Annexure III Specimen AFFIDAVIT I,_____________________(widow of) No ___________Rank ________Name__________ resident of Village ____________PO ______ Teh _____________ Distt ___________________ do hereby solemnly affirm and declare that :- 1. That I/my husband has/had served in second world war from _____________to_________ 2. That I am the legal wedded widow of _____________. My husband had not contacted second marriage during his life time. 3. That I am not receiving any pension from any sources. 4. That I have no income. 5. That My annual income is not more than Rs 12,000/- P.A. Dated : Deponent Verification : That my above statement is true and correct as per best of my knowledge and belief and nothing has been concealed therein. Deponent (to be attested by class I Magistrate)
