from Property No.3, Situated at Gali No.1, Block F, IIIrd 60 Foota Road,
Molar Band Extn. P.O.Badarpur, New Delhi-110044.
5. That my above mentioned statements are true and correct.
DEPONENT
Verification:
Verified at New Delhi on this 06th day of June 2019, that the contents of my above
N.O.C./affidavit are true and correct to my knowledge and nothing has been concealed
therefrom.
DEPONENT
Contd…2..
*** 2 ***
I, MANISHA SINHA WIFE OF SHRI RAJIV RANJAN Resident of House No.N-556/19,

Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby declare & affirm as
under:-
1. That I am the Owner of Property No.N-556/19, Situated at Saurabh Vihar, Jaitpur,

2. That Mr. Rajiv Ranjan is my husband and is doing business (Trade) of Leather Garment
& Accessories under the Name M/s H.R. Enterprises as proprietor from the address :
N-556/19, Saurabh Vihar, Jaitpur, P.O.Badarpur, New Delhi-110044.
from the above said premises.
Registration from Property No.N-556/19, Saurabh Vihar, Jaitpur, P.O.Badarpur, New
Delhi-110044.
DEPONENT
Verification:
Verified at New Delhi on this 23rd day of September 2017, that the contents of my above
therefrom.
DEPONENT
Contd…2..
*** 2 ***
I, CHAHTO DEVI WIFE OF SHRI RAM NATH Resident of House No.MB-77/C, Master
Block, Shakarpur, Delhi-110092, do hereby declare & affirm as under:-
1. That I am the legal owner of Built up Shop No.I-5, Situated at I-Block, Main Jaitpur
Road, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044.
2. That SHRI RAKESH SINGH SON OF SHRI RAM NATH Resident of House
No.B-105, Old Post Office Lane, Shakarpur, Delhi-110092, is my tenant & doing his
business from the address : Built up Shop No.I-5, Situated at I-Block, Main Jaitpur
Road, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044.
3. That I have no objection in doing of his business from the above said premises.
DEPONENT
Verification:
Verified at New Delhi on this 16th day of February 2019, that the contents of my above
therefrom.
DEPONENT
AFFIDAVIT
I, NAWAB CHAPRANA SON OF SHRI BRIJESH KUMAR Resident of House

declare as under:-
Contd…2..
*** 2 ***
2. That I being the owner premises No.I-520, Khasra No.700, I-Block, Main Jaiutpur
Road, New Delhi-110044.
3. That in future after let out the said premises, property/house tax related to the said
property shall be paid by me at my own cost.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
UNDERTAKING
Contd…2..
*** 2 ***
I, LUCKY CHAUDHARY am full aware that my daughter name TANUSHKA

CHAUDHARY is commuting to and fro Sudha Rustagi College of Dental Sciences &
Research, Faridabaed, by a private vehicle. She is not availing service of college bus due to not
reachable.
I shall be fully and solely responsible for her safety.
I understand that Sudha Rustagi College of Dental Sciences & Research will not be responsible
to any manner about the safety.
Name of Student Tanushka Chaudhary _______________

(Sign)
Name of Father Lucky Chaudhary _______________

(Sign)
Name of Mother Ranjana Chaudhary _______________

(Sign)
AFFIDAVIT
Contd…2..
*** 2 ***
I, TANUSHKA CHAUDHARY daughter of Mr. Lucky Chaudhary Roll No.___________

student of BDS 2nd year in Sudha Rustagi College of Dental Sciences & Research, Faridabad,
are aware that as per university norms a minimum of 75% attendance in each subject (Theory
& Pratical Separately) is mandatory. However, if he/she fails to meet the University’s minimum
requirement of attendance, he/she may not be permitted to appear in university examination due
to shortage of attendance.
We also undertake we will have no objection, if my ward is not permitted to appear in any of
University examination for any subject Theory/Practical if he/she does not complete the
required attendance and quota of work of the individual department.
Contact No. of Parent:- 9810074551
Parent Email id :- luckychaudhary0004@gmail.com
…………………… …………………………..
Student’s Signature Father/Mother’s Signature
AFFIDAVIT
Contd…2..
*** 2 ***
I, SHASHI BHATI SON OF SHRI DHARAMPAL BHATI Resident of House

No.B-51, Village Hari Nagar, P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and
declare as under:-
2. That I am present & permanent resident of House No.51, Village Hari Nagar,
P.O.Badarpur, New Delhi-110044, which is my paternal house & I have all ID’s &
documents which is in my name such as Passport bearing No.F7278247, Driving
License bearing No.DL-0320110237551(P) & Bank Account from House No.51,
Village Hari Nagar, P.O.Badarpur, New Delhi-110044.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT/N.O.C.
Contd…2..
*** 2 ***
I, CHANDER PRAKASH ARYA SON OF SHRI NAND RAM Resident of House

No.165, Block 18, Kalyanpuri, Patparganj, Delhi-110091, do hereby solemnly affirm and
declare as under:-
2. That I am the registered owner of (Motor Cab XCENT VTVT + ABS) bearing Regn.
No.DL1ZA-7222, Chassis No.MALA741CLGM206295, Engine No.G4LAGM150152,
Model November 2016, made by HYUNDAI MOTOR INDIA LTD.
3. That I have no objection if (Motor Cab XCENT VTVT + ABS) bearing Regn.
No.DL1ZA-7222, Chassis No.MALA741CLGM206295, Engine No.G4LAGM150152,
Model November 2016, made by HYUNDAI MOTOR INDIA LTD, use my above said
vehicle/car for taxi for sure/cab/commercial work/job purpose.
4. That I have no objection if the payment of the said vehicle (comes from
OLA/UBER/whatever) transferred in the name of RAJDEEP SINGH SON OF
JAMUNA PRASAD.

DEPONENT
VERIFICATION:-
Verified at Delhi on this 07th day of November 2017, that the contents of this Affidavit
therein.
DEPONENT
AFFIDAVIT
I, SUNNY SAINI SON OF SHRI SATISH SAINI Resident of House No.I-87A, Gali
No.3, Hari Nagar Extn. Jaitpur, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd…2..
*** 2 ***
i). That I am married to SMT. SANGEETA DAUGHTER OF SHRI ROHTASH SAINI

Resident of House No.I-87A, Gali No.3, Hari Nagar Extn. Jaitpur, P.O.Badarpur, New
Delhi-44, according to the Hindu Rites and I am Hindu (Religion) by birth /conversion.
ii). That the marriage was solemnized on 18.02.2017 at Mukut Garden, Gaon Wazirpur,
Master Road, Greater Faridabad, Haryana.
relationship.

DEPONENT
VERIFICATION :-
Verified at New Delhi on this 01st day of November 2017 that the contents of the above
DEPONENT
AFFIDAVIT
I, SANGEETA DAUGHTER OF SHRI ROHTASH SAINI Resident of House

No.I-87A, Gali No.3, Hari Nagar Extn. Jaitpur, P.O.Badarpur, New Delhi-44, do hereby
Contd…2..
*** 2 ***
i). That I am married to SHRI SUNNY SAINI SON OF SHRI SATISH SAINI Resident of
House No.I-87A, Gali No.3, Hari Nagar Extn. Jaitpur, P.O.Badarpur, New Delhi-
110044, according to the Hindu Rites and I am Hindu (Religion) by birth /conversion.
Ii). That the marriage was solemnized on 18.02.2017 at Mukut Garden, Gaon Wazirpur,
Master Road, Greater Faridabad, Haryana.
relationship.

DEPONENT
VERIFICATION :-
Verified at New Delhi on this 01st day of November 2017 that the contents of the above
DEPONENT
AFFIDAVIT
I, BHAGWATI DEVI WIFE OF SORAN SINGH Resident of House No.E-

1/124, Jaitpur Extn. Part-I, Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
2. That I am the legal owner of House No.E-1/124, G/F, Jaitpur Extn. Part-I, Badarpur,
New Delhi-110044.
3. That I am holding Delhi Jal Board connection bearing Bill Id:- 530027311112,
K.No.5300251000 from House No.E-1/124, Jaitpur Extn. Part-I, Badarpur, New
Delhi-110044.
4. That I am holding a Bank A/c bearing A/c No.35779278722, State Bank of India, Branh
Mohan Co-operative, New Delhi from House No.E-1/124, G/F, Jaitpur Extn. Part-I,
Badarpur, New Delhi-110044.
DEPONENT
VERIFICATION :-
Verified at New Delhi on this 02nd day of November 2017 that the contents of the above
DEPONENT
AFFIDAVIT
I, JYOTI TIWARI DAUGHTER OF SHRI DEVI PRAKASH TIWARI Resident of

House No.I-1001, Gali No.23, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby
Contd…2..
*** 2 ***
2. That the above said address my present and permanent.
3. That there is no legal/criminal case is pending in any court of law.
4. That there is no disputed matters with my family and relatives.
5. That I have got good character.
6. I have read and understood the contents of this affidavit, which has been drafted by me
and I say that contents thereof are true and correct to my knowledge.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
FOR EXTENSION OF AREA VALIDITY TO OTHER STATES/ALL INDIA.
Contd…2..
*** 2 ***
I, KADAM SINGH SON OF SHRI INDER SINGH presently residing at House No.44,
Village Molar Band, P.O.Badarpur, New Delhi-110044, do solemnly affirm and declare as
follows:-
1. That the date of birth of my son named “AMAN CHAPRANA” is 19.11.1999 (19 th day
of November Nineteen Hundred Ninety Nine), place of birth is at Home/House No.44,
Village Molar Band, P.O.Badarpur, New Delhi-110044.
2. That my son AMAN CHAPRANA is already an arms license holder (License

No.SEBP/11/2017/1), valid for Delhi only and that He has a weapon .22 bore Rifle
No.KFA0738 which has also been endorsed in his license.
3. That I am a Govt. Servant and serving in group A/B/C officer of Central/State Govt.
___________________________________________________________________
(name & address of the department) as _____________________________________
(designation).
(i) Nature of the service i.e. Whether All India etc.
Or
4. That I am professional (Lawyer, Doctor/etc.)
Or
5. That I am Private Co. Emloyee.

(i) The address of the branches is in India/various states with documentary proof.
(ii) A certificate of MD/owner/GM of the company certifying the information given in
the application form.
Or
Contd...3..
*** 3 ***
6. That I am Businessman. (Attach the documentary proof)

(i) Details of the branches other than Delhi and their address.
(ii) Attested photocopy of proof of financial transaction in the form of Bank Draft or
Cheque/Receipt etc.
7. That I am a Farmer (Attach the documentary proof)

(i) Attested copy of Land Revenue record/Registry.
(ii) Attested copy of Khatoni/Khasra.
8. I require an arms license with All India validity/validity for specific state
____________, ____________, ____________, ____________, ____________ states
____________ because __________________________________________________.
9. I frequently visit my home state/home town ____________________________ time in

a year _______________________________________________________________.
DEPONENT
AFFIDAVIT
I, JITENDER GUPTA (Aadhaar No.3452 8786 5619) SON OF SHRI CHANDRA

PRAKASH GUPTA Resident of House No.K-2/3, Gali No.1, Sangam Vihar, New
Contd…2..
*** 2 ***
1. That I was the registered owner of Vehicle bearing Registration No.HYUNDAI

(XCENT), Regn. No.DL1RT-9514, Engine No.G4LAFM851241, Chassis No.
MALA741CLFM146639, Color White, Model 2015.
2. That I have sold/leased the above mentioned wehicle to MR. KOUSHILENDER

SINGH SON OF JAI SINGH Resident of House No.A-1133, A-Block, Gali No.15,
Jaitpur Extn. Part-II, Badarpur, New Delhi-110044, That I have No Objection if he
operates the said vehicle through the Uber App. (sold on 07.09.2018).
3. That I am currently staying in House No.K-2/3, Gali No.1, Sangam Vihar, New
Delhi-110080.
DEPONENT
VERIFICATION :-
I, the Deponent above named do hereby verify that the contents of the foregoing
affidavit are true to the best of my knowledge. No part of the affidavit is false and to the best of
my knowledge nothing material has been concealed therefrom.
DEPONENT
AFFIDAVIT
I, VIJAY KUMAR DAHUJA (PAN No.AEYPD9685A) SON OF MR. DAYAL

DAHUJA Resident of House No.G-206-A, Lal Kuan, M.B. Road, Pul Pehlad Pur, New
Contd…2..
*** 2 ***
1. That I am the registered owner of Vehicle bearing Registration No.HYUNDAI

(XCENT), Regn. No.DL1RT-9514, Engine No.G4LAFM851241, Chassis No.
MALA741CLFM146639, Color White, Model 2015.
2. That I have sold/leased the above mentioned wehicle to MR. KOUSHILENDER

SINGH SON OF JAI SINGH Resident of House No.A-1133, A-Block, Gali No.15,
Jaitpur Extn. Part-II, Badarpur, New Delhi-110044, That I have No Objection if he
operates the said vehicle through the any platform.
3. That I am currently staying in House No.G-206-A, Lal Kuan, M.B. Road, Pul Pehlad
Pur, New Delhi-110044.
DEPONENT
VERIFICATION :-
I, the Deponent above named do hereby verify that the contents of the foregoing
DEPONENT
AFFIDAVIT
I, AJIT ALIAS AJEET KUMAR SON OF SHRI MANAN RAM Resident of House
affirm and declare as under :-
Contd…2.
** 2 **
1. That the correct & exact date of birth of my son/ daughter namely “RAVI KANT” is
04.03.2001 (04th day of March Two Thousand One).
2. That I belong to CHAMAR Caste since birth which is declare the S.C. by the Govt.
4. That my above son/daughter has not been issued the S.C. Certificate in his/her own
name from Delhi or out of Delhi.
5. That I am enclosed my S.Cs. Certificate bearing Sl. No.040775161171702481, issued

on 25.11.2017, issued by Sub Divisional Magistrate, Hasanpura, Siwan, Bihar.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT
Contd…2.
** 2 **
1. That the correct & exact date of birth of my son/ daughter namely “APARNA
KUMARI” is 13.08.2003 (13th day of August Two Thousand Three).

DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT
Contd…2.
** 2 **
1. That the correct & exact date of birth of my son/ daughter namely “SUBHAM
KUMAR” is 08.02.2010 (08th day of February Two Thousand Ten).

DEPONENT
VERIFICATION :-
therein.
DEPONENT
UNDERTAKING
I, NATASHA KUMARI JAISWAL DAUGHTER OF SHRI NAND LAL JAISWAL

Resident of House No.D-212, Saurabh Vihar, Jaitpur Road, P.O.Badarpur, New Delhi-44, do
Contd…2.
** 2 **
2. That I have not obtained or applied for any grant/financial help for the fee
conession/Scholarship, from any other Ministry/Govt. Deptt. Of India/state, any
public/private organization.
DEPONENT
Signature of Parents/Guardian ________________
VERIFICATION :-
therein.
Signature of Parents/Guardian ________________
DEPONENT
AFFIDAVIT
I, SANJAY KUMAR SON OF SHRI ALIKANT THAKUR Resident of House No.I-281, Gali
No.7, Hari Nagar Extn. Jaitpur Road, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
1. That I am the true and absolute Owner of MCYL/Vehicle No.DL3SCY-5000, duly

insured with HDFC ERGO General Insurance Company Ltd. vide Policy No.2312 1002
2673 1300 000 Policy issuance Date 21.8.2017.
2. That the aforesaid MCYL/vehicle met with an Accident on 15.12.2017, hit by a Wagon
R, at Main Kalindi Kunj Chowk, Sarita Vihar, New Delhi-110076, and the vehicle was
being driven by me.
3. FIR no./DD No.__________ in concerned Police Station, /no. FIR was registered for
this accident.
4. That I suffered/did not suffer injuries in the said accident but MLC/no MLC was
conducted. There was injury/no injury to any other occupant or any Third Party injury
in the said accident.
5. That In this incident there in no “Third party Claim” or any injury. If in future some
body claim against this incident, insurance company is not responsible, myself is full
responsible.
DEPONENT
Verification:-
Verified at New Delhi on this 21 st day of December 2017, that the contents of the above
said affidavit are true and correct to the best of my knowledge and belief and nothing has been
DEPONENT
AFFIDAVIT
Contd…2..
*** 2 ***
I, BALDEV SINGH KAPIL Resident of House No.179, Sect. 3, Faridabad, Haryana, and my
daughter Ms. Disha Kapil Roll No.S13-20, BDS Internship in Sudha Rustagi College of Dental
Sciences & Research, Faridabad, is aware that as per Dental Council of India, It is compulsory
to do One year compulsory Rotatory Internship in the institute. Any shortage in attendance will
have to be repeated. If any ward does not attend the college then his/her internship period will
be extended till the required attendance is achieved. The college authorities have the right to
extend the intership period till the completion of attendance.
We undertake that we will have no objection if my ward is denied, Internship Completion

certificate due to shortage of attendance.
Contact No. of Parent :- 9818552236.

_______________ _______________
Student ‘s Signature Father/Mother’s Signature
AFFIDAVIT
Contd…2..
*** 2 ***
I, SATISH KUMAR SHARMA Resident of House No.1439-A, Sect. 29, HBC, Faridabad,
Haryana-121008, and my daughter Ms. Mehak Sharma Roll No.S13-43, BDS Internship in
Sudha Rustagi College of Dental Sciences & Research, Faridabad, is aware that as per Dental
Council of India, It is compulsory to do One year compulsory Rotatory Internship in the
institute. Any shortage in attendance will have to be repeated. If any ward does not attend the
college then his/her internship period will be extended till the required attendance is achieved.
The college authorities have the right to extend the intership period till the completion of
attendance.
We undertake that we will have no objection if my ward is denied, Internship Completion

certificate due to shortage of attendance.
Contact No. of Parent :- 9899766615.
_______________ _______________
Student ‘s Signature Father/Mother’s Signature
Name of the proposed company: KARA BUSINESS ADVISORY PVT. LTD.
I ARUN KUMAR, being the subscriber to the memorandum / named as first director in the
articles, of the above named proposed company, hereby solemnly declare and affirm that:
 I have not been convicted of any offence in connection with the promotion, formation or
management of any company during the preceding five years; and
 I have not been found guilty of any fraud or misfeasance or of any breach of duty to any
company under this Act or any previous company law during the preceding five years;
and
 All the documents filed with the Registrar for registration of the company contain
information that is correct and complete and true to the best of my knowledge and
belief.
Signature:
Date: 26th December, 2017
Place: New Delhi
I RAJ KUMAR, being the subscriber to the memorandum / named as Second director in the
articles, of the above named proposed company, hereby solemnly declare and affirm that:
and
belief.
Signature:

Place: New Delhi
I ABDUL KALAM, being the subscriber to the memorandum of association of the above
named proposed company, hereby solemnly declare and affirm that:
and
belief.
Signature:
Place: New Delhi

AFFIDAVIT
I/WE, BANSHI LAL (vide Aadhaar Card No.5635 9847 5800) SON OF SHRI
MUNSHI LAL & SMT. RAMWATI (vide Aadhaar Card No.8103 6023 4634) WIFE OF
SHRI BANSHI LAL Both Resident of House No.L-84, Dakshinpuri, New Delhi-110062, do
Contd…2..
*** 2 ***
2. That I/We have debared my/our son named VED PRAKASH from our moveable and
immoveable property.
3. That in future if he shall do any criminal activity, offence, etc then that time I/We will
not be responsible for that.
DEPONENT/S
VERIFICATION:-
therein.
DEPONENT/S
AFFIDAVIT
I, PRAVEEN KUMAR SON OF SHRI RAGHAV SINGH Resident of House No.408,

Gali No.7/5, Shakti Vihar, Mithapur, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
2. That the correct spell of my name is PRAVEEN KUMAR which is mentioned in my all
ID’s but by mistake the spell of my name w s mentioned as PRAVIN KUMAR in my
LIC Records bearing LIC Policy No.534042850, D.O.C. 13.06.2003.
3. That PRAVEEN KUMAR & PRAVIN KUMAR are the names of same & one person.
DEPONENT
VERIFICATION:-
Verified at Delhi on 02nd day of January 2018, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I/WE, SUDAMA JI (vide Aadhaar Card No.4450 1385 6758) SON OF SHRI JHUMMI
LAL & SANJO DEVI WIFE OF SHRI SUDAMA JI Both Resident of Gali No.19, Shiv
Enclave, Basantpur, Faridabad, Haryana-121003, do hereby solemnly affirm and declare as
under:-
Contd…2..
*** 2 ***
2. That I/We have debared my/our elder son named SAURAV KUMAR ALIAS BOBY &
his wife named MRS. KALPANA DEVI from our moveable and immoveable property.
3. That in future if they will do any criminal activity, offence, etc then that time I/We will
not be responsible for that.
DEPONENT/S
VERIFICATION:-
Verified at Delhi on this 02nd day of April 2018, that the contents of this Affidavit are
therein.
DEPONENT/S
AFFIDAVIT
I, SURESH CHANDRA SHUKLA SON OF LATE SHRI RAM MANOHAR

SHUKLA Resident of House No.A-73A, Gali No.3, Harsh Vihar, Tanki Road, P.O.Badarpur,
New Delhi-110044, General Secretary of Sehyog Vikas Samiti harsh Vihar, Tanki Road,
Contd…2.
** 2 **
1. A Majority of members of governing body do not belong to the same family.
2. Details of the members having membership in any other society registered anywhere in
India.
3. That organization is not involved in any corrupt practices and has been black listed by
any central/state agencies.
4. That organization is a Non Profit making organization.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, Hansmukhi R/o 219/101, Sonkh Road, Bodh Nagar, Krishna Nagar,

Mathura, U.P-281001 do hereby solemnly affirm and declare as under:-
 That I am the President of the society namely: “UDAY RURAL & URBAN
DEVELOPMENT at E-1/124, Ismailpur, Jaitpur Road, South Delhi-
110044 Vide Regn. No. _____________________
 There is no dispute amongst the members of the society or parallel of the

Governing Body.
 There is no amendment in the Memorandum of Association and rules &

regulation in the above said society except change in the governing body
and registered office of the society.
 That the above statement is true and correct.
DEPONENT
VERIFICATION:-
Verified at Delhi, on this 10 th day of January 2018, that the contents of the
above affidavit are true and correct to the best of my knowledge and belief and
DEPONENT
AFFIDAVIT
I Gagan Kumar Singh R/o E-1/124, Ismailpur Road, Jaitpur South Delhi-
 That I am the Secretary of the society namely: “UDAY RURAL & URBAN
DEVELOPMENT at E-1/124, Ismailpur, Jaitpur Road, South Delhi-
110044 Vide Regn. No. _____________________
 There is no dispute amongst the members of the society or parallel of the

Governing Body.
 There is no amendment in the Memorandum of Association and rules &

regulation in the above said society except change in the governing body
and registered office of the society.
 That the above statement is true and correct.
DEPONENT
VERIFICATION:-
Verified at Delhi, on this 10 th day of January 2018, that the contents of the
above affidavit are true and correct to the best of my knowledge and belief and
DEPONENT
SURENDRA SINGH & ASSOCIATES
LAWYERS & CONSUTLANTS OF PROPERTY MATTERS
____________________________________________________________________________
SURENDRA SINGH ADVOCATE

(Enrolment No.D/1675/09)
Old Court Compound
Kashmere Gate, Near Ritz Cinema,
Delhi-110006.
M.No.9810984116.
This is to certify that my client SHRI ROHTASH KUMAR SON OF

LATE SHRI MALKHAN SINGH Resident of House No.1715/2, Gali
No.54, Block E, Molar Band Extn. P.O.Badarpur, New Delhi-110044,
has debared his son & daughter named MASTER GAURAV SINGH &
MS. MANISHA SINGH from his moveable and immoveable property.
That in future if they will do any criminal activity, offence, etc then that
time He will not be responsible for that.
Date:- 10.01.2018.
SURENDRA SINGH ADVOCATE

No Objection Certificate (NOC)
To
EdTerra Edventures Pvt Ltd

505-507, Vikrant Tower
4 Rajendra Place
Delhi-110008
Date:- 27.1.2018
Dear Sir/Madam
We (Sunder Nagar & Subodh Nagar), wish to inform you that our daughter Vanshika Naagar
currently resides at I-85/4, Block I, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044 +
9311444444, and holds a valid Indian passport number M9525893, which is valid up to
18.6.2020.
Our child is a student of Manav Rachna International School and we have enrolled our child for
an educational tour to France, Switzerland & Italy and that the school is organizing and EdTerra
Edventures Pvt. Ltd. is implementing. We have No Objection in sending our child on this
educational journey to France, Switzerland & Italy with EdTerra Edventures Pvt. Ltd. We also
give the undertaking that on completion of the educational tour our child will return to India
with the group as per the travel itinerary.
Being the parents/guardian, we have authorized the school officials and EdTerra Edventures
Pvt. Ltd to make all necessary travel arrangements along with the submission and collection of
visa on our behalf.
------------------------------------------ ------------------------------------------
(Sunder Nagar) (Subodh Nagar)
No Objection Certificate (NOC)
To
The Visa Officer

Embassy of France
New Delhi
India
Date:- 27.1.2018
Dear Sir/Madam
We (Sunder Nagar & Subodh Nagar), wish to inform you that our daughter Vanshika Naagar
currently resides at I-85/4, Block I, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044 +
9311444444, and holds a valid Indian passport number M9525893, which is valid up to
18.6.2020.
Our child is a student of Manav Rachna International School and we have enrolled our child for
an educational tour to France, Switzerland & Italy and that the school is organizing We have No
Objection in sending our child on the educational tour to France, Switzerland & Italy for ____
days along with other students accompanied by teacher/s of the school. We also give the
undertaking that on completion of the educational tour our child will return to India with the
group as per the travel itinerary.
Being the parents/guardian, we have authorized the school officials and EdTerra Edventures
Pvt. Ltd to make all necessary travel arrangements along with the submission and collection of
visa on our behalf.
We confirm that all the expenses for the trip will be borne by us. We request you to kindly grant
our ward the necessary visa to participate in this educational journey to France, Switzerland &
Italy.
------------------------------------------ ------------------------------------------
(Sunder Nagar) (Subodh Nagar)
AFFIDAVIT
I, LOKESH SON OF SHRI TULA RAM Resident of House No.74A, Village Mithapur,
Contd…2..
*** 2 ***
2. That I had taken admission in your college namely ARAVALI COLLEGE OF

ENGINEERING & MANAGEMENT, Jasana Tigaon Road, Faridabad, Haryana.
3. That I have deposit caution money at the time of admission as a security.
4. That the Fee receipt of the above said security has misplaced by me at anywhere. That
in case the said Ree receipt shall found then the same shall be surrendered without
misused.
5. That the above said security amount may kindly given to me on the basis of the
affidavit.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 05th day of February 2018, that contents of the above affidavit
are true and correct to the best of my knowledge and nothing has been concealed therein.
DEPONENT
AFFIDAVIT
I, RADHIKA MUCHHAL WIFE OF MR. RAHUL MUCHHAL & DAUGHTER OF

SHRI DINESH KUMAR LAKHOTIA Resident of House No.12 A C-3, Lane, Sainik Farms,
Pushpa Bhawan, Hauz Khas, South Delhi, Delhi-110062, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
2. That my actual and complete name is RADHIKA LAKHOTIA prior to marriage, now
after marriage it has been converted into RADHIKA MUCHHAL
3. That RADHIKA LAKHOTIA & RADHIKA MUCHHAL are the name of same & one
person.
particular and all time, here after to designate and address me by RADHIKA
MUCHHAL accordingly.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAJU SON OF SHRI RATAN LAL Resident of House No.D-2-156, Hari Nagar
Extn. Part-III, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:-
Contd…2.
** 2 **
2. That the correct and exact date of birth of my son/daughter namely “KASISH
KUMARI” is 02.06.2008 (02nd day of June Two thousand Eight), who is studying in
class IVth, in Jagdamba Public School at Ismailpur Road, Jaitpur, Badarpur, New
Delhi-44.
3. That the actual and complete name my daughter is “KASISH KUMARI” as per her
Aadhaar Card vide No.2587 1563 0005, but her name has mentioned as KASHISH
DIWAKAR in her school records.
4. That I wish to change her name as KASHISH KUMARI instead of RANJEET SINGH.
5. That RANJEET KUMAR & RANJEET SINGH are the name of same person.
6. That his/her mother’s name is “MRS. SOMA”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RANJEET KUMAR SON OF SHRI PRAHLAD Resident of House No.A-251,

Contd…2.
** 2 **
2. That the correct and exact date of birth of my son/daughter namely “RONAK” is
20.04.2008 (20th day of April Two thousand Eight), who is studying in class IVth, in
Vijay Modern Public School at H-172, Saurabh Vihar, Jaitpur, Badarpur, New
Delhi-44.
3. That my actual and complete name is RANJEET KUMAR as per my Aadhaar Card vide
No.9587 8023 8652, but my name has mentioned as RANJEET SINGH in my son
(RONAK) birth certificate in the place of father name.
4. That I wish to change my name as RANJEET KUMAR instead of RANJEET SINGH.
5. That RANJEET KUMAR & RANJEET SINGH are the name of same person.
6. That his/her mother’s name is “MRS. SOMA”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SHRI NIWAS GARG SON OF SHRI NEMI CHAND GARG Resident of House
No.C-13-B, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-10044, do hereby solemnly affirm
Contd…2.
** 2 **
2. That the correct and exact date of birth of my son/daughter namely “AYUSH SINGH
SHRINIWASA” is 14.07.2004 (14th day of July Two thousand Four), who is studying in
class IXth Sect-D, in Panchsheel Public School, Jaitpur, Near Gurudwara, Badarpur,
New Delhi-110044.
3. That my actual and complete name is SHRI NIWAS GARG as per my Aadhaar Card
vide No.5431 7584 8762, but my name has mentioned as SHRI NIWAS in my son’s
school records in the place of father name.
4. That I wish to change my name as SHRI NIWAS GARG instead of SHRI NIWAS in the
place of father name in my son’s school records.
5. That SHRI NIWAS GARG & SHRI NIWAS are the name of same person.
6. That his/her mother’s name is “MRS. SARLA DEVI”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, SHRI NIWAS GARG SON OF SHRI NEMI CHAND GARG Resident of House
No.C-13-B, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-10044, do hereby solemnly affirm
Contd…2.
** 2 **
2. That the correct and exact date of birth of my son/daughter namely “YASHI
AGRAWAL” is 15.08.2005 (15th day of August Two thousand Five), who is studying in
class VIIIth Sect-A, in Panchsheel Public School, Jaitpur, Near Gurudwara, Badarpur,
New Delhi-110044.
3. That my actual and complete name is SHRI NIWAS GARG as per my Aadhaar Card
vide No.5431 7584 8762, but my name has mentioned as SHRI NIWAS in my
daughter’s school records in the place of father name.
4. That I wish to change my name as SHRI NIWAS GARG instead of SHRI NIWAS in the
place of father name in my daughter’s school records.
5. That SHRI NIWAS GARG & SHRI NIWAS are the name of same person.
6. That his/her mother’s name is “MRS. SARLA DEVI”.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAJAN KUMAR THAKUR SON OF SHRI DILIP KUMAR ALIAS DILIP

THAKUR Resident of House No.B-78, Gali No.2, Jaitpur Extn. Part-II, P.O.Badarpur, New
Contd…2..
*** 2 ***
2. That DILIP KUMAR ALIAS DILIP THAKUR are the names of same & one person.
3. That my present address is House No.B-78, Gali No.2, Jaitpur Extn. Part-II,
DEPONENT
VERIFICATION:-
Verified at Delhi on 21st day of February 2018, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I, DILIP KUMAR ALIAS DILIP THAKUR SON OF LATE SHRI LAXMAN

THAKUR Resident of House No.B-78, Gali No.2, Jaitpur Extn. Part-II, P.O.Badarpur, New
Contd…2..
*** 2 ***
2. That DILIP KUMAR ALIAS DILIP THAKUR are the names of same & one person.
DEPONENT
VERIFICATION:-
Verified at Delhi on 21st day of February 2018, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I, VIMALA WIFE OF SHRI KULDEEP Resident of House No.187, Village Jaitpur,

P.O.Badarpur-110044, do hereby solemnly affirm and declare as under:-
Contd..2..
*** 2 ***

4. That MS. POOJA KUMARI is my real daughter whose d.o.b is 08.11.1990 who is
above 18 years which copy of age enclosed herewith.
5. That RAKESH KUMAR SON OF CHHITAR SINGH wish to marry with my daughter
& his d.o.b. is 01.02.1992 who is above 21 years which copy of age enclosed herewith.
6. That my husband SHRI KULDEEP has missing since 31.12.2012 which copy of
missing of Jaitpur Police Station, enclosed herewith.
8. That I have not taken any Financial help for the marriage of my daughter in Delhi Govt.
of MCD or NDMC or any other Govt. Sector.
DEPONENT
VERIFICATION:-
DEPONENT
UNDERTAKING
I, MRITUNJAY NARAYAN JHA SON OF LATE SHRI BEDANAND JHA Resident

of House No.H-211/33A, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044,
certify as under:-
Contd…2.
** 2 **
2. That M/s JANHAVI CONSTRUCTION at H-211/33A, Saurabh Vihar, Hari Nagar

Extn. P.O.Badarpur, New Delhi-110044, is a just sole proprietorship firm.
DEPONENT
Certified that the above facts are true to the best of my knowledge and belief and
nothing has been cancelled. Certified on day of 22nd day of February 2018.
DEPONENT
AFFIDAVIT
I, RAM KESH CHAPRANA SON OF SHRI I S CHAPRANA Resident of Shiv Farm,

Hari Nagar, Jaitpur Road, Badarpur, New Delhi-110044, Do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
1. That I am the registered owner of MERCEDES-BENZ bearing No.DL2FAW-0007 vide

Chassis No.WDD2040036L039750, engine No.65191130246409 Model 29/10/2010.
2. That my son VIPIN CHAPRANA was driving the vehicle at the time accident on
24/3/2016 at 12:30 P.M. at Meethapur Chowk, New Delhi-110044.
3. That there is no injury in the said accident to any person.
4. That there is no third party claim in this case.
5. That I shall held responsible if any other person shall claim for the same.
6. That I further declare that there is no injury and third party, loss in this accident.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 26th day of March 2018, that the contents of this Affidavit are
DEPONENT
DECLARATION
Contd…2..
*** 2 ***
I, RANVIR SINGH SON OF SHRI RAGHUVIR SINGH Resident of House
No.G-50/37/2B, Gali No.2, Block G, Molar Band Extn. P.O.Badarpur, New Delhi-110044,
(vide Aadhaar Card No.7876 0963 8915 & Voter Card No.DGB0594564/2010), do hereby
2. That I am the actual owner and in possession of a Built up House No.1935-A, land
measuring 46 Sq.Yds. Consisting of Two Room set on Ground Floor, Two Room set on
First Floor & One Room set on Second Floor, with all roof rights, Fitted with Electric
Connection, Part of Khasra No.246, Situated in the area of Village Tajpur, and abadi
known as Gali No.54-M, Molar Band Extn. P.O.Badarpur, New Delhi-110044, have
been purchased the same from Shri Prem son of Shri Laxman Ram Resident of House
No.54/1935, Gali No.54, Molar Band Extn. P.O.Badarpur, New Delhi-110044, by virtue
of Agreement to sell duly attested by Notary Public Delhi on 29.01.2015, which is bounded
as under:-
East :- Other property.

West :- Other property.
North :- Road 14’ wide.
South :- Other property.
Contd….3..
*** 3 ***
3. That previous first chain/documents of the above said property which is executed by
Shri J.P. Dubey son of Shri A.P. Dubey in favour of Shri Prem son of Shri Laxman
Ram & Front GPA Stamp Paper from Shri Prem to Shri Ranvir Singh, has been lost at
any where & is not traceable, after that information report submit online on the website
of P.S: Crime Branch, Delhi, vide LR No: 639438/2018, on dated 22.02.2018, issued by
Delhi Police, vide SO No: 430/2014.
4. That the above said papers has been lost at anywhere, and is not traceable. That in case
the said papers shall been found then the same shall be surrendered without misused.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 23rd day of February 2018, that the contents of this Declaration
therein.
DEPONENT
To,
The Visa Officer

Embassy of Czech Republic
New Delhi
Sub:- Visa Request
Sir/Madam,
I, Kadam Singh father of Aman Chaprana R/o 44, Village Molar Band, P.O.Badarpur, New
Delhi-110044, hereby declare that, I have no objection for my son to participate in the
following competitions:-
1. 49th Grand Prix Of Liberation in Plzen(Czech Republic) from 30th April to 07th May
2018.
2. 12th International Shooting Competition of Hanover in Hanover(Germany) from 7 th

May to 15th May 2018.
I will be bearing all his expenses of travelling boarding and lodging during his entire
tournament.
I request you to kindly grant him entry visa to enable him to participate in the above said
competitions, and oblige.
Thanking You
Yours Truly
Kadam Singh
To,
The Visa Officer

Embassy of Czech Republic
New Delhi
Sub:- Visa Request
Sir/Madam,
I, Kadam Singh R/o 44, Village Molar Band, P.O.Badarpur, New Delhi-110044, hereby declare
that I am sponsoring Mr. Pradeep Kumar Passport No.K6135372 as he is personal coach of my
son Aman Chaprana participating in the Competition to be held in Pizen (Czech Republic) and
Hanover (Germany) from 29th April to 15th May 2018.
Attendance of Pradeep Kumar is very vital for my son performance in his competition as he is
regularly training with him and my son need his coach support.
I am bearing all the expense of Mr. Pradeep Kumar for his entire competition including
travelling, boarding and lodging.
These competitions are very important for my son (Aman Chaprana), in view of this ranking in
shooting career.
I request you to please grant him necessary entry visa for the purpose.
Thanking You
Yours Truly
Kadam Singh
AFFIDAVIT
I, URMILA DEVI WIFE OF SHRI SUBHASH PRASAD Resident of House

No.I-989/22, Hari Nagar Extn. Near Ratanjee Public School, P.O.Badarpur, New
Delhi-110044, aged about 37 years, do hereby solemnly affirm and declare as under:-
Contd..2.
** 2 **
2. That I am running my own Tea Stall at I-962/21, Hari Nagar Extn. Near Ratanjee Public
School, P.O.Badarpur, New Delhi-110044, and earn from it Rs.20,000/- (Rupees Twenty
Thousand only) per month, which makes Rs.2,40,000/-(Rupees Two Lakh Forty
4. That I have read & understood well the Bye-laws and other rules of the said society and
promise to follow them.
5. That I shall abide by any alteration, deletion or addition in the Bye-laws and rule of the
said society.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 06th day of April 2018, that the contents of the above affidavit
DEPONENT
AFFIDAVIT
I, DINESH KUMAR (Aadhar Card No.5892 3678 6329) SON OF SHRI KUMAR
PAL Resident of House No.A-191, Gali No.6, Mandoli Extn. Delhi-110093, do hereby
Contd..2.
** 2 **
1. That I was the registered owner of Vehicle bearing Registration No.DL1RTA-7181,

Chassis No.MA3EJKD1S00925962, Engine No.1768967.
2. That I have sold/leased the above mentioned vehicle to SHRI ARVIND KUMAR SON
OF SHRI RAM CHANDRA Resident of House No.F-45, Jaitpur Extn. Part-I,
P.O.Badarpur, New Delhi-110044. That I have no objection if he operates the said
vehicle through the Uber App. (In case of lease,mention duration of lease deed).
3. That I am Currently staying in House No.A-191, Gali No.6, Mandoli Extn.

Delhi-110093.
DEPONENT
VERIFICATION :-
I, the Deponent abovenamed do hereby verify that the contents of the foregoing
DEPONENT
AFFIDAVIT
I, RAM CHANDRA SON OF LATE SHRI DASU Resident of House No.I-1018, Gali
No.21, Hari Nagar Extn. P.O.Badarpur, New Delhi-44, do hereby solemnly affirm and declare
as under:-
Contd…2..
*** 2 ***
2. That I had booked a Maruti Suzuki Dzire in M/s Rohan Motors Ltds. At A-15, M.C.I.E.
Mathura Road, New Delhi-110044 on 23.3.2018, in which I paid a sum Rs.5,000/-
Rupees Five thousand only), through cheque bearing No.000312, on 23.3.2018, drawn
on Dena Bank, Branch Okhla, Phase-III, New Delhi-110020, to the said company, and
above said company had given me a booking Receipt as reference slip.
3. That after the some days of booking I had canceled the above booked car & the above
said booking receipt has been lost by me at anywhere, and is not traceable. That in case
the said Booking Receipt shall been found then the same shall be surrendered without
misused.
5. That I am requesting to the said company named M/s Rohan Motors Ltd. to make a
refund cheque in favour of my company named M/s Accurate Engineers.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, RAMESHWAR PRASAD SINGH SON OF SHRI RAM NARAYAN Resident of

House No.1906, Gali No.54-K, Block E-III, Near Ist 60’ Road, Molar Band Extn.
Contd…2..
*** 2 ***
2. That I was working in M/s SULZER FLOVEL HYDRO LTD. at 13/1, Mathura Road,
Faridabad, Haryana, from 19.3.1985 to 01.08.1999.
3. That from 01.08.1999 to till date I have not working in any other place.
4. That my any children not less than 25 years.
DEPONENT
VERIFICATION:-
DEPONENT
I, RAJ KUMAR KUSHWAHA SON OF SHRI KASHI NATH KUSHWAHA

Occupant of Property No.C-223, GROUND FLOOR, HARI NAGAR EXTN. PART-2,
BADARPUR, NEW DELHI-110044, do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 ***
1. That I am the Owner of Property No.C-223, GROUND FLOOR, HARI NAGAR

EXTN. PART-2, BADARPUR, NEW DELHI-110044.
2. That AMIT KUMAR KUSHWAHA is my Real Brother and is doing business (Trade) of
Computer, Printer and its parts and repair and Maintenance & Printer etc under the
Name M/s KLARRP ENTERPRISES as proprietor from the address:- C-223,
GROUND FLOOR, HARI NAGAR EXTN. PART-2, BADARPUR, NEW
DELHI-110044.
from the above-mentioned address/premises.
Registration from the above-mentioned address/premises.
5. That my above-mentioned statements are true and correct.
DEPONENT
VERIFICATION:-
and correct to the best of my knowledge and belief, and nothing has been concealed therefrom.
DEPONENT
AFFIDAVIT/N.O.C.
I, MAYA SHARMA WIFE OF LATE SHRI GYASHI LAL SHARMA Resident of

House No.G-7, Jaitpur Extn. Part-II, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 **
2. That my husband Late Shri Gyassi Lal Sharma was holding arms License
No.SDBP/1/1996/15 for Pistal No.B75187 & Riffle (315 Bore) No.AB962555, who had
expired on 12.5.2018 at QRG Hospital, Faridabad, Haryana.
3. That I shall have no objection if my son SHRI SANJAY SHARMA shall apply to
transfer the above said weapons in his name from the concerned licensing
authority.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT/N.O.C.
I, SUNITA SHARMA WIFE OF SHRI SUDHIR SHARMA & DAUGHTER OF LATE

SHRI GYASSI LAL SHARMA Resident of B 003, Hamilton Heights, Sect. 37, Faridabad,
Haryana, do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 **
2. That my Father Late Shri Gyassi Lal Sharma was holding arms License
3. That I shall have no objection if my brother SHRI SANJAY SHARMA shall

apply to transfer the above said weapons in his name from the concerned
licensing authority.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT/N.O.C.
I, BABITA SHARMA WIFE OF SHRI VIJAY SHARMA SHARMA & DAUGHTER

OF LATE SHRI GYASSI LAL SHARMA Resident of 441, Sect. 9, Faridabad, Haryana, do
Contd…2..
*** 2 **

DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT/N.O.C.
I, VANDANA SHARMA WIFE OF SHRI AMIT SHARMA & DAUGHTER OF LATE

SHRI GYASSI LAL SHARMA Resident of Shraddhapuri Colony, Phase-I, Kankarkhera,
Meerut Cantt. Uttar Pradesh, do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 **

DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT/N.O.C.
I, RANJNA SWAMI WIFE OF SHRI SHASHANT SWAMI & DAUGHTER OF

LATE SHRI GYASSI LAL SHARMA Resident of 23, Plot No.1, Priya Appartment, Sect. 14,
Rohini, North West Delhi, Delhi-110085, do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 **

DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, SHASHANK SINGH SON OF SHRI SURENDRA SINGH is regular student of

LL.B. Five years 10 Semester bearing College Roll. No.514/13 Resident of House No.2517,
Gali No.66, Block E-II, Molar Band Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 **
I do hereby solemnly affirm that facts as follow are true to best of my knowledge. I shall be
personally liable for any consequences thereof for providing false information.
1. That there is no criminal/civil case is pending against me in any court of law within the
territory of India.
2. That during the duration of course, there had been no allegation against me for
any kind of moral turpitude.
3. That during the course I have attended my classes more than 75% of the total
classes held in Institute.
4. That the total fee and all the dues of Institute have been cleared by me till date.
There is no pending due against me.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, RAHUL KUMAR VERMA SON OF SHRI VINOD KUMAR Resident of House

No.475 K, Chaubayana-2, Talabehat, Tehsil Talabehat, Distt. Lalitpur, U.P.-284126, and
presently residing at House No.117, Kotla Village, Mayur Vihar, Phase-I, Delhi-110091, do
Contd…2..
*** 2 ***
1. That I have purchased Plot No.L-10/A, back side portion, measuring area 410 Sq.Yds.
Khasra No.28(4-16), Situated in the area of Village Jaitpur, and abadi known as L-
Block, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044 from Shri
Jagtar Singh son of Late Shri Inder Singh Resident of House No.10, Village Jaitpur,
2. That the civil case was pending in Saket Court for the above said property if the
judgement/decree will be in favour of Shri Jagtar Singh then I shall purchase the said
part of land from Shri Jagtar Singh or its legal heirs. And or if the judgement will not be
in favour of Jagtar Singh then I shall give 08 Fit wide road from area 357 Sq.Yds., to
Jagtar Singh on behalf of Court order.
DEPONENT
VERIFICATION :-
DEPONENT
AFFIDAVIT
I, LUCKY CHAUDHARY SON OF SHRI RATAN SINGH CHAUDHARY Resident

of House No.28, Village Molar Band, P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2..
*** 2 ***
1. That the school has uploaded correct and updated information in the OASIS and the last
updating was done on (21/07/2018).
2. That the school is displaying correct and updated information as mandatedin rule 8.8.
(iv) of Affiliation Byelaws of the Board in school’s website (name of school website).
3. That “the school is collecting fee from students and also dispersing expenses, salary to
the staff through Bank Transfer only with reference to Board circular dated 10.12.2016”
regarding “Promotion of cashless transactions in the CBSE affiliated schools”.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 21st day of July 2018, that the contents of this affidavit are true
DEPONENT
AFFIDAVIT
I, MAAN SINGH RAJPUT SON OF SHRI VIJAY BAHADUR SINGH Resident of

House No.F/191A, Hari Nagar Extn. Part-II, P.O.Badarpur, New Delhi-110044, (vide Aadhaar
Card No.8393 3332 5186), do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 ***
1. That I am owner and in possession of a MOTOR CAR (TOYOTA FORTUNER)

bearing Regn. No.DL2CQ-5007, Chassis No.MBJ11JV5105000869, Engine
No.1KD6361492, Model 12/10/2009, Color S.M. Metallic, made by TOYOTA
KIRLOSKAR MOTOR PVT. LTD, purchased from Shri Kamlesh Kumar son of Shri
Heera Lal Resident of House No.150, Peer Mohalla, Aali Village, Sarita Vihar, New
Delhi-110076.
2. I have sold the said MOTOR CAR (TOYOTA FORTUNER) bearing Regn.
No.DL2CQ-5007, Chassis No.MBJ11JV5105000869, Engine No.1KD6361492, Model
12/10/2009, Color S.M. Metallic, made by TOYOTA KIRLOSKAR MOTOR PVT.
LTD, to SHRI GOPAL PRASAD SON OF LATE SHRI SRI CHAND GOYAL
Resident of House No.A-118, Mata Wali Gali, Village Mithapur, P.O.Badarpur, New
Delhi-110044, (D.L.No.P03022008567363N), for a total sum of Rs.6,00,000/-(Rupees
Six Lakh thousand only), and I have received a sum of Rs.6,00,000/-(Rupees Six Lakh
only), in full and final on 12.08.2018, and also handed over the physical vacant
possession of the said vehicle at Morning 07:00 A.M.
3. That but due to some circumstance the above said deal has been cancelled by me from
the consent of Shri Gopal Prasad, now I shall return the total sale consideration
Rs.6,00,000/- to Shri Gopal Prasad within the fixed period of on or before
______________, through cheque bearing cheque No.104392, drawn on Allahabad
Bank, Branch 41, Main Jaitpur Road, Badarpur, New Delhi-110044.
Contd…3..
*** 3 ***
4. That I did not taken the possession of the said vehicle from the said purchaser Shri
Gopal Prasad, whenever I shall return the total sale consideration amount Rs.6,00,000/
then that time I shall take the possession of vehicle from Shri Gopal Prasad.
DEPONENT
VERIFICATION :-
DEPONENT
Witnesses:-
1.
2.
AFFIDAVIT
I, SRIRAM TIWARI SON OF LATE GOURI SHANKER TIWARI Resident of House

No.I-108/4, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 ***
1. That I have received a sum of Rs.4,00,000/-(Rupees Four Lakh only), through RTGS on
21.8.2018, vide UTR Reference No.SBINR52018082100012464, in favour of HOME
DEVELOPERS PVT. LTD. from Smt. Santra Meena wife of Shri Kirodilal Meena
Resident of NayaPura, Bairwa Basti, Village Dibsya, P.O.Choti Udai, Tehsil Gangapur
City, Distt. Sawai Madhopur, Rajasthan-322205, which is substiute of Cheque
No.699412, on 08.08.2018, drawn on State Bank of India, Branch 415, Mathura Road,
Badarpur, New Delhi-110044, which had got dishonoured against the sale of a Property
No.I-1033, (Old Plot No.I-1042), land measuring 64 Sq.Yds. (14.4’x 40’), out of total
land measuring 66.6 Sq.Yds. Part of Khasra No.780, Situated in the area of Village
Molar Band, and abadi known as I-Block, Gali No.23, Hari Nagar Extn. P.O.Badarpur,
New Delhi-110044.
2. I Shall not demand any money & not claim, any interest, title, in the above said
property, have received total sale consideration amount from the said purchaser Smt.
Santra Devi.
DEPONENT
VERIFICATION :-
Verified at Delhi on this 23rd day of August 2018, that the contents of this affidavit are
DEPONENT
Witnesses:-
1.
2.
AFFIDAVIT
I, HIMANSHU SHEKHAR SINGH SON OF SHRI YOGENDRA PRASAD SINGH

Resident of Village & P.O.Garhara Gachhi, Tola & P.S. Barauni, Distt. Begusarai, Bihar-
851126, (vide Aadhaar Card No.4665 0273 2402), presently residing at House No.J-96, Arpan
Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and
declare as under:-
Contd…2..
*** 2 **
(i). That I have passed the LL.B. examination from A.P. Goyal University, Shimla,
Himachal Pradesh, in the year of 2017, and have applied for enrolment as an Adovcate
with the Bar Council of Delhi, it is already undertaken by me in the enrolment
application that my place of practice will ordinarily be at delhi.
(ii). However, in case I shift my place of practice from Delhi to any other state, hereby
undertake to get my enrolment transferred from Delhi to that state within 6 months of
the change of place of practice as provided in Part-V, Chapter III, Rule 3 framed by the
Bar Council of India under Section 49 (i) (ab) of the Advocate’s Act, 1961.
(iii). That I have studied my LL.B. classes from A.P. Goyal University, Shimla, Himachal
Pradesh, colleges as a regular student and during my study period, I stayed at Shimla,
i.e. the place where my LL.B. classes were regularly held.
(iv). That I undertake to disclose all informations asked in the Application Form, truthfully
and I understand that any omission to disclose or any misrepresentation shall render my
registration invalid and liable to be cancelled.
DEPONENT
VERIFICATION :-
therein.
DEPONENT
AFFIDAVIT
I, HIMANSHU SHEKHAR SINGH SON OF SHRI YOGENDRA PRASAD SINGH

Resident of House No.JVillage & P.O.Garhara Gachhi, Tola & P.S. Barauni, Distt. Begusarai,
Bihar-851126, (vide Aadhaar Card No.4665 0273 2402), presently residing at House No.J-96,
Arpan Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm
Contd..2..
*** 2 ***
2. That I have passed Matriculation in the year of 1998 from Bihar Board.
3. That I have passed Intermediate in the year of 2000 from Bihar Board.
4. That I have done ADCA (Advance Diploma in Computer Application) Course since
July 2000 to June 2001.
5. That from 2001 to 2002, I was preparing for engineering classes, therefore this period
was my gap year.
6. That from 2002 to 2005, I had passed BCA from IGNOU, due to back locking, I have
qualified in the year of 2007.
7. That from 2007 to 2008, I was preparing for MCA entrance, therefore this period was
my gap year.
8. That from 2008 to 2011, I had passed MCA from IGNOU, due to back locking, I have
qualified in the year of 2012.
9. That I have passed MBA from 2011 to 2013 from Distance Education (Vinayaka
Mission University, Tamilnadu).
10. That from 2013 to 2014, I was preparing for CLAT entrance, therefore this period was
my gap year.
11. That I have passed LL.B from 2014 to 2017 from A.P. Goyal University, Shimla,
Himachal Pradesh.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
UNDERTAKING
I, KAILASH CHAND SON OF LATE SHRI MADAN LAL Resident of House

No.B-298, Tajpur Pahari, P.O.Badarpur, New Delhi-110044, aged about 44 years, do hereby
solemnly undertake and affirm as under:-
Contd..2..
*** 2 ***
1. That I am the main Allottee of a residential unit bearing No.1202, in G-5, Tower (Eco
Village-1), (hereinafter referred to as the “Allooted Unit”) constructed by M/s
Supertech Limited (“Company”), having its Registered Office at 1114, 11th Floor,
Hemkunt Chambers, 89, Nehru Place, New Delhi-110019, also having its Corporate
Office at Supertech House, B-28-29, Sector-58, Noida, U.P., India (hereinafter referred
to as the “Developer”).
2. That Water connection charge demanded by company at the time of possession in
respect of my above mentioned booking has been deferred as of now, subject to the
demand raised by any statutory authority/concerned authority/organization in future.
3. That in case the water connection charge is demanded/charged/levied by any statutory

authority/concerned authority/organization in future under new
rules/policies/regulations in respect of the above mentioned booking, I hereby undertake
to pay the same.
4. That I hereby undertake that in case due to the rules, regulations, any bye laws if any
liability arises from this transaction, the same shall be solely borne by me and any
further formalities and/or documents is/are required against these transaction, the same
shall be immediately made available to the Developer for the purpose of statutory or
any other compliances.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 26th day of September 2018, that I am swearing the present
affidavit with my free will without and undue influence, coercion or force in any manner
whatsoever and that the contents of all the paragraphs of my affidavit are true and correct and
nothing material has been concealed therefrom and no part if it is false.
DEPONENT
AFFIDAVIT
I, Pratap Singh S/o Shri Devi Deen aged about 75 years R/o E-24, Hari Nagar Extn.
P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as
under:
1. I state that I am a member of M/s. Durga Builder Plot Holder Welfare
Association. I also state that was one of petitioners before the Hon’ble Supreme
Court of India in Writ Petition (Civil) Nos 113,477,792,&876/1996 Writ Petition
Nos 8269/02 and write Petition 368/05 ,P&H High Court and Civil Suit
Nos.658/04,55/05,254/06 897/07,303/8,,1266/09 before the District Court of
Faridabad,and presently filed I.A Nos 7-8 ,11-12 in W.P. No 876/1996 and now
our case Hon’ble Mr. Justice Vikramajit Sen (Retd) Judge Supreme Court of
India has appointed as arbitrator by the Hon’ble Supreme Court of India, In the
matter of Okhla Enclave Plot Holder Welfare Association -Vs- Union of India &
Others.
Vide the present affidavit, I am expressing my shock and surprise
regarding the list of 441 Claimants whose names are shown as encroachers in
the list prepared by the purportedly self-proclaimed (New) Durga Builder Pvt.
Ltd, through its authorized signatory vide email dated 8 th September2018. This
letter has allegedly shown that a joint survey was conducted by the department
i.e., D.T.P., Faridabad, Haryana and the builder in compliance of the order
passed by this Hon’ble Tribunal vide osrder dated 23-12-2017. The letter sent
by the builder states that 441 claimants (including my name) have encroached
the land purportedly belonging to M/s. Durga Builders Pvt. Ltd.
2. I state that my name is listed at Serial No. ____of the list of 441 members who
have been alleged to have encroached the land belonging to Durga Builders
Pvt. Ltd. I state that I have been waiting for my share of the land for the last 32
years for which I have paid money to Durga Builders Pvt. Ltd. I have filed
various petitions/cases, appeared before various authorities in respect of my
legitimate claim for the past several years through the association in order to
get justice. Pursuant to the orders passed by various courts/authorities, the
builder had even allocated me the plot/given me plot numbers, but due to the
negligence of builder and Haryana Government,I am yet to get allotment of any
plot/handed over any plot to me. I have been waiting for allotment of a Plot to
me for the past 32 years. I was thus surprised to see my name in the list of 441
members who have been shown as encroachers and was surprised me even
more was the fact that
with the officials of the Department has circulated/filed a list despite knowing that
the list if false/forged/fabricated and untrue. The Builder is fully aware that almost
the entire list if fabricated and I am not in any encroachment of any land belonging
to Durga Builder Pvt. Ltd. The list has come as a shock and surprise to me. I am
sending this affidavit with the request to the department and the builder regarding
the details of the phase No., Plot No. and Kharsra Number on which the alleged
encroachment has taken place by me or as to why the Government has been silent
about this fact for the last 22 years and why these facts have not been brought
before either the Hon’ble Supreme Court or the Hon’ble High Court of Punjab and
Haryana at Chandigarh or the District Courts at Faridabad.
3. The new colonizer / purportedly claiming to be the builder now has filed an
application calling for certain particulars which is already been submitted to M/s
Durga Builders Pvt. Ltd. represented by late Shri R.K. Nanda and his wife Smt
Smt. Promila Nanda Managing Director and various directions have been given
to them by the Hon’ble Supreme Court of India and Hon’ble High Court of
Punjab and Haryana at Chandigarh. The New Colonizer has no locus standi to
appear in this matter and ask for such particulars from the members of our
association. In this regard, it is submitted that as per the directions of the
Hon’ble Supreme Court as well as the Hon’ble High Courts, the verifications
were also made by the Court Commissioner, as well as the Director General
Haryana Town & Country Planning and the present application moved by the
new colonizer is mischievous and to delay the proceedings before this Hon’ble
Tribunal.
4. I state that the Hon’ble Supreme Court had already passed an order dated 10-
07-2014 and rejected the claims of the present Colonizer to re-open the entire
case and the Hon’ble Supreme Court had also directed the entire colony to be
taken over by the Director General Haryana Town & Country Planning for
allotment of plots to the incumbents who have been waiting for decades for their
plots. Reliance is placed on the orders of the Hon’ble Supreme Court of India
dated 07-04-1997,17-07-2013,18-07-2013 & 10-07-2014.
5. I hereby declare that that I have neither occupied any kind of land on Durga
Builder’s land nor have I booked more than one plot nor have I encroached
any land. The purported list as also the allegation that I am I am encroaching
the plot is incorrect and denied. I state that I would be filing a case against the
builder as also any person from the department who is involved in giving such
false information before the Hon’ble Arbitrator which is yet another act of
cheating the investors/claimants in order to favour the purported new
management of the builder company
6. I also state that there are many areas which have been alleged to have been
encroached which are submerged in water and thus, the question of
encroaching them does not arise. This itself shows that the land in question
have not been encroached as alleged and that the list if a creation of fraud,
forgery and deception.
7. However, before doing so, I deem it appropriate to allow the Department of
Town and Country Planning to explain as to how the list came into existence
and if the same is an outcome of fraud by the purportedly new management of
the builder M/s. Durga Builders Pvt. Ltd.
8. Before taking my remedies under law, I would also request you to remove my
name from the list of alleged encroachers failing which I would be constrained
to lodge appropriate cases against any person who is guilty of
publishing/creating/filing such a list for the purpose of depriving me of my
legitimate right to the plot of land for which I have been waiting for years.
9. I also request that without scrutiny no names should be shown in any list of
encroachers as every such false list is being created by the Purportedly new
builder (new management of the builder) to raise prejudice against the
claimants before the Hon’ble Arbitrator (or in the mind of the Court ). Thus, I
would be requesting the Hon’ble Arbitrator to direct the Government to create a
fresh list after proper inspection and verification so that the same is based upon
correct record and position as prevailing in the area where the plots are to be
given.
10. I state that the contents of the accompanying affidavit are true and correct to my
knowledge and belief and no part thereof is false and nothing material
DEPONENT
VERFICATION
I, ______________________, the deponent above named do hereby verify that the

contents of the above affidavit are trueand correct to my knowledge and belief and no
part thereof is false and nothing material concealed therefrom.
Verified at New Delhi This ______day of ______ 2018.
DEPONENT
AFFIDAVIT/N.O.C.
I/We, SUSHILA RAWAT WIFE OF SHRI CHANDAN SINGH RAWAT Resident of

House No.D-159, Gali No.13, Hari Nagar Extn. Part-II, Near Sai Mandir, P.O.Badarpur, New
Contd…2..
*** 2 ***
1. That my husband Shri Chandan Singh Rawat was the actual owner of a Triple & Half
Storey Built up House No.D-159, (Old Plot No.41-B), land measuring 82 Sq.Yds. with
all roof rights, Part of Khasra No.606, Situated at D-Block, Gali No.13, Hari Nagar
Extn. Part-II, Near Sai Mandir, P.O.Badarpur, New Delhi-110044.
2. That I shall get no claim, title or interest in the said property if my husband has sold the
above said property to SHRI MANOJ SON OF LATE SHRI SURENDER SINGH
Resident of House No.32, Village Molar Band, P.O.Badarpur, New Delhi-110044 & He
become its sole and absolute owner and is at liberty to utilize the same in any manner as
he like in future.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I/We, RAHUL KUMAR SON OF SHRI INDRA DEO PASWAN Resident of House
No.B-332, Gali No.7, Om Nagar, Mithapur P.O.Badarpur, New Delhi-110044, seeking grant of
financial assistance under the EWS Scheme of the GGSIP University, hereby solemnly affirm
and declare
Contd…2..
*** 2 ***
1. That the total Annual Income of my family from all sources is not more than
Rs.2,50,000/-.
2. That the applicant is availing financial assistance/scholarship of amount of

Rs._____________ for academic purposes from any sources Govt. or otherwise.
3. That the applicant does not have the status of failure in any subjects of any semester(s)
on the date of swearing of this affidavit.
4. That the applicant fulfils all the eligibility conditions notified in the guideline for grant
of financial assistance under the Economically Weaker Section (EWS) Scheme of the
GGSIP Univeristy.
Deponent
VERIFICATION:-
are true and correct to the best of my knowledge and belief. No part of it is false and nothing
material has been concealed therefrom.
Deponent
AFFIDAVIT
My Ward RAHUL KUMAR SON OF SHRI INDRA DEO PASWAN Resident of

House No.B-332, Gali No.7, Om Nagar, Mithapur P.O.Badarpur, New Delhi-110044, seeking
grant of financial assistance under the EWS Scheme of the GGSIP University, hereby solemnly
affirm and declare
Contd…2..
*** 2 ***
1. That the total Annual Income of my family from all sources is not more than
Rs.2,50,000/-.
2. That the applicant is availing financial assistance/scholarship of amount of

Rs._____________ for academic purposes from any sources Govt. or otherwise.
3. That the applicant does not have the status of failure in any subjects of any semester(s)
on the date of swearing of this affidavit.
4. That the applicant fulfils all the eligibility conditions notified in the guideline for grant
of financial assistance under the Economically Weaker Section (EWS) Scheme of the
GGSIP Univeristy.
Deponent
VERIFICATION:-
are true and correct to the best of my knowledge and belief. No part of it is false and nothing
material has been concealed therefrom.
Deponent
AFFIDAVIT
I, PREETY KUMARI SHIV KUMAR SON OF LATE SHRI KISHAN LAL Resident
of House No.2406, Gali No.E-64, Block E-II, Molar Band Extn. P.O.Badarpur, New
Contd…2.
** 2 **
2. That the actual & correct name of my father is SHRI KISHAN LAL which is mentioned
in my all ID’s such as:- Aadhaar Card, PAN Card, Passport, but by mistake the name of
my father has mentioned wrongly as KESHAV LAL in my Voter Identity Card in the
place of father name & also wrongly mentioned as SHRI RAM NATH in my property
documents such as:- GPA, Agreement to Sell & Purchase, Affidavit, Receipt, etc. in the
3. That all names “KISHAN LAL” “KESHAV LAL” & “RAM NATH” are the
different names of father & same person belongs to all above names.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
To,
The Honorable Commissioner Sir,
SDMC, New Delhi.
Subject :- Remove Encroachment of illegal hawkers Ward
No.97 (s)
Hari Nagar-B.
Sir,
For a long time due to the horrors of ward Hari Nagar-B 97 (s)
from the Lohiya Pul to Love-Kush Chowk and Mithapur to Jaitpur on
both sides of the Roads the roads have become so narrow that the roads
are so narrow that daily roadrage accident is a common one the thing has
become sir, the population of this area is in Millions and due to illegal
encroachment on both sides of the road there is a continuous strike in the
streets every day due to the densely populated population it is difficult to
get for Four Wheelers from Jaitpur to Mithapur & Love-Kush Chowk to
Lohiya Pul Sir, this is a serious issue people of the area are very upset
about this problem because in case of accident, emergency it will be very
difficult to reach this area of big vehicles in an emergency you are
requested to please in view of these serious problems of the area, take
action against these illegal hawkers and unauthorised commercial
vehicles who have been imposed on both sides of the road and please be
free to encroach on both sides road.
Thanks & Regards
Copy to:-
1. Deputy Commissioner (Central Zone)

SDMC, New Delhi.
2. Deputy Commissioner of Police
South-East Distt.
3. MLA Badarpur
4. SHO Jaitpur.
5. Councillor Ward 97 (s) Hari Nagar-B.
AFFIDAVIT
I, AMARJEET KAPOOR SON OF SHRI MANMOHAN SINGH KAPOOR Resident

of House No.I-2, Lajpat Nagar-2, Defence Colony, New Delhi-110024, (having aadhaar card
No.2100 7405 6835), do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 ***
2. That I am the absolute owner and in possession of a House No.545, Situated at Sect. 37,
Faridabad, Haryana.
3. That there is no other claimant other than me of the property mentioned above i.e.
House No.545, Sect. 37, Faridabad, Haryana.
4. That all the cases between me and my brother Gurjeet Kapoor have been settled and
disposed off from all courts of law.
5. That in future if there is any issue shall arise regarding the title of the property than I
shall be liable to Indemnifty & pay all the losses suffered to the purchaser regarding this
property mentioned above i.e. House No.545, Sect. 37, Faridabad, Haryana.
6. That there is no legal/civil case is pending in any court of law regarding above said
property i.e. House No.545, Sect. 37, Faridabad, Haryana.
7. That there is no disputed matters with my family and relatives regarding above said
DEPONENT
VERIFICATION :-
Verified at New Delhi on this 01st day of December 2018 that the contents of the above
DEPONENT
AFFIDAVIT
I, GURJEET KAPOOR SON OF SHRI MANMOHAN SINGH KAPOOR Resident of

House No.E-44, IIIrd Floor, Lajpat Nagar-3, New Delhi-110024, do hereby solemnly affirm
Contd…2..
*** 2 ***
2. That I Gurjeet Kapoor do not have any share, claim or interest in the above said
3. That all the cases between me and my brother Amarjeet Kapoor have been settled and
disposed off from all courts of law.
4. That my brother Amarjeet Kapoor is absolute owner and in possession of the said
property i.e. House No.545, Sect. 37, Faridabad, Haryana & No other family member
and relatives have any share in the property including me. I have no objection in taking
any decision by my brother Amarjeet Kapoor as individually regarding in this property.
5. That there is no other claimant other than me of the property mentioned above i.e.
House No.545, Sect. 37, Faridabad, Haryana.
6. That there is no legal/civil case is pending in any court of law regarding above said
7. That there is no disputed matters with my family and relatives regarding above said
8. That my brother Amarjeet Kapoor has full rights to sell & transfer the above property
i.e. House No.545, Sect. 37, Faridabad, Haryana to anybody.
DEPONENT
VERIFICATION :-
Verified at New Delhi on this 02nd day of December 2018 that the contents of the above
DEPONENT
AFFIDAVIT
I, RAMWATI WIFE OF SHRI GAURAV BAGHEL Resident of House No.824,

Gali No.5, Sai Nagar, Mithapur Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly
Contd…2.
** 2 **
2. That my father name is GAYA PARSAD.
3. That before marriage my father’s name was mentioned in my Aadhaar Card but now I
am married with Gaurav Baghel so my husband’s name is mentioned in my Aadhaar
Card.
4. That my exact & correct date of birth is 01.02.1990.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 03rd day of December 2018, that the contents of this affidavit
therein.
DEPONENT
AFFIDAVIT
I, Sanjeev Kumar Jha son of Shri Anand Kumar Jha presently resident at House No.J-96,
Arpan Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, do solemnly affirm and
declare as follows:-
Contd…2..
*** 2 ***
1. That I have applied for authentication of declaration as mentioned in my enclosed

application. It will be published in Delhi language Hindi periodicity. To be published
and printed at Amar Ujala Publications Ltd, at C-21/22, Sect. 59, Noida, U.P.
2. That the owner of newspaper/magazine/journal is Sanjeev Kumar Jha and he has given
his consent for this.
3. That my permanent address is House No.J-96, Arpan Vihar, Jaitpur Extn. Part-I,
P.O.Badarpur, New Delhi-110044, (proof attach duly attested by serving G.O.).
4. That I am not publishing other newspaper/magazine/journal. (In case publishing other

newspaper/magazine/journal -- attach the list of other publication with details.)
5. That there is nothing against me to debar me from being publisher or printer.
6. That I am also doing the following occupations other than this : (Proof attach)
(a) N/A
(b) N/A
(c) N/A
7. That the true and precise account of place publication is as under:-
House No.J-96, Arpan Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044,
and the place is not violating MPD 2021 and is in my legal possession.
Contd…3..
*** 3 ***
8. That other details of my publication is as under:-

i) Office telephone No._____________________ Mobile No.9871688515
ii) Residence telephone No.9971591256 Mobile No.______________
iii) E-Mail ID journalistsanjeevjha@gmail.com
9. That the above mentioned title is not being used/published by any Government/Semi
Government Department.
10. That the owner(s) of the Firm/Joint/Trust/Co-operative Society/Association owing the

newspaper/magazine is/are citizen(s) of India.
11. That the owner (s) does/do not have any tie-up/collaborations with any foreign
organization nor any foreign funds/donations are involved in the publication of
newspaper/magazine.
12. That the owner (s) will not have any tie-up/collaboration with any foreign organization
in future without the prior permission of the Government of India in respect of the
publication of the above mentioned newspaper/magazine.
13. That I will not use this title for any other purposes other than as prescribed in the Press
and Registration of Books Act, 1867.
14. That the identity cards issued to my employees will not use logos and colors of the
Delhi Police or any other Government agency, and I undertake that these will be issued
in the prescribed format only to genuine employee.
Contd…4..
*** 4 ***
15. That I will not print the name of Deputy Commissioner of Police, Licensing, Delhi or
any other Government Officer in any manner on identity cards which will be issued by
me to my employees.
16. That I will utilize the declaration only for the purpose relating to publication/circulation
of my newspaper/magazine/journal.
17. That I will renew my Declaration Form [Form – B] after three years.
18. That in case I close the publication I will inform your office within 07 days of its
closing.
19. That no child labour has been engaged/will be engaged to work for the said publication.
20. That no objectionable material or any other material, which is punishable under IPC,
will be published by me in my publication.
21. That my annual income is Rs.3,26,000/- (proof attached).
22. That my nominee(s) will be ASHA JHA who is my (WIFE) residing at House No..J-96,
Arpan Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044.
Contd…5..
*** 5 ***
23. That I shall abide by the other guideline/directions given to me from your office.
24. That I shall abide by all the norms of Indian Law and existing Local Special Law and
other Law.
DEPONENT
VERIFICATION:
Verified on 08th day of January 2019. The particulars furnished by me are true and
Correct to the best of my knowledge and nothing has been concealed or misrepresented.
DEPONENT
AFFIDAVIT
I/WE, SUNITA KUMARI WIFE OF SHRI ANIL KUMAR SHARMA Resident of

Village & P.O.Uttap, Tehsil Nadaun, Utap (28/1), Hamirpur, Himachal Pradesh-177026,
presently residing at House No.40-A, Gali No.13, Molar Band Extn. P.O.Badarpur, New Delhi-
110044, (vide Aadhaar Card No.5418 1468 1835) & MEERA DEVI WIFE OF SHRI SUSHIL
KUMAR SHARMA Resident of House No.40-A, Gali No.13, Molar Band Extn. P.O.Badarpur,
New Delhi-110044, (vide Aadhaar Card No.7718 3068 2777), do hereby solemnly affirm and
declare as under:-
Contd…2.
** 2 **
1. That I/We am/are citizen of India.
2. That the actual & correct name of our mother is “SUDHA DEVI” which is mentioned
in her property electric bill, but by mistake his name was written wrongly as
“SHODHA DEVI” in her property documents & “YASHODHA DEVI” in her death
certificates.
4. That all the above names “SUDHA DEVI” “SHODHA DEVI” “YASHODHA DEVI”
are belongs to our mother.
5. That if in future any issues shall have been found regarding our mother name then we
will responsible for all that.
DEPONENT/S
VERIFICATION:-
true to the best of my/our knowledge and belief nothing has been concealed therein.
DEPONENT/S
AFFIDAVIT
I, LEELAM DEVI WIFE OF SHRI LALLAN KUMAR Resident of House

No.C-56, Jaitpur Extn. Part-I, Near Main Gyan Mandir Road, P.O.Badarpur, New
Contd…2..
*** 2 ***
2. That I was the owner and in possession of a Built up House No.C-56, land measuring
66½ Sq.Yds. with all roof rights, Part of Khasra No.198, Situated in the area of Village
Jaitpur, and abadi known as C-Block, Jaitpur Extn. Part-I, P.O.Badarpur, New
Delhi-110044.
3. That I have sold half portion i.e. land measuring 33¼ Sq.Yds. (out of total land
measuring 66½ Sq.Yds.), with all roof rights, Part of Khasra No.198, Situated in the
area of Village Jaitpur, and abadi known as C-Block, Jaitpur Extn. Part-I, P.O.Badarpur,
New Delhi-110044, to Shri Rajesh Yadav son of Late Shri Shiv Narayan Yadav, now I
am legal & rightful owner of only land measuring 33¼ Sq.Yds.
4. That now I have applied for new water connection from Delhi Jal Board in respect of
House No.C-56, land measuring 33¼ Sq.Yds. with all roof rights, Part of Khasra
No.198, Situated in the area of Village Jaitpur, and abadi known as C-Block, Jaitpur
Extn. Part-I, P.O.Badarpur, New Delhi-110044.
DEPONENT
VERIFICATION:-
Verified at Delhi on 22nd day of March 2019, that the contents of the above affidavit are
DEPONENT
AFFIDAVIT
Contd…2..
*** 2 ***
I, ROSHAN SINGH VERMA SON OF LATE SHRI BHOOP SINGH age 80 years,
President of the Bharat Public School Education Society running the Bharat Public School, do
hereby solemnly affirm and sincerely state as follows:
1. That Bharat Public School Education Society is a registered Society under the Society
Act-1860.
2. That the Bharat Public School Education Society is of Non-Proprietary Character.
3. That the school is being run as a community service and not as a business and that
commercialization does not take place in the school in any manner whatsoever.
4. That no part of income from the Institution is being and will be diverted to any
individual in the Society/School Management Committee or to any other person/entity.
The saving, if any, after meeting the recurring and nonrecurring expenditure and
contributions to developmental, Depreciation and contingency funds, will be further
utilized for promoting the school and extending the cause of education in the same
school only.
5. That school is not paying any charges towards using name, motto, logo or any other
non-academic activities to any other institution, organization or body.
6. That the school will not open classes under CBSE pattern particularly class XI/XII and
will not use CBSE name in any manner without obtaining affiliation.
7. That the Principal and Correspondent/Manager of the school have individually gone
through the provisions contained in the affiliation & examination byelaws and the
circulars issued by the Board from time to time. The school undertakes to abide by the
provisions contained in the affiliation & examination byelaws, directions issued from
time to time and the law of the land.
8. That the school will ensure compliance of all statutory requirements like EPF, ESI and
Labour Laws etc. with respect to the school and staff of the school.
9. That the school will ensure that the Building Safety, Fire Safety, Water Safety, Health
and Hygiene certificates are being issued or renewed by the concerned municipal or
state authorities from time to time as per the prescribed term.
Contd…3..
*** 3 ***
10. That the school will ensure that all required infrastructure is available with the school
before starting classes.
11. That the school will ensure that sufficient number of qualified teachers as per the
provisions contained in affiliation bye-laws are available with the school before starting
classes.
12. That the school will follow the provisions related to fee contained in affiliation byelaws
and will disclose the details of the fee to the students/parents every year before start of
session without resorting to any hidden charges in the heads of the fee.
13. That the school will not coerce any student/parent to buy books stationary/uniform from
any particular shop.
14. That the school shall strive to make efforts for conservation of environment.
APPENDIX-IV (Affidavit should be duly notarized).
15. That the school will ensure that the school fulfils all essential requirement before
applying for affiliation and will fulfil all other conditions post affiliation and comply
with all the general rules as given in the affiliation byelaws or notified from time to
time.
16. That in case affiliation has been with certain conditions, the school will not start CBSE
pattern classes without submitting a certificate/affidavit to the effect that the school has
complied with all the conditions imposed by CBSE and the post affiliation conditions
contained in affiliation byelaws along with general rules.
DEPONENT
AFFIDAVIT/NO OBJECTION CERTIFICATE
I, ASHOK MATI SON OF LATE SHRI RAM LAL MATI Resident of House
No.N-143, Saurabh Vihar, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, do hereby
Contd…2..
*** 2 ***
1. That my mother SMT. KRISHNA MATI WIFE OF LATE SHRI RAM LAL MATI was
the actual owner and in possession of a Property No.N-143, land measuring
100 Sq.Yds. Part of Khasra No.734/733, Situated at N-Block, Hari Nagar Extn. Near
Attar Singh Public School, P.O.Badarpur, New Delhi-110044, had purchased the same
from Shri Om Prakash son of Shri Bhim Singh Resident of Village Dasna, Distt.
Ghaziabad, U.P., on 23.02.1998.
2. That my mother SMT. KRISHNA MATI has sold the above said property to SMT.
SUNITA WIFE OF SHRI MANGE RAM Resident of House No.I-721, Gali No.13,
Hari Nagar Extn. P.O.Badarpur, New Delhi-110044 & executed the all concerned
documents such as GPA, AGREEMENT TO SELL, AFFIDAVIT, RECEIPT, ETC. in
favour of SMT. SUNITA, also received the total sale consideration amount from the
above said purchaser.
3. That in future I shall get no claim, title or interest in the said property and the said Smt.
Sunita have become its sole and absolute owner and is at liberty to utilize the same in
any manner as he/she likes in future.
DEPONENT
VERIFICATION:-
DEPONENT
I, VINOD MATI SON OF LATE SHRI RAM LAL MATI Resident of House
Contd…2..
*** 2 ***
DEPONENT
VERIFICATION:-
DEPONENT
I, PREM MATI SON OF LATE SHRI RAM LAL MATI Resident of House
Contd…2..
*** 2 ***
DEPONENT
VERIFICATION:-
DEPONENT
I, ASHA MASSEY WIFE OF SHRI RAKESH MASSEY & DAUGHTER OF SMT.

KRISHNA MATI & LATE SHRI RAM LAL MATI Resident of House No.N-143, Saurabh
declare as under:-
Contd…2..
*** 2 ***
DEPONENT
VERIFICATION:-
DEPONENT
I, KIRAN DAVID WIFE OF SHRI JULLIOUS DAVID & DAUGHTER OF SMT.

declare as under:-
Contd…2..
*** 2 ***
DEPONENT
VERIFICATION:-
DEPONENT
I, GEETA GILL WIFE OF SHRI PASCHAL GILL & DAUGHTER OF SMT.

declare as under:-
Contd…2..
*** 2 ***
DEPONENT
VERIFICATION:-
DEPONENT
DECLARATION
I, PREM PAL SHARMA SON OF LATE SHRI EDAL SHARMA Resident of House
No.E-85, Gali No.3, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, (vide D.L.
No.DL-0320120346799(P)/issued on 01.09.2012), do hereby solemnly affirm and declare as
under:-
Contd…2..
*** 2 ***
1. That I have purchased a Built up House No.E-54/A (Part of Property No.E-54 & Old
Plot No.J-16A), land measuring 40 Sq.Yds. (12’x 30’), with all roof rights, Fitted with
Submer Sible, (out of total land measuing 100 Sq.Yds.), Part of Khasra No.718,
Situated at E-Block, Gali No.3, Hari Nagar Extn. Near Sharma Medical Store,
P.O.Badarpur, New Delhi-110044, from Shri Vishnu Dayal Alias Vishun Dayal Son Of
Late Shri Mangli Prasad Resident of Village Agouna Pur, P.O.Junodpur, Distt. Etah,
(U.P.), & presently residing at House No.E-54, Gali No.3, Hari Nagar Extn. Near
Sharma Medical Store, P.O.Badarpur, New Delhi-110044.
2. That Shri Vishnu Dayal Alias Vishun Dayal shall have rights to use my submer sewel
upto two months from today i.e. 04.06.2019 to 04.08.2019, after that he shall not have
any rights to use my said submer sible.
DEPONENT
VERIFICATION:-
Verified at Delhi on this 04th day of June 2019, in the presence of following witnesses:-
DEPONENT
Witnessess:-
1.
2.
AFFIDAVIT
I, SHANKAR NATH MISHRA aged 52 son of Late Shri Dev Kant Mishra resident of
House No.A-198, Jaitpur Extn. Part-I, P.O.Badarpur, New Delhi-110044, am the
Organiser/Event Manager, solemnly undertakes and declares as under:-
Contd…2..
*** 2 ***
1. That I am competent to apply for the Performance License on behalf of above company.
2. That I am applying for Performance License to be organized at the National Rajdhani

Public School (Name/Address of the Premises) on/from 29.09.2019 to 08.10.2019,
(Dates) & Show at 7:00 AM to 10:00 P.M.
3. That the performance/show is about DURGA PUJA.
4. That no infringement of any copy right shall take place under “The Copy Right Act-
1957”) and that I/We shall be wholly responsible in the event of any infringement or
contravention of any of the provisions of the “The Copy Right Act, 1957”.
5. That I do hereby undertake that the above show does not have:-
(a) Any profanity or impropriety of language;
(b) Any indecency of dress, dance, movement or gesture;
(c) Any offensive personation or representation of any individuals;
(d) Anything calculated or likely to excite feeling of sedition or political discontent;
(e) Anything calculated or likely to cause riot or breach of peace, or to promote or
excite hostile feelings between different classes: or to wound the religious feelings of
any individual or class of individuals;
(f) Any dangerous exhibition or display of a performance or game with wild beasts,
except in so far as it an item of performance in a circus which shall be governed by
regulation in Chapter XI (applicable for circuses) of these regulations;
(g) Any performance or game involving risk, damage or danger to the audience or
public;
(h) Any speech, ceremony or any other item not covered expressly by the terms of the
performance license.
Contd…3.
** 3 **
6. That the expected audience for the above said performance/ function to the best of my
knowledge will be approximately 500 (Five Hundred).
7. That I hereby undertake that all electrical equipment being used by us for the above
show have been tested.
8. That I do hereby undertake not to continue the performance beyond 10.00 P.M. at the
Premises.
9. That the above show/ performance is

(i) Free entry for all based on invitations.
(ii) Free entry without invitations.
(iii) Ticketed show, the details of which are given in the application form.
DEPONENT
VERIFICATION:-
Verified at New Delhi on this 27th day of August 2019, that the contents of the affidavit
are true and correct to the best of my knowledge and belief and no part thereof is incorrect and
nothing material has been concealed.
DEPONENT
To,
The Junior Engineer (J.E.),
Delhi Jal board, South Delhi,
Pump No.03,
Molar band School Road,
Badarpur,
New Delhi-110044
Sub: Request letter for adjustment of boring water pump.

Respected Sir,
I Mithu Jha owner of D-5/B, Khasra number 682/2,D-block Main Nala Road, Saurabh
Vihar,Harinagar Extn. Near Main Jaitpur road and Love Kush Restaurent, Badarpur, New
Delhi-110044.
Sir,
This is to kind informed you that your water boring pump is bored in front of our shop,which
address is mentioned above, because of which I am facing a lot of problem. We will be very
appreciative if you would do it inside the ground or on the ground surface and we will bear all
the expenses that will come in doing this.
This is specially request you to kindly take care about our neighbor’s problem also when you
will do this work, then our street people should not face any problem, take care of this
especially those who use this pump water.
We will always be grateful if you solve this problem as soon as possible.
Thanks and kind regards.
Date:-
Place:-
Your’s faithfully
(Mithu Jha)
Cell No.9810770500
AFFIDAVIT
I, MOHIT SON OF SHRI RAJ KUMAR Resident of House No.C-2, Block C, Hari Nagar
Extn. P.O.Badarpur, New Delhi-110044, do hereby solemnly affirm and declare as under:-
Contd…2..
*** 2 ***
1. That I am the true and absolute owner of Vehicle No.DL6CN-4820 duly insured with
United India Insurance Co. Ltd. Vide Policy No.2222813119P1049999701.
2. That the aforesaid vehicle met with an Accident on 25.09.2019 at Faridabad, Haryana
and the vehicle was being driven by Rahul Chokan Son of Shri Raj Kumar.
3. That the said driver along with the Co passengers did not sustain any injury in the said
accident.
4. No FIR was lodge in this case.
5. No Spot Survey was done.
6. It is hereby declared that in future if it is found that the Driver or any other person was
injured and MLC was conducted and any Third Party Case of any kind is lodge against
United India Insurance Company Ltd. by the Driver Shri Rahul Chokan or any other
person, relating to the said Accident, then I shall be solely liable for the same.

DEPONENT
Verification
Verified at New Delhi on this 08th day of November 2019 that the content of the above said
affidavit are true and correct to the best of my knowledge and belief and nothing has been
concealed there from.
DEPONENT
AFFIDAVIT
I, SONU KUMAR (vide Aadhaar Card No.7214 2970 9449) SON OF LATE SHRI
SHANKAR PANDIT Resident of House No.D-2-127, Hari Nagar Extn. Part-III, P.O.Badarpur,
Contd..2..
*** 2 ***
2. That my father was working in (hail) Saudi Arabia who had died on 20.08.2019 during
his service.
3. That I want to receive my father’s Dead Body from Delhi Airport.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, KUMARI BHARTI DAUGHTER OF SHRI LAKSHMAN NAYAK a permanent

resident of House No.H-175/5, Ekata Vihar, Jaitpur Extn. Part-I, P.O.Badarpur, New
Delhi-110044, do swear that:-
Contd…2..
*** 2 ***
1. I have applied for admission to B.Ed 2019-2021, under CRSU, JIND.
2. I have attached attested photocopies of the testimonials issued to me from the Education
Board/University/State Government authorities.
3. I am fully responsible towards the genuineness of the certificate and testimonials and if
any document is found fake/bogus I will be ready to bear any kind of penalty or
consequence there to.
4. I will not take admission in any other course in regular or correspondence mode during
this course.
5. I will try to attend cent percent of the class working days for participating in the
curricular and co curricular activities of the course.
6. I will be in proper uniform during the course of study.
7. I will not be involved in any kind of criminal/illegal/destructive activity during my
study.
8. I will adhere to good code of conduct with my classmates and I will neighter participate
nor encourage any ragging activity.
9. I will not be engaged in any Govt. /Non govt. /Pvt. Sector job/Course during my study.
10. I have interval in my study from the year July 2017 to August 2019 during which I have
not gone through any course.
11. I belong to the caste General and I do not belong to the creamy layer of the society.
Signature
Name:- Kumari Bharti
Rank/Merit 18501
UNDERTAKING
I, LAKHMI CHAND SON OF SHRI BISHAMBER DAYAL SHARMA Resident of

House No.B-25, Rajpur Khurd Colony, New Delhi-110068, do hereby solemnly affirm and
declare as under:-
Contd..2..
*** 2 ***
2. That I have sold Temporary Built up House No.301-A, (Old No.54-A), land measuring
50 Sq.Yds. with all roof rights, Fitted with Electric Connection, Part of Khasra No.187,
Situated at Gali No.29-A, Molar Band Extn. P.O.Badarpur, New Delhi-110044,
(hereinafter for brevity sake referred to as the said property). To SHRI SATISH
KUMAR GUPTA SON OF SHRI RAJ KISHOR GUPTA Resident of House No.11-A,
Gali No.23, Molar Band Extn. P.O.Badarpur, New Delhi-110044, (vide Aadhaar Card
No.6406 7111 4585).
3. That I undertake to refund the entire sale consideration amount of the said property to
the said Shri Satish Kumar Gupta in case anyone claims any right, title or interest in the
said property and/or if due to any court case/dispute the possession of the said property
is lost by the said purchaser at any later stage.want to receive my father’s Dead Body
from Delhi Airport.
DEPONENT
VERIFICATION:-
DEPONENT
UNDERTAKING
I, YOGINDER (YOGENDER) SON OF SHRI TEJPAL SHARMA Resident of House

No.39-A, Molar Band Extn. P.O.Badarpur, New Delhi-110044, presently residing at House
No.368, Gali No.16, Bhikam Colony, Ballabgarh, Faridabad, Haryana-121004, (vide Aadhaar
Card No.5925 0267 6525) do hereby solemnly affirm and declare as under:-
Contd..2..
*** 2 ***
2. That I have sold Temporary Built up House No.301, (Old No.54-B), land measuring
50 Sq.Yds. with all roof rights, Fitted with Electric Connection, Part of Khasra No.187,
Situated at Gali No.29-A, Molar Band Extn. P.O.Badarpur, New Delhi-110044
(hereinafter for brevity sake referred to as the said property). To SMT. SHASHI
GUPTA WIFE OF SHRI SATISH KUMAR GUPTA Resident of House No.11-A, Gali
No.23, Molar Band Extn. P.O.Badarpur, New Delhi-110044, (vide Aadhaar Card No.
4046 3202 6502).
3. That I undertake to refund the entire sale consideration amount of the said property to
the said Smt. Shashi Gupta in case anyone claims any right, title or interest in the said
property and/or if due to any court case/dispute the possession of the said property is
lost by the said purchaser at any later stage.want to receive my father’s Dead Body from
Delhi Airport.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
Contd…2..
*** 2 ***
I, DEVKI NANDAN SHARMA SON OF SHRI GOPAL PRASAD SHARMA

Resident of House No.E-148, Gali No.8, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044,
2. That I am owner of a piece of land measuring 3.443 Hectare, vide Khasra No.120,
Situated in the revenue estate of Mauja Ading, Tehsil & Distt. Mathura, U.P.
3. That after getting the proposal letter of Gas Pump from GAIL (INDIA) Limited, I will
change the land use of my land.
DEPONENT
VERIFICATION:-
DEPONENT
AFFIDAVIT
I, BANDEVI WIFE OF SHRI AKHILESH MISHRA Resident of House No.D-362/7,

Om Nagar, P.O.Badarpur, New Delhi-110044, affirm and state as follows:
Cont..2..
**2**
1. That above said my name and address is correct.

2. That my date of Birth is 01/10/1966.
3. That the Deponent is working as head master (Principal) at Mohiyapur, Bisrakh-I,

Sector-163, Noida, Gautam Budh Nagar, my appointment date is 12/02/1998.
4. That the deponent has two child.
5. Date of birth of elder child is 18/03/1997 and date of birth of Younger child is
01/11/2005.
6. That I take full responsibility of its genuiness.
DEPONENT
VERIFICATION:-
therein.
DEPONENT
AFFIDAVIT
I, ROBIN KUMAR SON OF SHRI SURESH CHAND Resident of House No.C-57,

Gali No.6, Hari Nagar Extn. P.O.Badarpur, New Delhi-110044, upon oath solemnly affirm and
confirm that:-
Cont..2..
**2**
1. That I am the deponent herein and have knowledge of the facts set forth below.
2. That I am Employed with M/s Divy Cars Pvt. Ltd. who provide transport/driver
service to Wipro.
3. My antecedents are clear and there are no criminal case against me nor was I Indulged
in any illegal behaviour/activity in the past.
4. I have applied for a criminal antecedent check with the Jaitpur Police Station and have
submitted the report/copy of acknowledgement along with the application.
5. I confirm that all details provided to Wipro with regard to my on boarding is true.
DEPONENT
VERIFICATION:-
therein.
DEPONENT

AFFIDAVIT

Transféré par

Informations du document

Titre original

Copyright

Formats disponibles

Partager ce document

Partager ou intégrer le document

Options de partage

Avez-vous trouvé ce document utile ?

Ce contenu est-il inapproprié ?

Droits d'auteur :

Formats disponibles

AFFIDAVIT

Transféré par

Droits d'auteur :

Formats disponibles

TO,

The Commissioner Cum Secretary,

Sub: - Wrong categorization of our colony in “O” Zone.

With regards & thanks

I, YOGESH KUMAR SON OF SHRI TULA RAM SHARMA Resident of House

1. That I am Citizen of India.

3. That it is my true statement.

I, ANITA SHARMA WIFE OF SHRI YOGESH KUMAR Resident of House No.B-

1. That I am Citizen of India.

3. That it is my true statement.

Known all men by these present that we [A] ………………………………………… holder

R-BH-MZ- ……………………………………. of the face value of Rs. ……………………

Signed, sealed and delivered by the above named [A]

Signed, sealed and delivered by the above named [B]

Signed, sealed and delivered by the above named [C]

In the presence of (two witnesses to sign here)

Asst. Divisional Manager (RPLI)

I, DHIRENDRA SINGH SON OF SHRI SODHAN SINGH Resident of House No.L-

1. That I am citizen of India.

Class IVth, Admission No.2723.

3. That it is my true statement.

I, HIMMAT SINGH RAWAT SON OF SHRI B.S. RAWAT Resident of House

1. That I am citizen of India.

5. That it is my true statement.

1. I, RAHUL KUMAR SON OF SHRI MRITUNJAY SINGH a student from Accurate

In case of any loss/damage to NTPC by way of accident/mishappening by me during

Signature of the student with date

Name of the Student :- Rahul Kumar

1. I, SANDEEP SON OF SHRI PURAN SINGH a student from Accurate Institute of

In case of any loss/damage to NTPC by way of accident/mishappening by me during

Signature of the student with date

Name of the Student :- Sandeep

I, KAILASH CHAND SON OF LATE SHRI MADAN LAL Resident of House

1. That I am citizen of India.

I, ANKIT KUMAR SON OF SHRI CHARAN SINGH Resident of House No.H-52,

1. That I am Citizen of India.

4. That this period is my gap year.

5. That it is my true statement.

1. That I am the deponent of this affidavit.

2. That my gaps period are mentioned below:-

From To To Reasons for Gap

Gap Period 1 JUNE-2005 MAY-2006 Back Lock

5. That this period is my gap year.

6. That it is my true statement.

I, SATYANDER KAMAL SON OF SHRI INDAL SINGH KAMAL Resident of

1. That I am Citizen of India.

4. That this period is my gap year.

5. That it is my true statement.

I, ANWAR HUSSAIN SON OF MR. AMANAT HUSSAIN Resident of House

1. That I am Citizen of India.

4. That this period is my gap year.

5. That it is my true statement.

I, NARENDER YADAV SON OF SHRI SHISH PAL SINGH YADAV Resident of

1. That I am Citizen of India.

4. That this period is my gap year.

5. That it is my true statement.

1. That I am Citizen of India.

4. That this period is my gap year.

5. That it is my true statement.

I, SHUBHAM SON OF SHRI DEVENDER KUMAR Resident of House No.M-58,

1. That I am Citizen of India.

4. That this period is my gap year.

5. That it is my true statement.