Gap Year Affidavit
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AFFIDAVIT FOR ACADEMIC GAP YEAR
BEFORE THE NOTARY PUBLIC / COMPETENT AUTHORITY AT Indore
I, Rahul Sharma, Son/Daughter of Ramesh Sharma, aged about 28 years, resident of Flat No. 402, Lotus Greens, M.G. Road, Indore (M.P.) - 452001, do hereby solemnly affirm and state on oath as follows:
- That I am a permanent citizen of India residing at the aforesaid address.
- That I have passed my Last Exam Passed (Sample) in the year Passing Year of Last Exam (Sample).
- That there is an academic gap in my regular studies during the period 1 Year (July 2024 to June 2025).
- That the said academic gap occurred on account of: Preparation for Higher Competitive Examinations and Professional Skill Development.
- That during this gap period, I was not involved in any criminal case, unlawful activity, or enrolled in any other regular course of study.
- That I am swearing this affidavit for the purpose of seeking admission to higher education.
DEPONENT
(Rahul Sharma)
VERIFICATION
Verified at Indore on this 15/11/2026 that the contents of paragraphs 1 to 6 of this affidavit are true to my knowledge and belief.
DEPONENT
शपथ पत्र (अध्ययन अंतराल / GAP YEAR AFFIDAVIT)
समक्ष: नोटरी पब्लिक / सक्षम प्राधिकारी, स्थान: इंदौर
मैं राहुल शर्मा, आत्मज/आत्मजा रमेश शर्मा, उम्र लगभग 28 वर्ष, निवासी: फ्लैट नं. 402, लोटस ग्रीन्स, एम.जी. रोड, इंदौर (म.प्र.) - 452001, शपथपूर्वक घोषणा करता/करती हूँ:
- यह कि मैं उपर्युक्त पते का स्थायी नागरिक हूँ।
- यह कि मैंने अपनी पिछली परीक्षा Last Exam Passed (नमूना) वर्ष Passing Year of Last Exam (नमूना) में उत्तीर्ण की थी।
- यह कि मेरी नियमित पढ़ाई में अवधि 1 वर्ष (जुलाई 2024 से जून 2025) तक का अंतराल (Gap) रहा है।
- यह कि उक्त अंतराल का वास्तविक कारण: उच्च प्रतियोगी परीक्षाओं की तैयारी एवं व्यावसायिक कौशल विकास हेतु था।
- यह कि इस अंतराल अवधि में मेरे विरुद्ध किसी भी न्यायालय या थाने में कोई आपराधिक या असामाजिक मामला दर्ज नहीं रहा है।
- यह कि यह शपथ पत्र उच्च शिक्षा में नियमित प्रवेश प्राप्त करने हेतु प्रस्तुत किया जा रहा है।
शपथकर्ता
(राहुल शर्मा)
तस्दीक एवं सत्यापन
मैं शपथकर्ता आज दिनांक 15/11/2026 को स्थान इंदौर पर सत्यापित करता/करती हूँ कि इस शपथ पत्र के पैरा 1 से 6 तक का समस्त विवरण सत्य है।
शपथकर्ता
Purpose & Legal Usage
Mandatory for admissions in Indian universities (DU, BHU, IITs, state colleges) to confirm the student was not engaged in illegal activity during study break.
Notarized affidavit on stamp paper explaining study gap between academic courses.
Required Information Checklist
Keep the following information ready before drafting this document:
- Deponent Name, Age & Residential Address
- Year of Last Qualification & Board/University
- Duration of Academic Gap (From Year to Year)
- Genuine Reason for Gap (e.g. Competitive exam preparation / Medical recuperation)
- Affirmation of Non-involvement in unlawful offenses
Dynamic Form Fields (10)
The form provides automatic bilingual translation & transliteration for these fields:
| Field Label | Type | Status |
|---|---|---|
| Affidavit Execution Date | date |
Required |
| Student Deponent Full Name | text |
Required |
| Father's Full Name | text |
Required |
| Age in Years | number |
Required |
| Permanent Address | textarea |
Required |
| Last Exam Passed (e.g. Class 12th / CBSE) | text |
Required |
| Passing Year of Last Exam | text |
Required |
| Gap Duration (e.g. 2023 to 2025) | text |
Required |
| Reason for Gap (e.g. Preparation for JEE/NEET Entrance Exams) | textarea |
Required |
| Place of Verification | text |
Required |