THE UNITED REPUBLIC OF TANZANIA

THE OATHS (JUDICIAL PROCEEDINGS AND STATUTORY

DECLARATIONS) ACT, 1966

AFFIDAVIT OF SIGNATURE

I, …………………… a female Christian adult of P.O. Box ……………. Dar es Salaam,

do hereby solemnly affirm and declare as under:-

1. That, I am the secretary of ……………… registered in 1 st September 2009 with

incorporation number …………….
2. That, the company is undergoing changes in the management and shareholding
structure.
3. That, signatures deployed in the documents for changes of the company being
Resolution for forfeiture of shares, Call of Unpaid up shares, Forfeiture of shares,
Call of Unpaid up shares, Consent for forfeiture, Notice for Forfeiture of shares,
Board resolution for unpaid up shares, Form 210b, Memorandum and Articles of
Association and documents in your records are the variations of the same
signature for all intents and purposes and should not be considered signature
changes.
4. That, the variation of signature is a result of different times and occasions where I
was needed to sign the documents.
5. That what is stated herein above from paragraph 1 to 4 are true to the best of my
own knowledge.

SWORN by the said

…………………………………….
at Dar es Salaam, who is introduced
to me by ………....................…, ……………………..
the latter being known to me personally DEPONENT
This …… day of …………….. 20…….

BEFORE ME:
Names: ___________________________________
Signature: ___________________________________
Postal Address: _________________________________
Designation: COMMISSIONER FOR OATHS