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AFFIDAVIT OF RESIDENTIAL PROOF

I,_______________________, S / o.Mr.___________________, aged ___ residing at


No._________________________________________________________________________
________________________ hereby solemnly affirm and sincerely state as
follows.

I state that I am presently residing at


____________________________________________________________________________
__________________________________ for the past __ years __ months and do not
have the address proof but I do have the following document in support of my
present address (copy enclosed).

1. Bank Pass Book with Savings Bank Account No.____________________ by


_____________ Bank, Branch Name ____________________, Door No.
____________________________________________
_______________________________________________________________.

I state that I am producing the above documents before the regional transport
Officer and Photostat copies of the same, duly attested by the Notary Public
are filed in support of my present proof of address I am swearing this affidavit
and it is being submitted to the Regional Transport officer for the proof of my
present address in connection with.

1. The Registration of my new vehicle in respect of Newly purchased


Bajaj Motor Cycle.

I hereby state and declare that the facts furnished and what are all stand
above by me are true and correct to the best of my knowledge and belief. I
further state that I have not concealed any facts.
I hereby undertake to state and declare that I am are prepared to Undergo
any punishment and legal actions being initiated against me if the facts
furnished above are found to be false, at a later date besides cancellation of the
Registration Certificate.

Solemnly affirm at ________________ dated _________________________________.

Deponent
(Signature of the Applicant with date)

Signed before me in my presence


(Signature of the Notary Public
With date & Seal)

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