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affidavit of identity - Taiwan
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 Taiwan 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 Taiwan 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 Taiwan 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)
26287625325734
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