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AFFIDAVIT

I,
...........................................................................................................................................................................................
(FULL NAMES AND NATIONAL REGISTRATION NUMBERS)

do hereby solemnly and sincerely swear/declare the following: -


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I make the above statement conscientiously believing the same to be true.

Signed ----------------------------------------------------------

Signed before me at -------------------------------- this -----------------------------day of ----------------------- ----------------


DATE MONTH YEAR

Signed --------------------------------------------------
(COMMISSIONER OF OATHS)

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