Affidavit - Statutory Declaration (Page 2 of 2) in pdf

Affidavit - Statutory Declaration Page 2

Affidavit

Page 2 on 2

H) That I agree that the rules of non-circumvention and non-disclosure as

interpreted by the Arbitration Board of the International Chamber of

Commerce shall apply to the funds and any transaction involving the funds.

I) I, declare that the above mentioned funds are genuine and not fraudulent and

the funds used are clean and of non-criminal origin.

J) That I make this solemn declaration conscientiously believing the same to be

true by virtue of the provisions of the Statutory Declaration Act, 1935.

________________________________________________________________________________

Signed and Sealed this 25 day of May 2009

Sincerely, General Director of_______________________________________________________

_____________________________________________________________

_______________________________

Seal:

Name

_____

Title

General Director of _________

Passport Number

No ______

Country of Issue

_______

Date of Issue

___

Date of Expiration

____

_______________________________

Witnessed By

Nationality

Passport number :

Date of issue

: 10.08. 2006

Expiration date : 09.08.2011

Country of issue :

Date of birth

Affidavit - Statutory Declaration Page 2