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STATUTORY DECLARATION

I, YOUR NAME (NRIC No. ), am a citizen of Malaysia and an Advocate and Solicitor of the
High Court of Malaya, do hereby solemnly affirm and declare as follows:-

1. I was admitted as an Advocates & Solicitors of the High Court of Malaya on 14


December 2016 after
completing my chambering tenure with Messrs Teh Kim Teh, Salina & Co. at H-2-3,
Level 2, Encorp Strand Garden Office, No. 12, Jalan PJU 5/1, Kota Damansara, 47810
Petaling Jaya, Selangor.

2. From 15 December 2016 until the date of this application, I am not gainfully
employed elsewhere.

3. I intend to practice as a legal assistant in Messrs Teh Kim Teh, Salina & Co. at H-2-3,
Level 2, Encorp Strand Garden Office, No. 12, Jalan PJU 5/1, Kota Damansara, 47810
Petaling Jaya, Selangor and hereby undertake that I shall not practice in 2017 until I
have been issued with a valid Sijil Annual and Practising Certificate for 2017 in
accordance with the provisions of Part III of the Legal Profession Act 1976.

And I make this solemn declaration conscientiously believing the same to be true and by
virtue of the provisions of the Statutory Declaration Act 1960.

Affirmed by the said NAME )


NRIC No. )
At )
On )

Before me,

...
Commissioner for Oath