[{"id":"79ebcb74-bb59-475d-97cf-5042c672ebb6","order":10,"text":"(On non-judicial stamp paper / e-stamp of Rs. [Value], bearing Certificate / Serial No. [Stamp certificate / serial number])","fontSize":"11","textAlign":"center","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"cf154040-e5d8-4259-980b-a5b94904336a","value":"1","type":"add","operator":"="}]},{"id":"d7462138-d6d4-4a7c-a143-48249c957a1b","order":20,"text":"BEFORE THE NOTARY PUBLIC","fontSize":"16","textAlign":"center","bold":true,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"204c5470-5b8f-454b-a1b6-e7cef18bfe72","order":30,"text":"AT [Place of Execution], [State]","fontSize":"14","textAlign":"center","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"4bcd392b-d333-4eee-a269-707f062ed8ef","order":40,"text":"AFFIDAVIT","fontSize":"20","textAlign":"center","bold":true,"underline":true,"marginBottom":"6","cflou":false,"active":true},{"id":"3b3e2b5c-ab33-4e17-a25c-3aa482434215","order":50,"text":"(Affidavit explaining a gap / break in education or employment)","fontSize":"12","textAlign":"center","bold":false,"underline":false,"marginBottom":"22","cflou":false,"active":true},{"id":"da7052df-23d0-4cd3-82ba-2cd843440d8d","order":60,"text":"I, [Full name of the Deponent], aged [Age] years, son of [Father's / Mother's / Spouse's name], by occupation [Occupation], resident of [Full residential address], [City], [State] – [PIN code], holding Aadhaar Card bearing No. [Identity document number (last 4 digits for Aadhaar)], do hereby solemnly affirm and sincerely declare on oath, and state on solemn affirmation, as under:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"16","cflou":false,"active":true},{"id":"5364360b-a025-4104-b257-3bd4692a1d09","order":70,"text":"1. That I am the Deponent above-named and a citizen of India, competent to swear this affidavit and fully conversant with the facts deposed to herein.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"sectionNum":"S01"},{"id":"1e52d726-05e6-4d07-85f6-c2d08d2e416d","order":80,"text":"2. That I am making this affidavit voluntarily, out of my own free will and without any force, fraud, coercion or undue influence from any person whatsoever, and that I have read and / or have had read over and explained to me the contents hereof in a language known to me and have understood the same.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"sectionNum":"S02"},{"id":"14235027-dc96-4fd5-a3e5-74ae7b2f1532","order":90,"text":"3. That I am submitting this affidavit in support of, and for the purpose of, [Purpose — e.g., admission to a course / employment / examination], before [Name of the institution / employer / authority], in order to explain the gap / break in my studies and / or professional career set out below.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"sectionNum":"S03"},{"id":"d2e2377f-a85b-4512-adf0-d27b800e91b4","order":100,"text":"4. That there has been a gap / break in my studies and / or professional career for a period of [Duration of the gap], commencing from [Start date] and continuing up to [End date].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"sectionNum":"S04"},{"id":"8c314532-c722-432f-8286-d8eeaea136a5","order":110,"text":"5. That prior to the said gap, I had completed / was pursuing [Last qualification / course] from [Name of the school / college / university], and I did not undertake any further course of study during the said period.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"displayConditions":[{"field":"c36dee85-3a88-4ef2-9c2b-0fa6798533fd","value":"employment","type":"remove","operator":"="}],"sectionNum":"S05"},{"id":"11940e81-0c33-4a50-a066-9013fe4cb27f","order":120,"text":"6. That prior to the said gap, I was last employed as [Last designation] with [Name of the last employer], and I was not gainfully employed by, nor did I render services to, any other person or organisation during the said period.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"displayConditions":[{"field":"c36dee85-3a88-4ef2-9c2b-0fa6798533fd","value":"education","type":"remove","operator":"="}],"sectionNum":"S06"},{"id":"4ca4ed56-b23d-4c3b-b95f-0d6438f245c5","order":130,"text":"7. That the said gap / break occurred on account of medical / health reasons, the particulars whereof are as follows: [Detailed explanation of the reason for the gap].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"sectionNum":"S07"},{"id":"169e7923-2ceb-4475-8017-7676e0fbaad5","order":140,"text":"8. That during the entire period of the said gap, I was not engaged in any unlawful, criminal, anti-social or anti-national activity whatsoever, and there is no case, investigation or proceeding pending against me before any court, tribunal or authority in relation thereto.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"sectionNum":"S08"},{"id":"752466e2-192d-4862-b168-7d6a209e7355","order":150,"text":"9. That I am now desirous of, and ready and willing to, resume my studies and / or take up gainful employment, and the present affidavit is made to place on record a true and complete account of the said gap.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"sectionNum":"S09"},{"id":"7090d832-fa15-45f5-9e13-f64a6161feb6","order":160,"text":"10. That in support of the facts stated hereinabove, I crave leave to refer to and rely upon the following document(s), true copies whereof are annexed hereto and form part of this affidavit: [List of annexed documents — e.g., mark-sheets, relieving letter, medical certificate]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"displayConditions":[{"field":"20659848-c8c7-4b20-8f93-6a7a6213e126","value":"1","type":"add","operator":"="}],"sectionNum":"S10"},{"id":"7e22d3d2-1f52-4624-bf60-fc6859f89c84","order":170,"text":"11. That I am aware that swearing a false affidavit or making a false statement on oath is a punishable offence under the Bharatiya Nyaya Sanhita, 2023 (corresponding to Sections 191 to 193 and 199 of the erstwhile Indian Penal Code, 1860), and I affirm that no part of this affidavit is false and nothing material has been concealed therein.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"sectionNum":"S11"},{"id":"c5ddece3-a6b0-4d1c-aaca-54802d530e09","order":180,"text":"12. That the facts stated hereinabove are true to the best of my knowledge, information and belief, and I have not suppressed or concealed any material fact relating to the said gap.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"12","cflou":false,"active":true,"sectionNum":"S12"},{"id":"019cd82b-2fa4-46a6-a110-6bccc8a83cb6","order":190,"text":"13. That this affidavit is made bona fide and solely for the purpose stated hereinabove, and may be produced before [Authority / institution / employer] or any other competent authority requiring the same.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true,"sectionNum":"S13"},{"id":"57e501d0-c094-4451-a740-161faebdb7c6","order":200,"text":"DEPONENT","fontSize":"14","textAlign":"right","bold":true,"underline":false,"marginBottom":"4","cflou":false,"active":true,"marginTop":"20"},{"id":"8a5b9a15-30bb-4754-83db-da2904f20ce6","order":210,"text":"([Full name of the Deponent])","fontSize":"14","textAlign":"right","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"db27bf92-6ec7-4e66-b513-80df3d2d8ea4","order":220,"text":"VERIFICATION","fontSize":"16","textAlign":"center","bold":true,"underline":true,"marginBottom":"10","cflou":false,"active":true},{"id":"bbc2ae50-2131-4690-b6f2-a08025ec38ac","order":230,"text":"I, the above-named Deponent, do hereby verify and declare that the contents of this affidavit are true and correct to the best of my knowledge, information and belief, and that nothing material has been concealed or misstated therein. Verified at [Place] on this [Date of verification].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"e50f435e-a66d-4727-ba5e-fe55c919dc43","order":240,"text":"DEPONENT","fontSize":"14","textAlign":"right","bold":true,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"3d28d736-d9f2-4f6b-8b48-9a06d103d9a4","order":250,"text":"([Full name of the Deponent])","fontSize":"14","textAlign":"right","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"2bea6393-6365-4221-a792-6ef076253297","order":260,"text":"Solemnly affirmed and signed before me by the Deponent, who is known to me / has been identified to my satisfaction on production of his / her Aadhaar Card, at [Place] on this [Date].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"90502da6-6c1a-4fe8-a7d5-a4d5a26315cc","order":270,"text":"Notarial Register / Serial No.: [Notary register / serial number]","fontSize":"12","textAlign":"left","bold":false,"underline":false,"marginBottom":"30","cflou":false,"active":true},{"id":"14b376d1-2f05-44d3-87a5-8e8269483c8c","order":280,"text":"NOTARY PUBLIC / OATH COMMISSIONER","fontSize":"14","textAlign":"right","bold":true,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"7e125b64-04f6-4c13-be61-7be5709b1b44","order":290,"text":"(Signature, Stamp and Seal)","fontSize":"12","textAlign":"right","bold":false,"underline":false,"marginBottom":"0","cflou":false,"active":true}]