IN THE MAGISTRATE COURT OF STATE

HOLDEN AT AREA

DECLARATION OF AGE

I…FULL NAME……, SEX RELIGION, COUNTRY CITIZEN, RESIDING AT NO **, SOSO

STREET, SOSO AREA, do affirm and say as follows:-

1. That I am FULL NAME

2. That I was born at AREA on the DATE.

3. That at the time of my birth there was no Birth Registry in the

said town and my birth was not registered.

4. That this declaration is now needed for record purpose.

5. That I make this declaration solemnly and conscientiously

believing to be true and correct in accordance with the provision

of Oath. Edict, 1967.

______________________
DECLEARATION

Sworn to at the magistrate Court

Registry, Ikeja this ………………. Day of ………………………..

BEFORE ME

…………………………………………………………………………………..
Commissioner for Oaths.