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

Notices

Application for Market Access Permits for Agricultural Products in terms of the World Trade Organisation (WTO) Marrakesh Agreement for 2021

Annexures

Annexure A : Application form for import permits for the Calendar Year 2021
Purchase cart Previous page Return to chapter overview Next page

 

R1227 Annex

R1227 Annex 2

 

 

 

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

 

________________ 2020/21

 

 

_____________________

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

AND MUST BE SUBMITTED WITH EACH QUARTERLY, HALF-YEARLY OR ANNUAL APPLICATION