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Affidavit Of Personal Relationship

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AFFIDAVIT OF PERSONAL RELATIONSHIP

I, ___________________________________, residing at _______________________________________,

Being duly sworn depose and say,

1. That I was born on _____________________________ at ____________________________________.

2. That I am ____________ years of age and have resided in the U.S. since ________________________.

3. That this affidavit is being submitted on behalf of the following persons: あなたのお名前& 配偶者のお

名前

4. That this affidavit is being made by me for the purpose of assuring the U.S. government that the

persons named in item 3 have a true and loving relationship that was entered in "good faith," and is

not for the purpose of circumventing immigration laws.

5. That I acquired my knowledge of the relationship between the persons named in item 3 in the

following manner:

_____________________________________________________________________________________

OATH OR AFFIRMATION

I swear (affirm) that the contents of this affidavit are true and correct to the best of my knowledge.

Signature of person making this affidavit: ___________________________________________________

Subscribed and sworn (affirmed) before me this ___________ day of January, 2008

at ____________________________________. My commission expires on ________________________.

Signature of Officer Administering Oath __________________________ Title ______________________.

Affidavit Of Personal Relationship

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