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Affidavit

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Affidavit

I R. ANANDAM, S/O L. RAMACHANDRA aged about 51 years


Residing at Room No 32 Bachelor Quarters Jindal Aluminum
LTD Bangalore 560073 do here by solemenly and affirm and
state on oath as follows
1. I submit that I am the resident of above said address .
2. I submit that the in my LIC Bond Bearing No :
617264088 date 20-6-2014 my name Renuka has been
wrongly mentioned Renukamma W/O Javaregowda
instead of Renuka w/o Javaraiah .
3. I submit that as per my name Renuka W/O Javaraiah ,
as show in my Aadhaar card and also in my pan card, I
am here with enclosing the photo copy of the
documents
4. I further submit that as a proof of my name I will submit
Pan card , Aadhaar card both the names belongs to the
same persons ,
5. If any dispute arises I will be held responsible .
What is state above are true and correct to the of my
knowledge

Place : Bangalore
Dat
Affidavit

I PANKAJA aged about 46 years, W/o .ANANTHA RAMAIAH ,


Residing at No 130 ,3rd cross ,Hoysala Nagara Bangalore
Nagarbhavi Bangalore 560072 do here by solemnly and
affirm and state on oath as follows
1. I submit that I am the resident of above said address .
2. I submit that the in my LIC Bond Bearing No :
364344102 date …………………… my name is PANKAJA my
father-in-law name has been wrongly mentioned as
Eranna, instead of Veeranna.
3. I submit that as per my father-in-law name is
Veeranna, as show in my husband’s Aadhaar card
BEARING NO.3952 4532 2404 in I am here with
enclosing the photo copy of the documents
4. I further submit that as a proof of my name I will submit
Pan card , Aadhaar card both the names belongs to the
same persons ,
5. If any dispute arises I will be held responsible same .
What is state above are true and correct to the of my
knowledge

Place : Bangalore
Date : 24-11-2020 Deponent
Affidavit

I ENGLA KALPANA aged about 40 years, D/o Lakshmipathi


Rao E . , Residing at No The Orchad Apartment, C-204 2 ND
Floor 24 HMT Factory Main Road, Jalahalli, Bangalore 560013
do here by solemnly affirm and state on oath as follows
1. I submit that I am the resident of above said address.
2.
3. I submit that in my LIC Bond bearing No: 641140857
dated 28-02-2005. My name is mentioned as H
KALPANA and my husband name as H Vinay Kumar.
4. I submit that H stands for my husband’s family
surname.
5. I further submit that my husband was expired on 08-03-
2008 and I am herewith producing death certificate of
my husband issued by Municipal Corporation of
Hyderabad.
6. I further submit that in my Aadhaar card my name is
mentioned as ENGLA KALPANA which is my maiden
name Aadhaar card bearing no: 3076 3501 5112. I am
herewith enclosing the photo copy of the documents.
7. I further certify that name mentioned in my Driving
license and Aadhaar card both the name pertains to the
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 : 16-01-2021 Deponent
AFFIDAVIT

I MUTTIGI SUJAYASREE, aged about 30 years, W/o. VISHAL


KULKARNI, Residing at No 63, 6TH MAIN, NAGAPUAR, WOC
ROAD, MAHALASHMIPURAM LAYOUT BANGALURE, 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 that in my LIC’s-e- Services NEW Bima Gold


(plan179) bearing No:638785435.My name is
mentioned as Veda Vishal Kulkarni after my marriage
and my name as Muttgi Sujayasree it is my maiden
name before my marriage.
3. I submit that Veda Vishal Kulkarni stands for my
husband’s family surname.
4. I further submit that in my Aadhaar card my name is
mentioned as Muttgi Sujayasree which is my maiden
name Aadhaar card bearing No: 600103346233. I am
herewith enclosing the photo copy of the documents.
5. I further certify that name mentioned in my LIC’s-e-
Services NEW Bima Gold (plan179) bearing No :
638785435 and Aadhaar card both the name pertains
to the same person.
6. 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 and belief.

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

I Gangadharaiah .S. friend of Late .G. Lokesh Aged about


45 years,S/o. Ninganna Residing at . 32, Hoysala Nagar,
Sunkadakatte, Bengalore North, Bangalore 560091, do
hereby solemnly affirm and sate as follows:

1. That the policy of assurance Bearing No. 613584189


was issued by the unit: 61D, Life Insurance Corporation
of India. On the Life of Lokesh. G, Aged 45 Years.
2. That the said life assured Died at # 956, 12 th Cross,
Hoysala Nagar, Sunkadakatte, Bengalore North,
Bangalore 560091,on 04/09/2021, at Around 2 A.M.
3. That I am well acquainted with the deceased and that I
am a disinterested person and that I have not
completed either the claim form ‘C’ OR ‘D’ in respect of
the claim under the aforesaid policy.
4. That the cause of death of the life assured was CHEST
PAIN and that the last medical attendant’s certificate
could not be completed due to the following reason: He
was died on the road while taking to hospital.
5. That I was present at the time of death of the life
assured and /or that I saw the dead body after death.
Dated at Bangalore on 3rd day of December2021.

Identified by

Advocate SIGNATURE OF
DECLARANT/DEPONENT.
ADVOCATE: DECLARED, SWORN TO AND SINGED BEFORE MR
ON 03-12-2021 AT BANGALORE
AFFIDAVIT

I,ANITHA U S ,W/O. Late Krishna S, aged about 48 years, resident of


1353, 2nd Cross, Mathikere Main, Yeshwanthpur, Bangalore North,
Bengaluru-560022, 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 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

I YOGESH H, aged about 45 years, S/o.HANUMANTHARAYAPPA,


Residing at No 12 A Cross, Pipe Line Road, Bahuble NAGAR, Jalahalli
village, Bangalore North, bangalore560013, do here by solemnly
affirm and state on oath as follows.

I submit that I am the resident of above said address.

1. I submit that in my LIC bearing No: 614662788. My name


is mentioned as M.H YOGISWAR and also my S.S.L.C
MARKS CARD.
2. I submit that My Aadhaar card my name is mentioned
as YOGESH H. I am herewith producing proof my
Aadhaar card bearing 3094 0467 6275, in proof my
name.
3. I further submit that in my Aadhaar card my name is
mentioned as YOGESH H , Aadhaar card bearing No:.
3094 0467 625 and M.H YOGISWAR name shows in
my S.S.LC MARKS I am herewith enclosing the photo
copy of the documents.
4. I further certify that name mentioned in my LIC’ AND
S.S.LC. Marks card and Aadhaar card both the names
pertains to the same person .
5. 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 and belief.

Place : Bangalore
Date : 2-02-2021 Deponent
AFFIDAVIT

I RANI.R , aged about 30 years, W/o. RAVEENDRA RAMAN ,


Residing at No 50, 3TH CROSS, VIJAYA BANK COLONY, DODDA
BANASWADI, BEANGALORE NORTH ,KALYANAGAR,
BANGALORE 560043. 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 that in my Life insurance corporation of


India .My name is mentioned as RANI Y J. Before my
marriage my name mention as RANI Y J, that is my
maiden’s name I submit that after marriage R stands
expand of my husband’ s name Raveendra Raman. I
further submit that in my Aadhaar card my name is
mentioned as RANI. R which is my maiden name
Aadhaar card bearing No: 842418917812. I am herewith
enclosing the photo copy of the documents.
3. I further certify that name mentioned in my Life
insurance corporation of India bearing No : 615191807
and Aadhaar card both the name pertains to the same
person.
4. 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 and belief.

Place : Bangalore
Date : 15-02-2021 Deponent
AFFIDAVIT

WE, HARISH C.M S/o. Muddegowda AND PREETHI W/o.


Harish C.M., Both are aged about major Residing at No.
Honnenahalli, Channarayapatna, Hassan district,
Karnataka,.Today at Bangalore do here by solemnly affirm
and state on oath as follows

We, are submit that we are the resident of above said


address.

1. We submit that our sons’s birth certificate our’s name


mentioned as HARISHITH GOWDA C.H . INSTEAD OF
HARSHITH GOWDA C.H this is correct name of our son.
2. We further submit that please Delict I after R.
3. We further submit that in our sons’s Aadhaar card my
name is mentioned as HARISHITH GOWDA C.H.
4. We further submit please carry out correction in our
son’s birth certificate issued by concerned authorities.
5. We are returning original birth certificate without using
same to BBMP. We are herewith enclosing the all
document and original birth certificate of the
documents.
6. 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 and belief.

Place: Bangalore
Date : 1-07-2021 Deponent

AFFIDAVIT

I MANGALAMMA, aged about 32 years, W/o. Late.MAHADEVANAYAKA, and


D/o. late. Ranganayaka Residing at No. 94 Premakumari, yelanaka, Narasipur
Layout, BANGALURE, and also Gundlupet Taluk ,Kulagana Post,Seegavadi,
Begur, chamrajanagar,571109 do here by solemnly affirm and state on oath as
follows

I submit that I am the resident of above said address.

1. I submit that in my brother pan-card my father name is mentioned as


RangaNaik by oversight .
2. I submit that in my PAN-CARD MY FATHER NAME MENTIOND AS
RANGANAYAKA.
3. I further submit that my brother pan-card there is oversight the name
father spelling wrongly mentioned. These two name are pertains my
father name. my brother stood as surety me .
4. 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 : 29-01-2021 Deponent
AFFIDAVIT

I Y RAJESH aged about 40 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

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.
RAJSHE 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 adhaar card bearing No. 4753 2560 880 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 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.

1. I submit that I am the resident of above said address.

2. I submit that absolute sale deed of my property no.18, 2 nd


cross, Subedarpalya, yeshwanthpur,Bangalore.560022,
( B.B.M.P PID NO. 7-78-18) executed by Mr. K. Muddu
krishna, in my favour dated 11/4/1988 was registered in
the senior sub-registrar office Rajajinagar vide Document
bearing No. 419, volume no. I, Book No. 894, pages 238 to
244, in the year 1988-89 (04-05-1988). In the above
document there has been typographical error in the spelling
of my name. My name has been wrongly typed as K.
GOVINDA RAJALU GUPTA. (in kannada language) instead of
K. GOVIDA RAJULU GUPTA( correct name) . Consequently
few other related B.B.M.P. Documents also carried over the
same mistake.

3. I submit that My Aadhaar card my name is mentioned as


GOVINDA RAJULU GUPTA.K. I am herewith producing
proof my Aadhaar card bearing 744802274731, in proof of
my name.
4. I further submit that in my Aadhaar card my name is
mentioned as GOVINDA RAJULU GUPTA.K., and SALE
DEED my name is shown i.e. K. GOVINDA RAJALU
GUPTA. I am herewith enclosing the photo copy of the sale
deed. I further certify that name mentioned in my sale deed
and Aadhaar card both the names pertains to me and same
person.
5. 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 and belief.

Place: Bangalore
Date: 09-09-2021 Deponent
( K.GOVINDA
RAJULUGUPTA.)
AFFIDAVIT

I, ROSE MARY ALIAS SR SERENE , aged about MAJOR, D/o.


FRANCIS, Resident of Convent Road, Post Honnavara, Prabhat Nagar
Honnavara , Uttar Kannada 581334,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 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

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 RANGA by oversight instead of Y. SATHISH 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. SATHISH, S/O .G. YALLAPPA. I further submit that my
Aadhaar card bearing No. 7203 0719 4935 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, SHARADAMMA ALIAS SHARADA, W/O. MANI R.K.AGED ABOUT


MAJOR, Residing at No13/11ST Main, Prasad Clinic, Mathikere,
Bangalore North, MSRIT, Bangalore North, Bangalore -560054, 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 SHARADAMMA ALIAS
SHARADA, W/O. MANI R.K and my name has been entered in
the following documents as:
3. In my Transfer certificate my name records as :SHARADA.T.
4. In my Aadhaar card my name mentioned as SHARADAMMA,
W/O. MANI R.K, 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 SHARADAMMA ALIAS SHARADA, W/O.
MANI R.K AND SHARADA, W/O. MANI .R.K.
5. I Submit correct/original date of birth is 30/07/1963 I am
herewith producing my transfer certificate issued by my
school as proof of my date of birth. I submit that in my
Aadhaar card my date of birth is wrongly entered that is
01/01/1970.
6. I submit that these two names pertaining to me and belong
same person.
7. 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: 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.

What is stated above para 1 to 4 are true and correct to best of my


Knowledge information and belief.

Place Bangalore (1) Deponent

Date 26/07/2021 (2) Deponent

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:-

1. I submit that I and my family members are residing in the


above mentioned address.
2. I submit that my correct name as. TEJASWI D. S/O.DATTATRI.S
and my name has been entered in the following documents as:
3. In my all educational records as : TEJASWI D. S/O.DATTATRI.S
In my rental agreement my name is wrongly mentioned due
oversight spelling mistake/error occurred.
4. I am swearing to this affidavit to be produced before the
passport Authorities and competent authorities, Bengaluru for
the purpose of proof of both names refer and belongs to me ie,
TEJASWI D. S/O.DATTATRI.S.AND THEJASWI.I Here-with
enclosing my Aadhaar card, passport and Rental agreement
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: 21/10/2021 SIGNATURE OF DEPONENT.
AFFIDAVIT

I C.T. KRISHNAPPA, aged about 44 years, S/o.THIMMAIAH, Residing


at No 1711, 2ND Cross, Acharya College Road, Ganapathi Nagar,
Chikkabanavara , VTC Bangalore North Post, Chikkabanavara,
Bangalore North, Bangalore560090, do here by solemnly affirm and
state on oath as follows.

I submit that I am the resident of above said address.

1. I submit that in my LIC bearing No: 612585496 dated


28/3/2001. My name is mentioned as C.T. KRISHNA. I
submit that My Aadhaar card my name is mentioned as
C.T. KRISHNAPPA I am herewith producing proof my
Aadhaar card bearing 960041792404, in proof of my name.
2. I further submit that in my Aadhaar card my name is
mentioned as C.T. KRISHNAPPA, Aadhaar card bearing No:
960041792404 AND BANK ACCOUNT and pan card name
shows in my name mentioned cards C.T. KRISHNAPPA. I am
herewith enclosing the photo copy of the documents.
6. I further certify that name mentioned in my LIC’ Bond ,
Aadhaar card bank account ,and pan card both those
names pertains to the me and same person .
7. 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 and belief.

Place : Bangalore

e : 25-02-2021 Deponent
AFFIDAVIT

I SHANTHA N.V, AGED ABOUT 47 YEARS,D/O.late. N. V .


VISHWANATH, W/O. Late Sri. Keshava murthy ,Residing at
No.6, 2nd Cross, Akkamma Block, Dinnur Main Road, R.T.
Nagar Post, Bengaluru-560032 do hereby solemnly affirm and
state oath as follows.
1. I submit that I am the resident of above said address.

2. I submit that My Aadhaar card my name is mentioned as


SHANTHA KESHAVAMURTHY.I am herewith producing
proof Aadhaar card bearing 8648 6716 2847, in proof of my
name.

3. I further submits that N.V. Stand for my father,


expansion form of N.V. is NALLALAVENKATA CHALAIAH
VISHWANATH.
4. I further submit that in my Pan card my name is mentioned
as SHANTHA.N.V and after my marriage my name is
reflects in other documents i.e. SHANTHA
KESHAVAMURTHY. I am herewith enclosing the photo copy
of the Pan card and Aadhaar card. I further certify that
name mentioned in my Pan Card and Aadhaar card both the
names pertains to me and same person.
5. 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 and belief.

Place: Bangalore
Date: 28-10-2021 Deponent
(SHANTHA.N.V.)

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