AFFIDAVIT
I, __________, __________, aged __________ years, resident of __________, do hereby solemnly affirm and declare as follows.
- 9. I further declare that no trade licence of mine has been revoked or cancelled for violation of its conditions, that no proceeding for such cancellation is pending, and that the particulars given above are within my own knowledge and are true and correct, and that nothing material has been concealed.
DEPONENT
__________
Signature: ______________________________
VERIFICATION
DEPONENT
Signature: ______________________________
Signature and seal of Notary Public / Oath Commissioner: ______________________________