Information Department

AFFIDAVIT / UNDERTAKING

FOR

Death of Family Members

, Mr./Ms./Mrs. Son / daughter of

Spouse of Resident of

Solemnly affirm that:-

a. My (father/mother/sister/husband/wife/son/daughter) deceased

Son/daughter of who died on dated

however; /undersigned could not get register his/her death in the concerned

department. Therefore, kindly register his/her death in NADRA record.

b. That, solemnly affirm that above stated information is correct and no

information has been hidden. In case of disinformation from me, the

department has full rights to sue against me.

VERIFIER DEPONENT

(Father/Mother/Sister/Brother/Husband/Wif (Signature / Thumb Impression)

e/Son/Daughter/Uncle/Aunt or their

Children)

Name:-.

CNIC No.

Relation with deceased:

Signature / Thumb Impression:

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