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Affidavit of Residence Template

The document is an affidavit of residence for Boothrus Safrino Ayaga, confirming his residency at Imara Drive, Nairobi since February 22, 2024. It includes witness acknowledgments and a notary acknowledgment verifying the identity of the signer. Attached documents include a passport and other relevant identification for verification purposes.

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dengkingbulis
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35 views2 pages

Affidavit of Residence Template

The document is an affidavit of residence for Boothrus Safrino Ayaga, confirming his residency at Imara Drive, Nairobi since February 22, 2024. It includes witness acknowledgments and a notary acknowledgment verifying the identity of the signer. Attached documents include a passport and other relevant identification for verification purposes.

Uploaded by

dengkingbulis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

AFFIDAVIT OF RESIDENCE

Boothrus Safrino Ayaga


Name _________________
Imara Drive Mombasa road
Street Address _________________
Nairobi
City, State _________________
00100
Zip _________________

22/02/2024
Date _________________

To Whom This May Concern,

I,Boothrus Safrin Ayaga kich


_________________, formally acknowledge living at the street address of
Imara Drive
_________________, Nairobi
Mombasa road City of _________________, Nairobi
State of _________________ since
_________________,
22/02/ 20____.
24

I have attached the following documents for your consideration: _________________________


Passport
witness acknowledgement
____________________________________________________________________________

Furthermore, I swear and affirm under penalty of perjury that the facts set forth in this statement
are true and accurate.

Sincerely,

_____________________
Witness Acknowledgment

I/We, as witness(es) to the aforementioned claims made by _________________ and Kich


Boothrus Safrino Ayaga

acknowledge their residency status.

16.12.2024
Witness Signature _____________________ Date _________________
Print Name _________________
Enoch Mogere Gichana

16.12.2024
Witness Signature _____________________ Date _________________
Henry Nderitu
Print Name _________________

Notary Acknowledgment

A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

Nairobi
State of _________________
Nairobi
County of _________________

Boithrus Safrin Ayaga before


On _________________, Kich me, _________________,
David Muriuki MwendaNotary Public, personally appeared

Boothrus Safrino Ayaga


_________________ whoKich
proved to me on the basic of satisfactory evidence to be the

person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me

that he/she/they executed the same in his/her/their authorized capacity(ies), and that by

his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the

person(s) acted, executed the instrument.


Nairobi
I certify under PENALTY OF PERJURY under the laws of in the State of _________________

that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Signature _____________________
Place Notary Seal Above Advocate David Muriuki Mwenda
Print Name _________________

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