Affidavit Regarding Date of Birth

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

IN THE UNITED REPUBLIC OF TANZANIA

AFFIDAVIT REGARDING BIRTH OF

AKKKKKE OOOOOOO OIIIIIIIO

I, MEEEEEA OWWWA KEEEE, Christian of P.O BOX 7 Gongo la Mboto, Dar


es salaam do hereby take oath and state as follows;

1. THAT, I am the deponent and therefore conversant with the facts I am


about to depose.
2. THAT, I am an aunt of the said PPPPPE OOOOO ORRRRRR.
3. THAT, the said AKKKKE OOOOOO OIIIIIO was born on 21 st day of June
1962 at Shirati, Rorya District in Mara region.

4. THAT, I declare that I was immediately present after the birth of the said
AKKKKE OOOOOO OIIIIIO

5. I further declare that the said AKKKKE OOOOOO OIIIIIO was born female
who is the second born among six children.

6.

VERIFICATION
That I make this declaration that all the statements deponed on paragraph
1,2,3,4 & 5 hereinabove are true and correct to the best of my own personal
knowledge and according to the Oath and Statutory Declaration Act (CAP 34
R.E 2002)

Verified at Dar es Salaam on this ……. Of …………. 2020

……………………
MARIA ODEMBA KAGOSE

SWORN at DAR ES SALAAM by the said


MEEEEEA OWWWA KEEEE
who is known to me personally/ …………………….
introduced to me by……………………… DEPONENT
the latter known to me personally
this………day of………20…….
BEFORE ME:
NAME……………………………………

SIGNATURE……………………………..

ADDRESS………………………………..

QUALIFICATION………………………..

You might also like