Sworn Affidavit

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SWORN AFFIDAVIT
IN THE MATTER OF CITIZENSHIP IN THE REPUBLIC OF SOUTH AFRICA
I, _____________________________________, residing at ____________ in _______
in the province of ____________, holder of South African ID number _______________,
do solemnly declare as follows:
1. I am a citizen of the Republic of South Africa and I have not obtained citizenship
of any other country.
2. I make this Declaration in support of my application for dual citizenship.
AND I make this solemn declaration, conscientiously believing it to be true and knowing
that it is of the same force and effect as if made under oath.
Signature of the applicant
_____________________________
DECLARED before me in ______
On this day __ of month ___________ 20___
Signature of the Notary
___________________________
Full Name
Notary Public
(official stamp)

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