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AFFIDAVIT

CUSTOMARY MARRIAGE
I, ...... born on the . of .19.
Identity number . states under oath in English that I am
customarily married to. born
on the . of 19. Identity number..We
have been living together since..(e.g. 1976) at the following matrimonial
address
.. Code
Tel No. (Home)(Work).
Occupation ..
I know and understand the contents of the above-mentioned statement.
I have no objection to take the prescribed oath and consider the prescribed oath to
be binding on my conscience.
Signed before a Commissioner of Oaths at
on this day of . 20..
Signature .
Signed and sworn before me on this .. day of 20

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COMMISSIONER OF OATHS

______________________

OFFICIAL STAMP

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