AFFIDAVIT

I, the undersigned,
,aged
years,
by religion, presently residing at
, do hereby solemnly affirm and declare on oath that:



I hereby declare that:
1. I am the deponent herein and a citizen of
Nationality.
2. I was born on , at
So I do hereby solemnly affirm that foregoing are true and correct statements.
Place:
Date:
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Deponent Name:

Signature: