(In support of the notice of intended marriage under section 5 of the Special Marriage Act, 1954)
I, __________, son/daughter of __________, born on __________, __________, resident of __________, do hereby solemnly affirm and declare as under:
2. That I have completed the age required of me by section 4(c) of the Special Marriage Act, 1954 as on the date of this affidavit, my date of birth being as stated above.
4. That I am not incapable of giving a valid consent to this marriage in consequence of unsoundness of mind; that though capable of giving valid consent, I am not suffering from a mental disorder of a kind or to an extent unfit for marriage and the procreation of children; and that I am not subject to recurrent attacks of insanity, within the meaning of section 4(b) of the Special Marriage Act, 1954.
8. That the contents of this affidavit are true and correct to my knowledge, no part of it is false, and nothing material has been concealed therefrom.