Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 4

STATUTORY DECLARATION

I, PRAKASH CUMARAKULASINGAM of 384 Kenton lane, Harrow,


Middlesex, HA3 8RG in the United Kingdom DO SOLEMNLY AND
SINCERELY DECLARE as follows:

1. I am the Declarant above-named and I make this Declaration


in support of the application of my mother- in-law to visit to
the United Kingdom to support my wife physically and
mentally as she is suffering from Chronic Kidney Disease.
2. I am a British Citizen and holder of passport bearing number
540130182

3. My mother-in-law have enough saving in her bank account


and she will utilise same for her travelling and other expenses
in UK.
4. I am self-employed and working for Franklyn Lodge Care
Home, 8 Forty Lane, Wembley, Middlesex, HA9 9EB and my
earnings are in the region of 15,000.00 per annum.

5. I am a tenant of the above said property, it is a three bedroom


flat. This property consists of three bedrooms, living room,

kitchen and a family bathroom. The property will be occupied


by me, my wife and four year old daughter Thashna. Therefore
there is ample accommodation for my mother-in-law to stay in
the UK without recourse to public fund.
6. The details of the sponsored person are
MRS. RATHYINDRA DEVI KRISHNARASA (DOB 23-04-1959
passport number N3179683).
7. I undertake to accommodate my mother-in-law in the United
Kingdom without recourse to public funds. I further undertake
to repatriate her at own cost if necessary. I shall meet the
expenses of burial/cremation in the event of her death in this
country.
8. There is now produced and shown to me and hereby exhibited
to this my declaration mark PC1 true copies of my passport,
my wifes passport, my daughters passport and birth
certificate, Bank statements, supporting letter from hospital,
letter from the employer, marriage certificate, my wifes birth
certificate with translation, tenancy agreement and letter from
the landlord.

I MAKE THIS SOLEMN DECLARATION


Conscientiously believing the same to be
true and by virtue of the provisions of
the Statutory Declaration Act 1835

DECLARED BY THE ABOVE NAMED


PRAKASH CUMARAKULASINGAM
At 557 High Road, Wembley,
Middlesex HA0 2DW

On this ________________________________

BEFORE ME

-------------------------EXHIBIT
--------------------------

This is the Exhibit marked PC1


Referred to in the Declaration of
PRAKASH CUMARAKULASINGAM

On this_______________________

BEFORE ME

You might also like