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AFFIDAVIT OF THE BIRTH for

SAID MZEE SAID

I, LUCAS EMMANUEL, residing at 112 MBAGALA Road, MBAGALA CHARAMBE


hereby certify that I was born on 07/02/1984 in the City of DAR-ES-SALAAM, State of DAR-
ES-SALAAM in the Country of TANZANIA.

FURTHERMORE,

This Affidavit of Birth is being prepared and executed on behalf of the following individual:

SAID MZEE SAID was born on 11/12/2000 at MWANANYAMALA HOSPITAL in the City
of DAR-ES SALAAM in the State of DAR-ES-SALAAM located in the Country of
TANZANIA for the purpose and reason of verification of living birth and living.

THEREFORE, I declare under the penalty of perjury and in accordance to REPUBLIC OF


TANZANIA law, that the above statement of information is true and correct to the best of my
knowledge.

______________

(Affiant Signature)
______________

(Date)

STATE OF _______________________)
COUNTY OF _____________________ )

NOTARY ACKNOWLEDGMENT

On __________________ the aforementioned Affiant did personally appear before me, and who
is personally known to me (or proven to me on the basis of satisfactory evidence) to be the
person whose name is subscribed to the within instrument and acknowledged to me that he/she
executed the same in his/her authorized capacity, and that by his/her signature on the instrument
above, or the entity upon behalf of which the person acted, executed the instrument.
WITNESS my hand and official seal.

_________________

(NOTARY SIGNATURE)

My Commission Expires: _________________

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