BEFORE THE NOTARY PUBLIC ::: …………… AFFIDAVIT I, Name, Date of Birth ……….., D/O- ……. (father) and ……. (mother), Nationality- Indian, a resident of ....., P.O.- ………, P.S……………, Dist- ………., Assam, do hereby solemnly affirm and declare as follows : 1. That I am a citizen of India by birth having permanent residence at the above noted locality. 2. That, my father’s name is ………… and his name has been recorded in the voter list, vide Sl. No. ….., House No. …... Part No.- ……, of village- ……….., under ………………… L.A.C. in the District- ………., Assam. 3. That, due to unavoidable Circumstances, I could not enrolled my name in any voter list, under any constituency of union of India. 5. That, Now, I intend to enrolled my name in the current voter list along with my said father namely ……… by way of condo-nation of delay. 6. That, this piece of affidavit is meant for the purpose declaration that I intend to enrolled my name in the current voter list along with my father namely ……, vide House No. …., Part No.- ….. as stated above and it shall be produced before the authority concerned as and whenever it is required. All the paras mentioned in this affidavit are true to the best of my knowledge and belief. Identified by me Advocate, Goalpara Sworn before me by the deponent being identified by Mr. …….. Advocate Goalpara, on …………………. DEPONENT