Date of Birth Affidavit Format (DOB Affidavit for Birth Certificate)
A date of birth affidavit is used where a birth was not registered on time, or a record shows the wrong date. Parents usually make it for a child; adults can make it for themselves.
When you need this affidavit
- Delayed registration of birth.
- Correcting the date of birth in a school or ID record.
- Employers or institutions asking for proof where no birth certificate exists.

Date of Birth Affidavit format
Non-judicial stamp paper or e-stamp certificate of value Rs. ______________ as applicable in the State of ______________
E-stamp certificate No. ______________ Date of issue ______________
Stamp duty depends on the State and the type of document. Confirm the correct value before printing.
AFFIDAVIT FOR DATE OF BIRTH
I, Anjali Verma, D/o Shri Rajesh Verma, aged about 29 years, by occupation Service, residing at House No. 21, Sector 15, Rohini, Delhi 110089, do hereby solemnly affirm and declare as under:
- That Anjali Verma (self) was born on 8 March 1997 at Government Hospital, Hisar, Haryana to Shri Rajesh Verma and Smt. Sunita Verma.
- That the birth was not registered with the local registrar at that time.
- That the said date of birth is correct and is recorded in the following documents of the person concerned: school records and Aadhaar card.
- That this affidavit is made for the purpose of registration of birth or correction of records and may be produced before the concerned authority.
DEPONENT
VERIFICATION
Verified at Delhi on 14 October 2026 that the contents of paragraphs 1 to 4 of this affidavit are true and correct to the best of my knowledge and belief, and nothing material has been concealed therefrom.
DEPONENT
Solemnly affirmed / sworn before me by the deponent, who is identified to me, on ______________
Notary Public / Oath Commissioner: name ______________ Registration No. ______________
Seal and signature ______________
Drafting note: Delayed registration of birth is handled by the local birth and death registrar under State rules, which may need an order from a magistrate. Ask the registrar’s office.
Registration, if required: Sub-Registrar office ______________ Document No. ______________
How to fill it
| Field | What to write | Tip |
|---|---|---|
| Person | Whose birth is declared. | Self, son or daughter. |
| Date and place | Exact date and hospital or village. | Use the date in the earliest record. |
| Parents | Both parents’ names. | As in other records. |
| Why no certificate | Short reason. | Not registered, record lost, error in record. |
Getting it sworn
- Print on stamp paper if requiredMany offices want affidavits on non-judicial stamp paper or with an e-stamp certificate; the value depends on the State and the office. Some accept plain paper. Ask first.
- Do not sign at homeSign only in front of the notary or oath commissioner, who checks your identity and records the oath or affirmation.
- VerificationThe verification paragraph at the end confirms the contents are true. It is dated and placed, and you sign again under it.
- Collect the attested copyThe notary affixes seal and signature and enters it in the register. Keep photocopies.
Frequently asked questions
Can an affidavit replace a birth certificate?
No. It supports an application for registration or correction. Delayed registration is handled by the local registrar under State rules, which may need an order from a magistrate.
Who should make the affidavit for a child?
A parent or guardian, stating their relationship.
Please note: these templates are for general information and are not legal advice. Laws, stamp duty, notarisation and registration rules vary by State. Consult an advocate for your case. This is an independent website, not a law firm and not a government office.
