I, Nithya Balakrishnan, aged 20 years, daughter of Balakrishnan Nair, residing at Nithya Nivas, Pala, Kottayam, Kerala 686575, do hereby solemnly affirm and declare as under:
1. I passed the Higher Secondary (Class XII) examination of the Kerala Board in March 2024.
2. I did not pursue any course or take admission in any institution during the period from April 2024 to September 2026.
3. The reason for the said gap is that I was preparing for the NEET-UG examination and attending to family responsibilities after my father's illness.
4. During the said period I was not employed anywhere and was not involved in any activity contrary to law.
5. This affidavit is made for submission to the Kerala Medical Counselling authority for admission to MBBS 2026-27.
Verification: Verified at Pala on 26 October 2026 that the contents are true and correct.
Signed
Nithya Balakrishnan, Deponent · attested by Notary Public
Names, numbers and dates above are examples. Replace them with yours.
Common questions
Is a gap a problem for admission?Not by itself for most courses; the affidavit simply records it. Some institutes cap gaps at 2–3 years.
Employment gap — same format?Yes; change point 1 to your last job and point 2 to "not employed". The generator's gap type handles both.
Who signs for a minor?The parent or guardian swears it on the student's behalf.
This page is a template and general guidance for a common situation, not legal advice. Rules differ by state and office; check with the office that asked for the document. Last reviewed October 2026.