Affidavit of Execution

{{company_name}}

{{company_address}}

Tel: {{phone}}

Email: {{email}}

Website: {{website}}

AFFIDAVIT OF EXECUTION

I, the undersigned, {{affiant_name}} (Identity Number: {{affiant_id_number}}), an adult residing at {{affiant_address}}, do hereby make oath and state:

1. IDENTIFICATION OF DOCUMENT

I hereby identify the attached document, dated {{document_date}}, pertaining to {{document_description}} (hereinafter referred to as 'the Document').

2. PARTICULARS OF DEPONENT

I am an adult person and am competent to make this affidavit. The facts deposed to herein are, to the best of my knowledge and belief, true and correct.

3. EXECUTION OF DOCUMENT

I confirm that I was present and observed {{person_executing_name}} (Identity Number: {{person_executing_id_number}}) sign the Document at {{place_of_execution}} on {{date_of_execution}}.

I further confirm that {{person_executing_name}} signed the Document voluntarily and in sound mind, understanding the contents thereof.

I signed the Document as a witness in the presence of {{person_executing_name}} and the other witness, {{other_witness_name}}, at the same time and place.

4. WITNESSES

The other witness, {{other_witness_name}} (Identity Number: {{other_witness_id_number}}), also signed the Document in my presence and in the presence of {{person_executing_name}}.

5. PURPOSE OF AFFIDAVIT

This affidavit is made to confirm the due and proper execution of the Document in accordance with all legal requirements.

6. CONFIRMATION

I understand the solemnity of an oath and declare that I have no objection to taking the prescribed oath, and consider the oath to be binding on my conscience.

SIGNED AND SWORN TO before me at {{city}} on this {{day}} day of {{month}}, {{year}}.

_____________________________

DEPONENT: {{affiant_name}}

COMMISSIONER OF OATHS

_____________________________

FULL NAMES: {{commissioner_name}}

DESIGNATION: {{commissioner_designation}}

ADDRESS: {{commissioner_address}}