Gap Certificate Affidavit — Andaman and Nicobar Islands

AFFIDAVIT

(Regarding Educational Gap)

On ₹50 stamp paper

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

Resident of: ________, ________, अंडमान और निकोबार द्वीपसमूह - ________,

Do hereby solemnly affirm and declare as under:

1. I passed ________ examination from ________ in ________.

2. There is a gap of approximately ________ months in my studies from ________ to ________.

3. The reason for this gap: ________

4. I am applying for ________ at ________.

5. I have no criminal record during this period and have not been expelled from any institution.

6. The above declaration is absolutely true.

Date: 5 April 2026

Place: ________

Deponent's Signature: _______________

Name: ________

Notary/First Class Magistrate

Seal & Signature: _______________