This document outlines the format of an affidavit for a student who has misplaced original certificates issued by Mangalore University. The 3 sentence summary is: The affidavit states that the student has misplaced original certificates from Mangalore University despite searching, will not misuse them if found, and requests certified duplicates be issued for use in evaluation based on this affidavit.

1. FORMAT OF THE AFFIDAVIT
Before the Registrar (Evaluation), Mangalore University, Mangalagangothri, D.K. District.
…………………………………………………………………………………………………………..(Name of the student)
………………………………………………………………………………………………………………………….(Department)
AFFIDAVIT
I………………………………………………………………………………………………………………Son/Daughter of
……………………………………………………………………………………………………….aged…………………………..
residing at …………………………………………………………………………………………………………………………
solemnly affirm and state as follows:
1. I say that I have misplaced the originals of the following certificates/marks cards
issued by the Mangalore University.
Reg. No. Particulars of the Certificate/Mark Cards lost Month & Year
2. I say that inspite of delegent search I am unable to trace the originals of the aforesaid
certificates and hence they are taken as lost, if traced I will produce them to the
Mangalore University.
3. I say that I have not misused the same and I shall not misuse the same if recovered.
4. I say that for the purpose of ………………………………………………………………………………………..
I need the certified duplicates of the said certificates/marks cards.
5. It is therefore necessary that on the strength of this affidavit certified duplicates are
issued to be me by the Mangalore University at my cost.
6. All this is true.
DEPONENT
Solemnly affirmed and signed before me on this the day of………………………………
date………………………………………………..
NOTARY PUBLIC