To Be Printed in Rs. 50/- Stamp Paper

UNDERTAKING

WE SRI ……………………………………. son of …………………………..  aged about …….. years by occupation …………….AND SMT. ……………………………………. Wife of ……………………………….  aged about …….. years by occupation ……………., both being residents of …………………………………………….. under Police Station …………………. District ……………………… having Pin Code No. ……………... and both being ……………. (set out Religion) of Indian Domicile do hereby jointly and severally solemnly affirm, declare and undertake as under:

1.         That following our lawful marriage in accord with religious Rites and customs followed by registration of marriage on ………day of ……….. we have been blessed with a son/daughter born on …………………. at ……………………………………………………. (name & Address of the Hospital/Nursing Home), who has since been named as “…………………..” and birth of the child has duly been registered with ……….………………………. (name of Municipality/District Birth Registration Office/Panchayet) being the Registering Authority on ……………………. A true authentic copy of the Birth Certificate issued by the Registering Authority dated ……………………….. is annexed hereto as ANNEXURE “A”.

2.         We jointly and severally hereby undertake and assure that the above Date of Birth of our child “……………………………….” is true, correct and authentic and we have not suppressed or concealed or manipulated the date of Birth or any fact AND agree to indemnify and herby keep the West Bengal Badminton Association and its every Official duly indemnified of all or any prejudice if any suffered or caused on being detected any fraud or suppression or concealment or fudging of the date of Birth of our above Child and we undertake and warrant to accept any decision of the State Body including damages, costs and consequences arsing

therefrom.

3.         The statements made in the foregoing paragraphs are true to our respective knowledge and nothing material has been suppressed.

IDENTIFIED BY ME

                                                                                                                                                                                      DEPONENTS.

ADVOCATE.