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To, 15-05-2023

XXXX&CO
CHARTERED ACCOUNTANTS
XXXXXX

I………………….W/o ………………, Residing at House No.


……………………………..India, do here by solemnly affirm and sincerely state on oath as
under:

1. That I am permanent resident of above mentioned address.


2. That I am holding an Indian Passport No……………….., intends to go Canada for
my education.
3. The course I intend to join is “Addictions and Mental Health, Fanshawe Toronto
Campus, Canada.” starting from September 04, 2023.
4. That I assure you that I will abide by rules and regulations during his/her stay in
Canada.
5. That I declared my assets and liabilities as a table under along with supporting
evidences. I further declare that I had no other liabilities to banks/NBFCs/Financial
Institutions/Persons as on date

(A) Details of Immoveable Property:

Nature of Property Location with Complete Address Documents Amount In Rs.


verified

(B) Details of Other Assets:

Nature of Asset Particulars of Asset/ Complete Description Documents verified

Bank Balance

Gold Jewelry

Mrs. ………….

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