AFFIDAVIT
I _________ son/daughter/wife of _________ resident of _________ do hereby solemnly affirm and declare as under:-1. That I am citizen of _________.
2. That I am residing on the above address from _________ years.
3. That I confirm that have an Account at your Bank in _________ Branch.
4. That I further confirm that my Passbook has been lost.
5. That my Account no. is “_________”.
6. That please _________.
7. That it is my true statement.
DEPONENT
VERIFICATION:-Verified at _________ on this _________ that the contents of this affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therein.
DEPONENT
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