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Affidavit of Identity - Ethiopia
I, the Affiant herein, being duly sworn upon oath, hereby state that:
1. My legal name is ______________________________________________________ (full legal name of Affiant).
2. My date of birth is ______________________________________________________ (date of birth of Affiant).
3. This Affidavit is sworn to provide proof of my identity.
4. I presented my ______________________________________________________ (Authorized Identity
Document of Affiant) to the Notary Public, as proof of my identity.
Authorized Identity Document means any photo identification document issued by the government of Ethiopia or a
government entity therein.
I certify that I have read and understood the contents of this Affidavit signed by me and that the
statements are true and correct.
Affiant's Signature Date
I, ______________________________________________________ (legal name of Notary Public), a valid Notary
Public, in and for Ethiopia or a government entity therein, do hereby declare that the Affiant,
______________________________________________________ (full legal name of Affiant) did personally
appear before me at
__________________________________________________________________________________ (address of signing
of Affidavit), which is a physical location within the bounds of Ethiopia on
______________________________________________________ (date of signing of Affidavit) and presented to
me satisfactory evidence of an Authorized Identity Document (as defined above) to confirm that s/he
executed the same in his/her authorized capacity, and that the matters stated in the Affidavit are
true to the best of his/her information, knowledge, and belief.
Signature of Notary Public
Affix Seal (stamp preferred)
19529556875564
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