Address Affidavit Form

June 1, 2011

An address affidavit form is a very essential piece of paper that contains information about the current/permanent address of the concerned person. The address affidavit form is important in matters of relevant verifications and correspondence, especially in administrative cases. It has got a legal weight attached to it.
Sample address affidavit form:

Date of filling the form: ______________

ADDRESS AFFIDAVIT FORM NUMBER: ______________

Full name of the person: _____________

Sex (male/female): _________

Signature of the person: ______________

Date of birth: ______________

Identification proof: ____________

Father’s name: ______________

Mother’s name: _______________

Full contact address (PERMANENT): _______________

Full contact address (CURRENT): _________________

Contact phone number: ________________

Email id (if any): __________________

The reasons for the requirement of the address affidavit:

________________________________________________________________
THE OFFICIAL STATEMENT OF DECLARATION OF THE ADDRESS AFFFIDAVIT:

It is hereby certified that Mr./Mrs./Miss ___________________, staying at ________________ currently, has the residential address of __________________________ and the information is genuine and can be used for administrative and other official purposes by law.

Signature of the authority:

___________________________________

 

Download Address Affidavit Form In Word Format

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