Statutory declarations
Statutory Declaration of Lost Educational Document
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STATUTORY DECLARATION OF LOST EDUCATIONAL DOCUMENT
I, ______, of ______, in the Province of Ontario, DO SOLEMNLY DECLARE THAT:
I was born on ______. I studied at ______, in ______ (the “institution”). ______
I was enrolled in ______ from ______ to ______.
The institution awarded me ______, conferred in ______.
I no longer have my original ______, as a result of ______.
The circumstances were as follows: ______.
I have taken the following steps to obtain a replacement or an official copy: ______.
______
I have not sold, given away or pledged the original document or documents described above, and to my knowledge no one else holds or uses them.
I make this declaration for ______, to explain why I cannot provide the original. If I recover any original document described above, I will tell the organization that receives this declaration.
AND I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath and by virtue of the Canada Evidence Act.
Signed and sworn (or affirmed/declared) before me by videoconference in Ottawa, Ontario, while the Affiant(s)/Declarant(s) were located in ______________________, on ______________________, pursuant to O. Reg. 431/20, and Electronic Commerce Act, 2000.
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