SOUTH AFRICAN POLICE SERVICE a GAUTENG PROVINCE
PRO FORMA STATEMENT PAGE 2 0F 2
FULL NAMES AND SURNAME : pe =. _
DECLARES FURTHER UNDER OATH AFFIRMS FURTHER AB FOLLOWS (Delete that which is not applicable)
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{NOW AND UNDERSTAND THE CONTENTS OF THIS STATEMENT
PREBORIBED |
HAVE NO OBJECTION / | OBJECT TO TAKING THE | (OAT
Veoymen IDG HoT CONBDER THE PRSCBED AT!TO BE BHDWG or SONRSEAS
on 224 -oe 2 pr 7300
(ete) (Tn)
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uusavp suena or sare EnPLoveT taco rare: A: COC-S6Stz
PERBAL WR Yl etamion: Wie. ost SPC (OB NUMBER ¢
{ote te above deta ee not complaed or are epi, his efevt is iva)
‘hie proforma eatmert intended fr ue In Gateng Province fom 18 danany 204 a er Pron lnercton FOES Nat
Ths pt fo ta Team unt be comps by «GAPE Erpoyes whol an a filo commision of ox tam
toma eater ee comntedby a DapoertPoseason a lnk isemert, main fae etsement rmiusn of
‘deposed statement may constitute criminal offence,