AFFIDAVIT
I, Smt. ........ widow of , Late Sh. ....R/O ...... New Delhi...., do hereby solemnly affirm and declare
and state the following:
1. That
I was married with Late Sh. ........, son of .......... R/O ...................,
on April ....... (Date of Marriage) at ......, according to Hindu rites.
2. That
my husband expired on .......... ,and I am not remarried after the death of my
husband.
3. That
my date of birth is ......., (according to birth certificate/as per apparent
age as mentioned in service documents of my late husband/Pan Card/School
Certificate/Passport ECHS Card/Driving License etc. This affidavit is supported
by authenticated proof of date of birth i.e. PAN CARD No. ......
4. That
I was drawing my family pension under the authority of PCDA (P) Allahabad
Pension Payment Order (PPO) No. ............ through .... Delhi, (PDA) Bank with account No. ...., .... Bank, ......New Delhi.
5. That
I swear this affidavit to be produced before the concerned authority for the
purpose of availing pension and other benefits of my deceased husband and Late Sh......
6. That
facts stated above are true to the best of my knowledge and belief.
Deponent
Verification:
The
above named deponent being identified by .........solemnly affirms
and states before me that the facts stated above are true to the best of her
knowledge and belief.
Deponent
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