Affidavit for date of birth

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Birth Certificates:
You will need to provide a photocopy of your birth certificate and a photocopy of the birth certificate of each family member applying with you. Please be advised that each of the birth certificates must include all of the following information:

o Full name of child

o Date of birth

o Place of birth

o Full names of both parents

 
Indian Nationals: If a birth certificate does not exist or it does not contain all of the required information as stated above, a sworn affidavit executed by either parent (mother or father) may be submitted. If both are parents are not living, then the affidavit can signed by any other close relative older than the applicant. The affidavit must specify the relationship between the signer and the applicant, how well the signer knows the applicant, date and place of the applicant\'s birth, the names of both parents, and any other related facts. The affidavit must be signed and notarized. The affidavit can be modified accordingly.
When a birth of certificate does not exist, an affidavit of birth should be accompanied by a certificate of nonavailability issued by a competent governmental authority confirming that the certificate does not exist.

below is the format

AFFIDAVIT BY [insert parent’s name]

Re: [child’s name]

I, [parent’s name], hereby depose and say

1. My full and complete address is [street address with apartment or house number, town/city, state, postal zip code].

2. That I was born on [date] in the town/city of [city], [country].

3. I married [spouse’s name] on [date of marriage] in the city of [name of city], [country].

4. My spouse [name of spouse], and I had the following children:

a. [child’s name] born on [date]; and
b. [list all of the other children, if applicable].

5. [name of child] was born in [name of city], [country].

6. This affidavit is being submitted because [CHOOSE ONE] there is no official record of birth [OR} the official record of birth is incomplete concerning [name of child].

I declare under penalty of perjury, that the foregoing is a true and correct statement.

_________________________
[parent’s name and signature]

Subscribed and Sworn to before
Me, this ____ day of __________,
2001 at ______________________.
 
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