Form 2—AffidavitForm 2—Affidavit

Form 2—Affidavit

(insert heading for document in accordance with Form 1)

I*/WE*, (insert forename(s) and surname(s) of deponent(s)), (insert occupation(s) of deponent(s)), of (insert address of deponents(s)), declare the following under oath:

(a) I*/WE* am*/are* the deponent(s) for this document and have read the document and any attachment to the document;

(b) the facts stated in the document, and any attachment to the document, that are within my*/our* knowledge are correct;

(c) all other facts stated in the document, and in any attachment to the document, are correct to the best of my*/our* knowledge or belief.

SWORN by the deponent(s)

at (insert place where declaration made)

on (insert date of declaration)

(signature)

Signature of deponent(s)

(name)

Name of deponent(s)

(title/position)

Title or position of deponent(s)

BEFORE ME:

(signature)

Signature of person before whom affidavit is sworn

(name)

Name of person before whom affidavit is sworn

(title/position)

Title or position of person before whom affidavit is sworn
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* omit if inapplicable