THE UNITED REPUBLIC OF TANZANIA

AFFIDAVIT OF THE BIRTH OF

XXXXXXXXXX
(MADE UNDER SECTION 10 OF OATHS AND STATUTORY DECLARATION ACT
[CAP.34 R.E 2019])
I, YYYYYYY, an Adult, Christian, and Resident of Bwiregi Ward within Mara Region,
Tanzania, and DO HEREBY declare that I am a Father of XXXXXXXX
That, the said YYYYYYYY was born at Bwiregi Ward, Mara Region, within the United
Republic of Tanzania on 10th day of September, 1954.
That, I was present immediately after the birth of the said XXXXXXXX and I had personal
knowledge of the birth of the said YYYYYYYYYYY

I, FURTHER DECLARE THAT, the said XXXXXXX was born a Male.

SWORN at DODOMA by the said YYYYYYYYYY
who is known to me personally/identified to me by …………….………….
………………………………………………………. DEPONENT
the latter being personally known to me
this 31st day of January, 2024.

BEFORE ME:

NAME:……………………………….…….……….

SIGNATURE:……………………………………...

POSTAL ADDRESS:……..…….…..…………….

QUALIFICATION: COMMISSIONER FOR OATHS

DRAWN BY:
ST.DANIEL’S ATTORNEYS ,
JUNCTION OF TEMBO AVENUE
AND SIXTH ROAD,
OPPOSITE LITTLE MORE, FIRST FLOOR,
P.O.BOX 1674,
DODOMA.
CONTACTS:
+255 754 500 080

EMAIL ADDRESS:
stdanielattorney@gmail.com