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Before The Notary public Dhaka, Bangladesh.

Affidavit as to the change of religion from Christianity to Islam

I, Tjan, S/O. Zohan Saboer Ali, of Achter Veldseweg, 2 A 3772, NB Barnweld,


Holland, presently 19/4, East Madartek, Sabujbag, Dhaka-1214, Bangladesh, Date of
Birth 2nd July, 1951 AD, Nationality: Holland by birth Religion: Christian, do hereby
solemnly affirm and declare as follows:

1. I am a Citizen of Holland, My Passport No. is NRC 48K3D6.

2. That from my boyhood I mixed with my Muslim neighbors and gradually I came to
learn as to their religion. I read the Bengali and English versions of the Holy Quran
and the life story of the Prophet Hazrat Muhammad (SM). That I became deeply
fascinated by Islam and decided to embrace Islam.

3. That accordingly on the 15th day of June, 2010 I became a Muslim uttering the
Kalima "La Ilaha Illallahu Mohammadur Rasulullah (SM.)" in presence of witnesses
under the guidance of the Imam of the local mosque of my present address and kept
my name as Tjan.

4. That henceforth my name is Tjan and I need be called, addressed and known as such
and I need be recorded as such in all records.

Cont. To Page 2
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5. That I embraced Islam out of my own accord without being influenced, pressurized,
intimidated by any person or from any quarter whatsoever.

6. That from today instead of my former name used in any Bank, any official
transaction, any document or in any place my new Muslim Name Tjan will be used.

That the statements made hereinabove in this


affidavit are true to the best of my knowledge and
in truth where of I sign and swear this affidavit
appearing before the Notary public, Dhaka,
Bangladesh on this the 15th day of June 2010.

________
Deponent

The deponent is know to me, Identified by me


and has signed in my presence.

________
Advocate

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