Complaint Form/affidavit Page 3

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Schedule A
(Additional Information)
To the Affidavit required under section 6 of The Formal Complaint Procedure.
[If more than one page is required, please photocopy this blank page and mark each additional
page as 2 of 2, 2 of 3, etc. at the top right corner.]
This is Schedule ‘A’ referred to in the Affidavit of:
___________________________________[Full Name]
Sworn [or Affirmed] before me on this _______[Day] of
_______________________[Month} ________[ Year]
____________________________________________
A Commissioner for taking Affidavits, etc.

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