Self Affidavit Form
Self Affidavit Form
Introduction
I, [Your Name], son/daughter of Chris Barnett, residing at Moodus, CT 06469, do hereby solemnly affirm and declare as follows:
Personal Information
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Date of Birth: May 1, 2050
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Place of Birth: Moodus, CT 06469
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Nationality: American
Purpose of the Affidavit
The purpose of this affidavit is to provide a truthful and accurate statement of facts as required by the American Immigration and Naturalization Services.
Declaration of Facts
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I am a resident of the address mentioned above and have been living here for 25 years.
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I am currently employed at [Your Company Name] as a Senior Project Manager.
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I hold a Bachelor’s degree in Business Administration from the University of Connecticut, obtained on May 15, 2071.
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I am not involved in any criminal activities and have never been convicted of a crime in any jurisdiction.
Legal Statements
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I understand that any false statement or declaration made in this affidavit may result in legal consequences under the prevailing laws and regulations.
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I am aware that this affidavit will be used for my US Citizenship Application, and I hereby give my consent for its use and verification as necessary.
Signature and Date
[Your Name]
Date: August 16, 2081
Witness
Witness Name: Jonathan Edwards
Date: August 16, 2081
