Affidavit format for name mistake/misprint in result or any other document

1. AFFIDAVIT
I, Mr. /Mrs _____________________ Son/Daughter/of ______________________
age _______ years, an adult, Indian inhabitant, residing at_______________________
______________________________________________________________________
______________________________________________________________________
Do herby state and declare on solemn affirmation as under.-

2. I state and declare that my name is Mr/Mrs_________________S/D/O
_________________________, which is mentioned in the aadhar card bearing
number.__________________________
I state and declare that my name is Mr/Mrs_________________S/D/O
_________________________, which is mentioned in the pan card bearing
number.__________________________
(Passport/election card/driving license etc... this are the example you may put one proof
is also enough)
I state and declare that my name/surname/father name/mother name etc. is mentioned
wrongly as wrong printed name here in the mark sheet of the 12th standard issued by
state board/university etc. Bearing mark sheet serial no._________ issued in the year
___________
I state and declare that my name/surname/father name/mother name Mr/Mrs your
original name here and Mr/Mrs. Wrong printed name here is the one and the same
person i.e.my self(incase of your personal name)
I am making this affidavit, to submit before the concern authority to show said facts and
record my name/surname/father name/mother name etc. as your original name here
Whatever stated herein above is true and correct to the best of my knowledge & belief
and if the contents of this affidavit shall be prove false then I alone shall liable for the
punishment U/S 199,200 of I.P.C.
Solemnly affirmed at Mumbai/pune etc… )
On this 1st day of May, 2016 ) Deponent

3. Notes
1. The affidavit has to be printed in 100 Rs. stamp paper
2. 1st page should be printed in on stamp paper itself
3. 2nd page should be printed in legal paper
4. Attached the photocopy document in which name is correct
5. Get it done notarized from the notary person
THANKS