AFFIDAVIT

I ..................... W/O ............. date of birth ........................U S passport No....................................;

Address .................... and present Address in Bangladesh.......................do herely solemnly
and say as Follows:-

2) That The information Which l have mentioned in my application for Dual Nationality are
true to the best of my knowledge and belief.

3) In Witness Where of . I have signed this affidavit before the Notary public on this the
............................day of July. 2009

(......................)
DEPONENT

The deponent is known to me has

Signed in my Present.