Affidavit Statutory Declaration

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

AFFIDAVIT / STATUTORY DECLARATION

I, {{declarant_full_name}} (Identity Number: {{declarant_id_number}}), residing at {{declarant_address}}, do hereby make oath and state / solemnly declare that:

1. PERSONAL DETAILS

1.1. My full names are {{declarant_full_name}}.

1.2. My identity number is {{declarant_id_number}}.

1.3. My residential address is {{declarant_address}}.

1.4. My occupation is {{declarant_occupation}}.

1.5. I am duly employed by {{company_name}} as a {{declarant_position}}.

2. MATTERS DECLARED

2.1. I declare that the following facts are true and correct to the best of my knowledge and belief:

a) {{fact_1}}

b) {{fact_2}}

c) {{fact_3}}

2.2. I understand that making a false declaration is a serious offence and may result in legal prosecution.

2.3. I have personal knowledge of the facts stated herein, unless otherwise indicated.

2.4. I have no objection to providing this declaration for the purpose of {{purpose_of_declaration}}.

3. PURPOSE OF DECLARATION

This declaration is made for the purpose of {{purpose_of_declaration}} and will be submitted to {{receiving_party}}.

4. CONFIRMATION

I certify that the contents of this affidavit / statutory declaration are true and correct, and that I have made this statement voluntarily and without undue influence.

SIGNED AND SWORN / SOLEMNLY DECLARED AT

______________________________ (Place)

On this _____ day of {{month}}, {{year}}.

______________________________

DEPONENT

I certify that the deponent has acknowledged that he/she knows and understands the contents of this affidavit / statutory declaration, and he/she has sworn / solemnly declared before me that the contents hereof are true. This was done in the manner prescribed for the taking of an oath / making of an affirmation.

______________________________

COMMISSIONER OF OATHS

Full Name: {{commissioner_name}}

Designation: {{commissioner_designation}}

Address: {{commissioner_address}}

Date: {{commissioner_date}}