Address Proof Self-Declaration Affidavit Format | Free Reference

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This is a reference format, not legal advice. Wording, required stamp paper value, and notarization steps vary by state and by institution. Always check your specific institution's or employer's requirement first and use their format if one is provided. Confirm final wording with a notary before signing.

When You Need This

Many students and first-time applicants don't have a utility bill, ration card, or bank passbook in their own name yet - these are usually still registered to a parent or another family member. When a form insists on address proof but every document you can produce is in someone else's name, a self-declaration affidavit lets you formally confirm your current residential address, your relationship to the document holder, and that the address is genuinely where you reside.

Reference Format

Fill in the blanks with your own details before printing. The bracketed instructions are for you - remove them once filled in.

AFFIDAVIT

I, [your full name], S/o. / D/o. [parent's name], aged about years, do hereby solemnly affirm and declare as under:

That I am presently residing at [your full current address with PIN code], and this has been my place of residence since [month/year].
That the address proof document(s) available with my family - namely [e.g. electricity bill / ration card / rent agreement] - stand in the name of [name of family member], who is my [relationship, e.g. father / mother / husband].
That I do not presently hold any independent address proof document in my own name, and this affidavit is submitted to confirm my residential address for the purpose of [name the form / institution / application].
That the address stated above is true and I undertake to inform the concerned authority of any change in my residential address.
That the contents of this affidavit are true and correct to the best of my knowledge and belief, and nothing material has been concealed herein.

DEPONENT

VERIFICATION

Verified at [place] on this day of , 20 , that the contents of the above affidavit are true and correct to the best of my knowledge and belief, and nothing material has been concealed therein.

DEPONENT

Solemnly affirmed and signed before me on this day of , 20 , by the abovenamed deponent, who is identified by me / known to me personally.

NOTARY PUBLIC
[Signature, Seal & Registration No.]

How to Use This Format

Buy non-judicial stamp paper of the value required by your notary or institution - this varies by state, so confirm the exact value first.
Have the affidavit typed or printed on the stamp paper (or attached to it, depending on your notary's process).
Attach a copy of whatever address-proof document your family holds, even though it's in a relative's name.
Sign it in front of a Notary Public - do not sign it beforehand - and carry a valid ID proof with you.

Frequently Asked Questions

When an application asks for address proof but your utility bill, ration card, or rent agreement is in a parent's, spouse's, or relative's name rather than your own - a self-declaration affidavit lets you confirm your current residential address while explaining the relationship to the document holder.

Usually not by itself. Most institutions want this affidavit submitted alongside a copy of the underlying proof (electricity bill, ration card, etc.) that's in the family member's name, plus proof of your relationship to them. Check the specific requirement of the authority you're applying to.

Commonly accepted documents include an Aadhaar card, electricity or water bill, ration card, rent/lease agreement, or a bank passbook - whichever is available, even if it's in a parent's or relative's name, alongside this affidavit.

This varies by state - commonly Rs. 10, Rs. 20, or Rs. 100 non-judicial stamp paper is used for this type of affidavit, but exact requirements differ by state and by the authority you're submitting to. Check with your notary or the concerned institution before buying stamp paper.