Affidavit For Election Form

I, S/o, aged residig at
holding post of at institute I am a full member of Neurological Surgeons Society of India holding life membership no do hereby solemnly affirm and declare that I am contestant of the general election of the above said society for the post of term 2018-2020.I do swear that I am not holding any post in other similar society of the neurosurgeons within India. As such I am competent to swear this affidavit. That the nomination form attached with this affidavit is true and correct to the best of my knowledge and belief.

DEPONENT

Verified at , this the day of 2017. That the contents in the above affidavit is true and correct to the best of knowledge and belief. No part of this affidavit is wrong and nothing material has been concealed there from.

DEPONENT

Attested by Notary Public.

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