Format of affidavit for correction of father's name and permanent address in birth certificate.

I, ____________(applicant) S/o ______ R/o _________ PO – _______________, PS- _________________, Dist- _______________ (Bihar), do hereby solemnly affirm and declare as follows :-1.      That Male Child _____________(child name) was born on ______________ in the_____________ (place name).
2.      That ____________(child name) Mother name is Mrs. _________________.
3.      That this affidavit is for resolve in Birth Certificate, when as child’s father name and his Address had wrong mentioned in issued former Birth Certificate.

    Sd. Deponent                        VerificationI ___________(applicant) solicit this affidavit is true in my knowledge and belief.
Indentified Adv.                                                         Sd. Deponent

नोट :-  यह fomate शपथ पत्र पर प्रिंटिंग करके | इसे अधिवक्ता के पास ले जाए | उनका हस्ताक्षर करने के बाद आप अपने अनुमंडल के कार्यपालक दण्डाधिकारी के पास लेकर उनका हस्ताक्षर करवा लें | उसके पश्चात् आप अपने नगर पालिका या अंचल में जमा करे जहाँ जन्म प्रमाण पत्र का सुधार किया जाता है |