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Affidavit for Lost Marksheet

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Title

Applicant Name

Relation *

Guardian's Name *

Age *

Address *

Examination Name *

Board / University *

Roll Number *

Year of Passing *

Submission Authority *

Verified Date *

EDrafted

AFFIDAVIT FOR LOST MARKSHEET

I, Miss., S/o ____________, aged about ____________ years, R/o ____________, do hereby solemnly affirm and declare as under:

That I appeared in ____________ Examination conducted by ____________ Board/University, bearing Roll No. ____________, in the year ____________.
That my original Marksheet for the said examination has been lost / misplaced and despite my best efforts, I have been unable to trace the same.
That I have made reasonable efforts to search for the original Marksheet, but the same could not be found.
That the said Marksheet has not been sold, transferred, pledged, deposited, or intentionally handed over by me to any person or institution.
That if the original Marksheet is found in future, I shall immediately inform the concerned Board/University and surrender it as required.
That I am executing this affidavit for submission before ____________ Board/University/Institution and for obtaining a Duplicate Marksheet in place of the lost original.
That the contents of this affidavit are true and correct to the best of my knowledge and belief and nothing material has been concealed therefrom.

VERIFICATION

I, Miss., the above-named deponent, do hereby verify that the contents of this affidavit are true and correct to my knowledge and belief and nothing material has been concealed therefrom.

Verified at ____________ on ____________.

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Affidavit for Lost Marksheet