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Affidavit Domicile

This document provides an affidavit format for obtaining a domicile certificate in Goa, India. It includes information such as the deponent's name and address, place and date of birth, years of residence at the current address, family ration card details, renouncing of former domicile from their state of origin, intent to make Goa their permanent place of residence, and not claiming domicile of any other state. The deponent swears that all information provided is true and correct to the best of their knowledge.

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8K views1 page

Affidavit Domicile

This document provides an affidavit format for obtaining a domicile certificate in Goa, India. It includes information such as the deponent's name and address, place and date of birth, years of residence at the current address, family ration card details, renouncing of former domicile from their state of origin, intent to make Goa their permanent place of residence, and not claiming domicile of any other state. The deponent swears that all information provided is true and correct to the best of their knowledge.

Uploaded by

Dildaarnagar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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AFFIDAVIT FORMAT

I____________________________________
w/o/d/o_________________________
r/o. __________________________________________ do hereby state on oath:
1. I say that I was born at ______________ and came down to Goa in the year
_______.
2. I say that I am residing at the above address for the last _________years.
3. I say that my name is recorded in the family ration card bearing no.
_____________________ of Village _______________ of
__________Tal!a.
". I say that I have renonced my former domicile from the #tate of my $rigin
i.e.____________.
%. I say that I will ma!e Goa as my &ermanent &lace of residence and frther
state that I have not claimed 'omicile of any other #tate.
(. I say that I am swearing this affidavit in order to &rodce the same before the
)ollector/'istrict *agistrate+ #oth Goa *argao+ inorder to obtain a 'omicile
)ertificate which is re,ired _________________________________.
-. I say that whatever stated above is tre to the best of my !nowledge and
belief and that no &art of it is false.
.lace :
'ate :
'e&onent

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