Domicile Affidavit — English Format

AFFIDAVIT

(For Domicile/Permanent Residence)

On ________ stamp paper

I, ________, son/daughter of Shri ________, age ________ years,

Do hereby solemnly affirm and declare as under:

1. I was born in ________, ________.

2. I am currently a permanent resident of ________, ________, ________, ________ - ________.

3. I have been residing in the state of ________ since ________, i.e., for ________ years.

4. My family has deep roots in the state of ________ and has been residing here for generations.

5. This affidavit is being submitted for the purpose of ________.

6. The above declaration is absolutely true.

Date: 21 March 2026 | Place: ________

Deponent: _______________ Notary: _______________