Broad-Based Black Economic Empowerment Act, 2003 (Act No. 53 of 2003)

Notices

Procedures for the Application, Administration and Allocation of Export Quotas under the Economic Partnership Agreement between the Southern African Customs Union and Mozambique (SACUM) and the United Kingdom (UK) for the Year 2022

Annexures

Annexure A : Application Form for Export Permits to UK for the Calendar Year 2022 and Affidavit
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N793 Annex A form i

N793 Annex A form ii

 

 

 

 

AFFIDAVIT

 

I the undersigned ________________________________________________________________

 

do hereby make oath / affirmation and declare that:

 

1. I am duly authorized to depose to this affidavit on behalf of the applicant; and

 

2. The particulars contained in the application form are true and correct.

 

SIGNED at _____________________________________on this _______ day of

 

________________ 2021/22

 

 

_____________________

DEPONENT

(to be signed in the presence of a Justice of the Peace or Commissioner of Oaths)

 

1. I certify that before administering the oath/affirmation, I asked the deponent the following questions and wrote down his/her answers in his/her presence.

 

(1) Do you know and understand the contents of the declaration?

 

Answer ……………………………………………………………………………………….

 

(2) Do you have any objection to taking the prescribed oath/affirmation?

 

Answer ……………………………………………………………………………………...

 

(3) Do you consider the prescribed oath/affirmation to be binding on your conscience?

 

Answer……………………………………………………………………………….........

 

2. I certify that the deponent has acknowledged that he/she knows and understands the contents of this declaration. The deponent utters the following words: “I swear that the contents of this declaration are true so help me God” / “I truly affirm that the contents of the declaration are true.”

 

The signature/mark of the deponent is affixed to the declaration in my presence.

 

 

……………………………………………………………………………….........

JUSTICE OF THE PEACE

COMMISSIONER OF OATHS

 

 

TO BE COMPLETED BY THE JUSTICE OF THE PEACE/COMMISSIONER OF OATHS:

 

FULL FIRST NAMES AND SURNAME (BLOCK LETTERS)

 

_________________________

DESIGNATION:

 

_________________________

PHYSICAL ADDRESS:

 

_________________________

DATE:

 

_________________________

PLACE:

 

_________________________

 

PLEASE COMPLETE THE ABOVE AFFIDAVIT WHICH IS AN INSEPARABLE PART OF THE APPLICATION FORM