CERTIFICATE OF TRANSLATION

I, ___________________________, am competent to translate from ________________

into English, and certify that the translation of __________________________________
is true and accurate to the best of my abilities

_____________________________ ______________________________
Signature of Translator Name of Translator

Address of Translator

____________________________
Telephone Number of Translator
 CERTIFICATE OF TRANSLATION

I, ___________, herby certify that I am proficient in _______ and English. I translated the
foregoing statement and read it back to _____[NAME]_____________________ in its entirety
in _[FOREIGN LANGUAGE]______ on ___[DATE]_______.

_________________________________________ Dated: ________________________

NAME
ADDRESS
ADDRESS
ADDRESS