AFFIDAVIT FORMAT TO OBTAIN DEATH CERTIFICATE Note: 1

AFFIDAVIT FORMAT TO OBTAIN DEATH CERTIFICATE Note: 1. Self – declared affidavit is not accepted. 2. All blanks to be duly filled. IN THE COURT OF EXECUTIVE MAGISTRATE: ITANAGAR/NAHARLAGUN/BANDERDEWA PAPUM PARE DISTRICT: ARUNACHAL PRADESH A F F I D A V I T I Shri/Smt. (APPLICANT NAME), son/daughter/wife of Shri (APPLICANT’S FATHER/HUSBAND NAME), Permanent resident of village (VILLAGE/TOWN), PO- (PO (Extractive summary — verify with official source.)