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Affidavit of Identity

This document is an Affidavit of Identity for an individual to affirm their identity, including personal details such as name, date of birth, and address. It serves to establish and verify the individual's identity for a specified purpose and includes a declaration of truth under penalty of perjury. The affidavit also includes a section for notarization to validate the identity of the affiant.

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55 views2 pages

Affidavit of Identity

This document is an Affidavit of Identity for an individual to affirm their identity, including personal details such as name, date of birth, and address. It serves to establish and verify the individual's identity for a specified purpose and includes a declaration of truth under penalty of perjury. The affidavit also includes a section for notarization to validate the identity of the affiant.

Uploaded by

crazydrufortnite
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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STATE OF KENYA

COUNTRY OF KENYA
IN THE OF [COURT AND JURISDICTION

AFFIDAVIT OF IDENTITY

I, [INSERT NAME], the undersigned, being duly sworn, hereby affirm on the [INSERT DATE]:

1. My legal name is [INSERT NAME]. My date of birth is [INSERT BIRTHDATE].


2. My social security number is [INSERT SOCIAL SECURITY NUMBER].
3. I currently live at [INSERT ADDRESS].
4. My phone number is [INSERT PHONE NUMBER].
5. I have presented to my Notary public with [INSERT ID], as proof of my identity.
6. This affidavit is to provide, establish and verify my identity for [INSERT PURPOSE].
7. I understand that falsification of this affidavit may be a criminal offense and could lead to
prosecution to the fullest extent of the law.

Under penalty of perjury, I hereby declare and affirm that above stated facts, to be the best of my
knowledge, are true and correct.

Dated: [INSERT DATE]

___________________________________

Signature

Printed name:

Date:
NOTARY OF ACKNOWLEDGEMENT
State of: [INSERT STATE]

Country of: [INSERT COUNTRY] (Seal)

This Affidavit of Identity was acknowledged on the [INSERT DATE] by the undersigned, [INSERT
UNDERSIGNED NAME], who has satisfactorily proven to me to be the person whose name is
subscribed to this document.

___________________________________

Signature

___________________________________

Notary Public

My Commission Expires on the: ___________________________________

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