REPUBLIC OF MADAGASCAR

Fitiavana - Tanindrazana - Fandrosoana

Province of ANTANANARIVO
OFFICE OF THE Fokontany Ambodihady

CERTIFICATE OF RESIDENCY

The chief of Fokontany Ambodihady certify that :

First name : FIDIARITANJONA

Name : Herimampianina
Date of birth : 30 January 1992
Card identity number : 117 071 016 634
Nationality : MALAGASY
Adress : LOT IVF 135 ter Ambodihady Ambohimanarina

Is a permanent resident of this Fokontany Ambodihady.

This certification is being issued upon the request of the above-named person for whatever
legal purpose it may serve.

Issued this 15Th day of November 2023 at Antananarivo Madagascar.

The Chief Fokontany,