Format of affidavit to be made on a non-judicial stamp paper of Rs.100/- (Rupees One Hundred Only)

before a Notary or a Executive Magistrate or a Metropolitan Magistrate.

To be filled in by the candidate, who has completed 18 years of age.

AFFIDAVIT

I, ……………………………………………………………………… an Indian inhabitant, residing at

…………………………………………………………………………………………………………....

…………………………………………………………………………………………………………....

son/daughter of Mr. ……………………………………………………………….…………………….

an Indian inhabitant, residing at ………………………..………………………………………………

…………………………………………………………………………………………………………....

do hereby solemnly affirm and say that I

  1. That my above name and address is correct.
  2. That I have passed 12th class from Maharashtra State Board / CBSE / ICSE / NIOS / IB / CIE / Other___________ board in the year ___________with PCM_______% & overall % _____.
  3. That there is a gap of ______ year/s between passing of 12th class and now seeking admission in the Universal College of Engineering
  4. That during this gap period I was doing _________________________.
  5. That during this gap period, neither I was not studying anywhere nor passed any other examination.
  6. That I was not involved in any criminal offence whatsoever and I was not punished for any offence by any Court of law during this gap period.

That the above statements are true to the best of my knowledge and belief and nothing has been concealed there from. I do understand that if the above affirmation is proved to be false, my admission in this Institute would be cancelled for which I solely will be responsible.

Solemnly affirmed at ..................................................…..this …………….......................day of

……………………………….., 2012.

…………………………………….

(Signature of Candidate)

Before Me

…………………………………………….

To be filled in by the father / mother / guardian of the candidate who has not completed 18 years of age

AFFIDAVIT

I, ……………………………………………………………………… an Indian inhabitant, residing at

……………………………………………………………………………………………………………

……………………………………………………………………………………………………………

Father/Mother/Guardian of ……………………………………………………………………………  

aged ........ years and ............. months an Indian inhabitant, residing at ……………………….....

…………………………………………………………………………………………………………..

……………………………………………………………………………………………………………

do hereby solemnly affirm and say that I

  1. That  the above name and address of myself and my son/daughter/ward is correct.
  2. That son/daughter/ward has passed 12th class from Maharashtra State Board / CBSE / ICSE / NIOS / IB / CIE / Other___________ board in the year ___________with PCM_______% & overall % _____.
  3. That there is a gap of ______ year/s between passing of 12th class and now seeking admission in the Universal College of Engineering
  4. That during this gap period, my son/daughter/ward was doing ________________ _________.
  5. That during this gap period, neither was son/daughter/ward studying anywhere nor did he/she pass any other examination.
  6. That my son/daughter/ward was not involved in any criminal offence whatsoever and my son/daughter/ward was not punished for any offence by any Court of law during this gap period.

That the above statements are true to the best of my knowledge and belief and nothing has been concealed there from. I do understand that if the above affirmation is proved to be false, the admission of my son/daughter/ward in this Institute would be cancelled for which I solely will be responsible.

Solemnly affirmed at ..................................................…..this …………….......................day of

……………………………….., 2012.

…………………………………….

(Signature of Father / Mother / Guardian* of the Candidate)

…………………………………….

* Relationship with the candidate

Identified by

…………….........................................

…………………………………………