DECLARATION

This Declaration should be signed by a person of high repute such as the parent/guardian of the applicant. The same person should endorse the back of one of the passport-size photographs. This application will not be valid if this Declaration is not signed. I CERTIFY that the photograph endorsed by me is the true likeness of the applicant, ……………………………………………………………………………………………….…... who is personally known to me. I have inspected his/her records and I am satisfied that the names on them conform to those by which, to the best of my knowledge, he/she is officially known.

FOR OFFICIAL USE ONLY

Date Application Forms purchased: ……………………… Receipt No.……………………….
Date Application Forms returned completed. ……………………………………………………..
All/not all enclosures attached: YES  NO
Name of Official ………………………………………………………. Signature:………………………………………………………………..
Date: ……………………………………………………………….………