Form Cac/it 002 - Trustees Declaration

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CORPORATE AFFAIRS Commission
(Established under the Companies and Allied Matters Act 1990)
CAC/IT/FORM/002
TRUSTEES DECLARATION
(Pursuant to Sections 674 (4) & 675 of the Companies and Allied Matters Act No. 1, 1990)
1.
I,
(Full Names)
Of No.
(Permanent Address)
A trustee of
(Name of Organisation)
Do solemnly and sincerely declare as follows:-
(a) That I am not an infant.
(b) That I am not a person of unsound mind.
(c) That I have not been convicted of any offence involving fraud or dishonesty within
five years of my proposed appointment as a trustee.
(d) That I am not an undischarged bankrupt.
2.
That I make this declaration in good faith believing same to be true and in accordance with
the Oaths Act, 1990.
DEPONENT
SWORN TO…… ……………………………………………
PASSPORT
SIZE PHOTO
THIS ………………….…..DAY OF ………....…….200 …
BEFORE ME
COMMISSIONER FOR OATHS/NOTARY PUBLIC
NOTE
THIS FORM REPLACES STATE GOVERNMENTS CLEARANCE.
TO BE SWORN TO BY EACH TRUSTEE.
YOU ARE REQUIRED TO ATTACH COPY OF COURT REGISTRY PAYMENT RECEIPT OR NOTARY PUBLIC PAYMENT RECEIPT.
NOTARY PUBLIC TO STATE NAME, ADDRESS AND AFFIX SEAL.

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