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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) Leen ee eee eae {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) Ki onesie steer ~ Fill Ft mama wo Garret oc ‘Boviess adam trol address) 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,

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