Affidavit Statutory Declaration

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

AFFIDAVIT / STATUTORY DECLARATION

I, the undersigned, {{declarant_full_name}} (Identity Number: {{declarant_id_number}}), residing at {{declarant_address}}, do hereby make oath and declare / solemnly affirm as follows:

1. Personal Information

Full Name: {{declarant_full_name}}

Identity / Passport Number: {{declarant_id_number}}

Residential Address: {{declarant_address}}

Contact Number: {{declarant_phone_number}}

Email Address: {{declarant_email_address}}

2. Declaration Statement

I hereby declare / affirm that {{declaration_statement_details}}.

The facts contained herein are within my personal knowledge, unless otherwise stated, and are true and correct.

3. Purpose of Declaration

This declaration is made for the purpose of {{purpose_of_declaration}}.

4. Supporting Documents (if any)

Attached hereto and marked as Annexure(s) '{{annexure_references}}' are copies of the following documents in support of this declaration:

- {{document_1_description}}

- {{document_2_description}}

5. Acknowledgment

I understand the solemnity of this declaration and acknowledge that making a false declaration is a serious offence.

SIGNATURE BLOCK

_____________________________

DEPONENT: {{declarant_full_name}}

Dated at {{place_of_signing}} on this ____ day of {{month}}, {{year}}.

I certify that the deponent has acknowledged that he/she knows and understands the contents of this declaration, and that it is to the best of his/her knowledge and belief, both true and correct.

Before me,

_____________________________

COMMISSIONER OF OATHS

FULL NAMES: {{commissioner_full_name}}

DESIGNATION: {{commissioner_designation}}

ADDRESS: {{commissioner_address}}

DATE: ____/____/_________