Affidavit of Identity Form

Affiant Information

I, [Your Name], currently residing at Norristown, PA 19403, being duly sworn, depose and say: I am a legal adult of sound mind and over the age of 18. I make this affidavit willingly and under no duress.

Purpose

The purpose of this affidavit is to establish and verify my identity for the following purpose(s): Application for Employment. This affidavit is submitted to GoTech in support of the background check process requiring identity verification.

Personal Identification Details

I hereby declare the following details as true and correct to the best of my knowledge:

• Full Name: [Your Name]

• Date of Birth: June 15, 2050

• Place of Birth: Norristown, PA 19403

• Current Address: Norristown, PA 19403

• Previous Address (if applicable): N/A

• Telephone Number: 222 555 7777

• Email Address: [Your Email]

• Social Security Number or National ID: 987-65-4321

Supporting Documents

Attached herewith are copies of the following valid identification documents in support of this affidavit:

• Passport: 123456789

• Driver's License: D1234567

• National ID: N123456789

• Other: Birth Certificate

Declaration

I declare under penalty of perjury under the laws of the Commonwealth of Pennsylvania that the foregoing is true and correct, and that the attached copies of identification documents are true, accurate, and complete.

Printed Name: [Your Name]

Date: August 16, 2074

Notary Public

Subscribed and sworn to (or affirmed) before me on this 16th day of August 2074, by [Your Name], proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.

Notary Seal: [Notary Seal]

Printed Name of Notary: Amanda Jones

Commission Number: 1234567890

My Commission Expires: August 16, 2078

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