THE UNITED REPUBLIC OF TANZANIA

AFFIDAVITE OF THE BIRTH OF

………………………………….

(MADE UNDER SECTION 10 OF OATHS AND STATUTORY DECLARATION

ACT [CAP.34 R.E 2019])

I, ……… Resident of Iyela village, Mbeya District, Mbeya Region within the United
Republic of Tanzania, and DO HEREBY declare that I am a brother of
………………………

That, the said ……………………………………….. was born at Hiyale village, Ilemela

District, Mwanza Region within the United Republic of Tanzania, on the 15 th day of
January, 1981.

That, I was present immediately after the birth of the said ………………………….
………………………. and I had personal knowledge of the birth of the said
…………………...

I, FURTHER DECLARE THAT the said LUCAS JAPHET THOBIAS was a male.

SWORN at DODOMA
by the said ……………………….
who is known to me personally/identified to me by …………….………….
…………………………………………………………. DEPONENT
the latter being personally known to me
this 30th day of December, 2021.

BEFORE ME:

NAME:……………………………….…….……….

SIGNATURE:……………………………………...

POSTAL ADDRESS:……..…….…..…………….

QUALIFICATION:………………….……...…….

DRAWN BY:
ST DANIEL’S ATTORNEYS,
DODOMA,
P.O.BOX 642,
DODOMA.