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Affidavit by

This affidavit provides personal details of the person completing it, their relationship to the applicant, and confirms key details of the applicant's birth such as date and location. It is being submitted because the applicant does not have a birth certificate, and the person completing the affidavit has direct knowledge of the applicant's birth.

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srak478502
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213 views1 page

Affidavit by

This affidavit provides personal details of the person completing it, their relationship to the applicant, and confirms key details of the applicant's birth such as date and location. It is being submitted because the applicant does not have a birth certificate, and the person completing the affidavit has direct knowledge of the applicant's birth.

Uploaded by

srak478502
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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AFFIDAVIT BY ___________________________ _________________________

[Person completing affidavit First Name] [Person completing affidavit


Last Name]

Re: [Applicant's First Name] [Applicant's Last Name] (If Applicant is married, list the following:
(Applicant's Maiden Name: Applicant's Maiden Name))

I,  [Person completing affidavit First Name] [Person completing affidavit Last Name], hereby
depose and say:

1. That I, [Person completing affidavit First Name] [Person completing affidavit


Last Name], was born on [date] in the town/city of [City], [Country].
2. My full and complete address is [street address with apartment or house number,
town/city, state, postal zip code].
3. That I aware of [Applicant's First Name] [Applicant's Last Name]’s birth. I am
[relationship to Applicant]
4. That [Applicant's First Name] [Applicant's Last Name] was born on [date] in
[name of city], [country] to [name of parents].
5. That I have direct personal knowledge of the event and circumstances concerning
the birth of [Applicant's First Name] [Applicant's Last Name] because [state how
you are aware of birth].
6. That I have known the applicant since their birth in [month/year].
7. This affidavit is being submitted because [why Applicant does not have a birth
certificate]

I declare under penalty of perjury, that the foregoing is a true and correct statement.

_________________________
[Person completing affidavit First Name] [Person completing affidavit Last Name] and signature

Subscribed and Sworn to before


Me, this ____ day of __________,
[YEAR] at ______________________.

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