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STATUTORY DECLARATION
I, ______, of the City of ______, in the Province of ______, DO SOLEMNLY DECLARE AS FOLLOWS:
My name is ______
I was born on ______ in ______. I am a ______. I currently live at ______.
The purpose of this Statutory Declaration is to ______ and support my application to the ______.
- ______
This solemn declaration is made in support of my submission to ______, and for no other unlawful or improper purpose. I make this solemn declaration conscientiously believing it to be true, and with the understanding that it carries the same force and effect as if made under oath, pursuant to the Canada Evidence Act.