
I, [Your Name], [Your Title] at [Your Company Name], do hereby solemnly affirm and declare the following on behalf of [Applicant's Name]:
[Applicant's Name] was born on [Birthdate], at [Birthplace], [Applicant's State], to [Applicant's Father's Name] and [Applicant's Mother's Name].
The aforementioned birth details of [Applicant's Name] are true and accurate to the best of my knowledge and belief, based on the records available to this government authority.
This affidavit is issued in support of [Applicant's Name]'s application for a passport, and I certify that the information provided herein is complete and correct to the best of my knowledge.
I understand the legal implications of providing false information or making false statements in this affidavit, and I affirm that all statements made herein are truthful.
I am duly authorized by [Your Company Name] to administer this affidavit and certify its authenticity on behalf of [Applicant's Name].

[Your Name]
[Your Title]
[Your Company Name]
[Seal or Stamp of Your Company]
Date: [Date of Issuance]
Free Affidavit of Birth for Passport
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