Affidavit
Affidavit
Affidavit
Place : Bangalore
Dat
Affidavit
Place : Bangalore
Date : 24-11-2020 Deponent
Affidavit
Place : Bangalore
Date : 16-01-2021 Deponent
AFFIDAVIT
Place : Bangalore
Date : 29-01-2021 Deponent
AFFIDAVIT
I BHAVYA Alias BHARATHI D.S. aged about 34 years, W/o .late G.P
MANJUNATH, Residing at No 911/1, 8th Cross, Vijayananda Nagar, Nandini
Layout, Bangalore North, Nandini Layout, Bangalore 560096 do here by
solemnly affirm and state on oath as follows
1. I submit that I am the resident of above said address.
2. I submit my husband was expired in 3/7/2020 in Bangalore, I am
herewith producing death certificate of my deceased husband.
3. I submit that in my husband LIC Bonds bearing No:
698469837,698469828,
614037989,698469837,698469835,698469834,698469833,698469832,6
98469831,698469830,698469827, and 614068261 dated………... My
name is mentioned as Bharathi D.S, in the insurance bond and in the my
Aadhaar Card , PAN Card and my son’s birth certificates as mentioned as
Bharathi.D.S
4. I submit that my educational records /certificate ,and Death certificate
of my husband my name mentioned as Bhavya.
5. I further submit that my husband was expired on 03-07-2020 and I am
herewith producing death certificate of my husband issued by BBMP.
6. I further submit that in my Aadhaar card my name is mentioned as
Bharathi D.S which is my maiden name Aadhaar card bearing no:
977009118639. I am herewith enclosing the photo copy of the
documents.
7. I further certify that name mentioned in my pan card Aadhaar card
Bharathi.D.S and my Education records my name mentioned as Bhavya
both those names pertains to the me and same person.
8. If any dispute arises, I will be held responsible for the same. What is
stated above are true and correct to the best of my knowledge.
Place : Bangalore
Date : 6-08-2021 Deponent
FORM NO. 3790
LIFE INSURANCE CORPORATION OF INDIA
AFFIDAVIT FOR NON HOSPITALISATION IN LIUE OF B
&B1
Identified by
Advocate SIGNATURE OF
DECLARANT/DEPONENT.
ADVOCATE: DECLARED, SWORN TO AND SINGED BEFORE MR
ON 03-12-2021 AT BANGALORE
AFFIDAVIT
//2//
1. I submit that I and my family members are residing in the
above mentioned address.
2. I submit that my correct name as ANITHA U.S.. and my name
has been entered in the following documents as:
3. In my all educational records as : ANITHA U.S and Date of birth
18/2/1973.
4. In my husband’s service records bearing original PPO NO.
S0296621999 and PPO. 157199901228 my date of birth has
been wrongly mentioned as 30th November 1975, and other
documents like that civil records like my Aadhaar card and my
educational certificate like that is S.S.LC. MARKS card issued by
educational department, my correct date of birth 18/2/1973. I
am herewith enclosing in proof of my date of birth.
5. I am swearing to this affidavit to be produced before the
concerned Authorities and competent authorities, Bengaluru
for the purpose of proof of both names and date birth and
belongs to me i, e, ANITHA U.S and Date of birth 18/2/1973.
6. I undertake that if any problem arise in future, I am the sole
responsible for the same.
I the deponent herein, do hereby and declare that this my
names and signature and the contents of this affidavit are all
true and correct to the best of my knowledge, information and
belife.
PLACE: BANGALORE
DATE: 11/10/2021 SIGNATURE OF DEPONENT.
AFFIDAVIT
I, S. G. KOTRESH. S/O. SHANTHAIAH, aged about 56 years, resident
of 370/2, 1ST Main, 4th Cross, Opp., St. Stephens Chice Sharadamba
Nagar Bangalore North, Jalahalli, Bangalore 560013, do hereby
solemnly affirm and declare on oath as follows:-
//2//
1. I submit that I and my family members are residing in the
above mentioned address.
2. I submit that my correct name as S.G. KOTRESH. and my name
has been entered in the following documents as:
3. In my all educational records as : S.G. KOTRAIAH In my LIC
Policy vide Policy No.611510668 as. S.G. KOTRAIAH
4. I am swearing to this affidavit to be produced before the LIC
Authorities and competent authorities, Bengaluru for the
purpose of proof of both names refer and belongs to me i, e,
S.G. KOTRES.AND S.G. KOTRAIAH.I Here-with enclosing my
Aadhaar card proof of my name.
5. I undertake that if any problem arise in future, I am the sole
responsible for the same.
I the deponent herein, do hereby and declare that this my
names and signature and the contents of this affidavit are all
true and correct to the best of my knowledge, information and
belief.
PLACE: BANGALORE
DATE: 08/09/2021 SIGNATURE OF DEPONENT.
AFFIDAVIT
Place : Bangalore
Date : 2-02-2021 Deponent
AFFIDAVIT
Place : Bangalore
Date : 15-02-2021 Deponent
AFFIDAVIT
Place: Bangalore
Date : 1-07-2021 Deponent
AFFIDAVIT
Place : Bangalore
Date : 29-01-2021 Deponent
AFFIDAVIT
AFFIDAVIT
I K.GOVINDA RAJULU GUPTA, AGED ABOUT 65 YEARS,
S/O. Late Sri. K. Nagappa, Residing at No.1/1, Kousthubham,
Nanjamari Layout, Near Sharadamba Temple, Jalahalli,
Bangalore North, Jalahalli, Bangalore 560013, do hereby
solemnly affirm and state oath as follows.
Place: Bangalore
Date: 09-09-2021 Deponent
( K.GOVINDA
RAJULUGUPTA.)
AFFIDAVIT
//2//
1. I submit that I and my family members are residing in the
above mentioned address.
2. I submit that my correct name as ROSE MARY and my name
has been entered in the following documents as: ROSE MARY
3. In my all educational records as : ROSE MARY
4. In my other document my name is mentioned as ROSE MARY
ALIAS SR SERENE .
5. I am swearing to this affidavit to be produced before the
Authorities and competent authorities, Bengaluru for the
purpose of proof of both names refer and belongs to me i, e,
ROSE MARY AND ROSE MARY ALIAS ROSE MARY SR SERENE
.I Here-with enclosing my Aadhaar card proof of my name.
6. I undertake that if any problem arise in future, I am the sole
responsible for the same.
I the deponent herein, do hereby and declare that this my
names and signature and the contents of this affidavit are all
true and correct to the best of my knowledge, information and
belief.
PLACE: BANGALORE
DATE: 12/10/2021 SIGNATURE OF DEPONENT.
AFFIDAVIT
I Y SATHISH aged about 42 years, S/o. G YALLAPPA Residing at No. 36/ -A-2,
16 TH CROSS, KANAKANAGAR, R.T. BANGALORE, 560032, do here by solemnly
affirm and state on oath as follows
Place : Bangalore
Date : 04-03-2021 Deponent
AFFIDAVIT
PLACE: BANGALORE
DATE: 21/10/2021 SIGNATURE OF DEPONENT.
JOINT AFFIDAVIT
We, (1)GANGADHAR PUJARI , S/o. Ashok, aged about 36 years, and (2)
ASHWINI ANGADI, W/o Gangadhar pujari, aged about 34 years both are
Residing at No,27, ‘MATHRU KRUPA’, 1ST “B” Main ,15th Cross, B.K.Nagar,
Yeshwanthpura,Bangalore,560022, do hereby solemnly affirm and state on
oath as follows:-
1. We state that , out of the our wedlock with Smt. Ashwini Angadi, one
male child was born on 22/11/2015 named as ARRAV PUJARI the said
the said birth certificate of my son issued by jurisdictional BBMP, West
Range, Malleswaram, Bangalore.
2. We state that at the time issuing the said birth Certificate of our son
AARAV PUJARI, our named entered as GANGADHAR A PUJARI AND
ASHWINI G PUJARI instead of GANGADHAR PUJARI AND ASHWINI
ANGADI .
3. We further state that kindly insert the name GANGADHAR PUJARI AND
ASHWINI ANGADI in the birth certificate of my son in Colum no .5 and 6
issued on 20/03/2019.
4. We further state we taken two birth certificates one give for my sons
school and one original we are returning to concerned authorities.
5. We further state that we are swearing to this affidavit to change our
name as shown above and produce this affidavit before the competent
authorities.
Z
AFFIDAVIT
I Y RAJESH aged about 40years, S/o. G YALLAPPA Residing at No.
36/ -A-2, 16 TH CROSS, KANAKANAGAR, R.T. BANGALORE, 560032,
do here by solemnly affirm and state on oath as follows
I submit that I am the resident of above said address.
I submit that in the FAMILY TREE IN THAT MY FATHER AS
DECLARE THAT MY NAME Y GUTTA by oversight instead of Y.
RAJESH family tree and other Documents.
I submit that in my Adharra card and my S.S.l.C mark card my
name mentioned as Y.RAJESH, S/O .G. YALLAPPA. I further
submit that my Aadhaar card bearing No. 4753 2560 8801 and
copy of my SSCL marks card herewith producing in proof of my
name. These two name are pertains me. I further submit that if
any dispute arise I will held sole responsible for the same.
What is stated above are true and correct to the best of my
knowledge and belief.
Place : Bangalore
Date : 04-03-2021 Deponent
AFFIDAVIT
I, KETHA BHASKER VENKATA SURESH, AGED ABOUT S/O. K.
NAGARAJU, Residing no. 584,15th Cross, 5th main, RMV 2ND Stage,
Dollars Colony, New BEL Road -560094, do hereby solemnly affirm
and declare on oath as follows:-
//2//
1. I submit that I am the resident of above mentioned address.
2. I submit that my name mentioned in some document that is
KETHA BHASKAR VENKATA SURESH has been entered in the
entered in the following documents as: PAN AND Aadhaar card
3. I submit that my name mentioned in some other document my
name reflected and mentioned as “ BHASKAR VENKATA
SURESH.K as my all educational records, I am swearing to this
affidavit to be produced before the concerned Authorities and
competent authorities, Bengaluru for the purpose of proof of
both names refer and belongs to me i, e, KETHA BHASKAR
VENKATA SURESH and BHASKAR VENKATA SURESH.K
4. I submit that these two names pertaining to me and belong
same person.
5. I undertake that if any problem arise in future, I am the sole
responsible for the same.
I the deponent herein, do hereby and declare that this my
names and signature and the contents of this affidavit are all
true and correct to the best of my knowledge, information and
belife.
PLACE: BANGALORE
DATE: 24/09/2021 SIGNATURE OF DEPONENT.
AFFIDAVIT
I, TEJASWI D. S/O. DATTATRI.S ,aged about 30 years, resident of ,
Do. No. 367, Chittara, 4th B Cross, 60 feet Road, Vinobhanagar, Near
shubhaammangala kalyan mantapa, Shimoga, Karnataka, presently
residing at . Municipal No. 21 Situated at. 12th “A” Main Road,
//2//
Muthyalanagar, Bangalore north Bangalore 560054, do here
by solemnly affirm and declare on oath as follows:-
PLACE: BANGALORE
DATE: 21/10/2021 SIGNATURE OF DEPONENT.
AFFIDAVIT
Place : Bangalore
e : 25-02-2021 Deponent
AFFIDAVIT
Place: Bangalore
Date: 28-10-2021 Deponent
(SHANTHA.N.V.)