AFFIDAVIT (Annexure B)

To Confirm Residential Address

Please refer to the guidelines on completing the application form to confirm whether or not this affidavit needs to be completed, and by
whom.

I, the undersigned

Full Name: ________________________________________

Identity Number: ________________________________________

Residential Address: __________________________________________________________

__________________________________________________________

1.
AFFIDAVIT
Do hereby state under oath

That I am an adult Male/Female residing at ____________________________________

(Address)
_______________________________________________________________________

2. I confirm that ________________________________________________________ whose

(Parent/Guardian of applicant)

ID number is ________________________________resides with me at the above address.

3.

4. AFFIDAVIT
I confirm that I have produced an original________________________ (document) to verify my
current residential address.

I confirm that ______________________________________________________________

(Parent/Guardian of applicant)
is my __________________________(State relationship e.g. tenant, domestic worker etc.)

5. I confirm that ______________________________________________________________

(Applicant)
lives with his/her parent/guardian on a full-time basis at the above address.

Signed at ________________________ on this ______ day of ___________ 20_______

______________________________

(Signature of Deponent)

Signed and confirmed before me on this ________day of _____________ 20_____, the Deponent having declared that he/she understands the
contents hereof and confirms that the same is true and correct and that he/she has no objection in taking the oath / has objection to taking the oath.

___________________________________
Commissioner of Oaths
Official Stamp