SCHEDULE.

Form of Statutory Declaration.

I, A.B., do solemnly and sincerely declare that:—

and I make this solemn declaration conscientiously believing the same to be true and by virtue of the Statutory Declarations Act, 1938.

(Signed) A. B.

Declared before me by A.B. who is personally known to me (or who is identified to me by C.D. who is personally known to me) at    

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this____________day of__________

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