S/N: CA/HFM/AR/58

IN THE UNITED REPUBLIC OF TANZANIA

THE OATHS AND STATUTORY DECLARATIONS ACT, [CAP. 34, R.E. 2019]
AFFIDAVIT OF RESIDENCE OF____________________________

I, __________________________ with ID No. ______________ of ________Tanzania,

DO HEREBY declare and state as follows:

1. That I am the person above named and hence, well conversant with the facts
of the matters I am about to depose.

2. That My current residential details are as follows:-

Street: ____________________
Road:_____________________
Plot: ______________________
Ward: _____________________
Region: ___________________
3. That, I have been living in the above mentioned residence since ________.

4. That, I make and verify this solemnly declaration contentiously believing the
same to be true and by virtue of the The Oaths And Statutory Declarations
Act, [Cap. 34, R.E. 2019]
VERIFICATION
I, _______________________do hereby verify that, all what is stated in paragraph 1, 2, 3
and 4 is true to the best of my knowledge.

____________________
DEPONENT
SOLEMNLY SWORN at ____________________
By The said ______________________________ ______________
Who is known to me personally DEPONENT
in my presence this _____ day of December, 2022.

BEFORE ME:
NAME: CLAVERY OSWARD MLOWE
ADDRESS: P.O.BOX 105722, DAR ES SALAAM

SIGNATURE:
QUALIFICATION: COMMISSIONER FOR OATHS