DOMICILE CERTIFICATE SUPPORTING AFFIDAVIT
I, __________, __________, resident of __________, holding __________, do hereby solemnly affirm and declare as follows:
- 1. THE RESIDENCE CLAIMED
1.1 I claim domicile within __________.
- 2. PURPOSE
- 3. DECLARATION
3.1 Every statement made above is true to my own knowledge and belief, and I have concealed nothing material to this application. I am aware that making a false declaration in an affidavit is an offence, and that the certificate may be cancelled if any statement made here is found false.
VERIFICATION
DEPONENT
Signature: ______________________________
__________
ATTESTATION
Notary Public / Oath Commissioner
Registration No. and seal: ____________________