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USAID Diaspora Invest Project

Implemented by Financial Markets International, Inc. (FMI)

DIASPORA STATUS AFFIDAVIT


POTVRDA O DIJASPORSKOM STATUSU

I / Ja, __________, __________


(first name, last name)
(ime, prezime)

As a representative of / kao predstavnik firme naziva __________, __________, a company


submitting an application / podnosioca zahtjeva (name and address of the individual/company
submitting a request / unijeti ime/naziv pojedinca/firme koji podnosi zahtjev)

Hereby confirm my status as a diaspora member via/ ovim potvrđujem moj dijasporski status
__________, a document which proves that I was a resident in / koji je dokumentovan ovim putem
_____________, over the period of at least three years / tokom posljednje tri godine.

First Name, Last Name of the individual signing this Affidavit


Ime, prezime pojedinca koji potpisuje ovu Potvrdu __________, __.__.20XX.

__________ (in – city - grad, on -date- / datum potpisivanja)

(signed by / potpis)

For more information please contact: info@diasporainvest.ba


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