SSSSWWWWOOOO RRRR NNNN AAAA FFFF FFFF IIII DDDD AAAA VVVV IIII TTTT

I,I,I,I, ____________________________________________________________________________________________________________________________ residingresidingresidingresiding atatatat ____________________________________________________________________________________________________________________________________________

________________________________________________________________________________________ havinghavinghavinghaving swornswornswornsworn inininin accordanceaccordanceaccordanceaccordancewithwithwithwith locallocallocallocal law,law,law,law, dodododo herebyherebyherebyhereby deposedeposedeposedepose andandandand say:say:say:say:

1.1.1.1. thatthatthatthat IIII amamamammarriedmarriedmarriedmarried 2222 yearsyearsyearsyears priorpriorpriorprior totototo thethethethe datedatedatedate ofofofof submissionsubmissionsubmissionsubmission ofofofof OCIOCIOCIOCI Application.Application.Application.Application.

2.2.2.2. thatthatthatthat inininin casecasecasecase ofofofof dissolutiondissolutiondissolutiondissolution ofofofof marriage,marriage,marriage,marriage, IIII willwillwillwill notifynotifynotifynotify andandandand returnreturnreturnreturn thethethethe OCIOCIOCIOCI CardCardCardCard totototo thethethethe Consulate.Consulate.Consulate.Consulate.

3.3.3.3. thatthatthatthat IIII amamamam executingexecutingexecutingexecuting thisthisthisthis affidavitaffidavitaffidavitaffidavit totototo confirmconfirmconfirmconfirm thethethethe abovementionedabovementionedabovementionedabovementioned factsfactsfactsfacts andandandand inininin supportsupportsupportsupport ofofofof mymymymyapplicationapplicationapplicationapplication forforforfor OCIOCIOCIOCI CardCardCardCard onononon thethethethe basisbasisbasisbasis ofofofof mymymymy spouse.spouse.spouse.spouse.

IIII herebyherebyherebyhereby declaredeclaredeclaredeclare thatthatthatthat thethethethe aboveaboveaboveabove particularsparticularsparticularsparticulars areareareare truetruetruetrue andandandand agreeagreeagreeagree thatthatthatthat inininin casecasecasecase anyanyanyany falsefalsefalsefalseinformationinformationinformationinformation isisisis givengivengivengiven inininin thethethethe affidavit,affidavit,affidavit,affidavit, appropriateappropriateappropriateappropriate actionactionactionaction cancancancan bebebebe takentakentakentaken asasasas perperperper GovernmentGovernmentGovernmentGovernment ofofofof IndiaIndiaIndiaIndia RulesRulesRulesRulesandandandand RegulationsRegulationsRegulationsRegulations againstagainstagainstagainst memememe includingincludingincludingincluding butbutbutbut notnotnotnot limitedlimitedlimitedlimited totototo revokingrevokingrevokingrevoking ofofofof issueissueissueissue ofofofof OCIOCIOCIOCI CardCardCardCard includingincludingincludingincluding penaltypenaltypenaltypenaltyandandandand anyanyanyany otherotherotherother actionactionactionaction asasasas deemeddeemeddeemeddeemed fitfitfitfit bybybyby thethethethe GovernmentGovernmentGovernmentGovernment ofofofof IndiaIndiaIndiaIndia orororor itsitsitsits agencies.agencies.agencies.agencies.

Applicant'sApplicant'sApplicant'sApplicant's

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(SIGNATURES OF THE APPLICANT AND SPOUSE ARE TO BE ATTESTED BY THE NOTARY)