THE
EMBASSY OF THE FEDERAL REPUBLIC OF NIGERIA
Kyiv, 01015
36
Panfilosev Str.,
Ukraine.
STATUTORY
DECLARATION FOR NON CRIMINAL RECORD.I,
____________________________________________________________________, a
Nigerian citizen, residing at _______________________________________________
_______________________________________________________________________
do hereby make oath and declare as follows:
a) That I am the above mention person;
b) That to the best of my knowlegde and belief I have never been convicted for any crime
in Nigeria
or in Ukraine. Further, I am also not wanted by Nigerian Police in
connection to any crime till date.
c) That I make this declaration conscientiously believing same to be true and
correct by virtue of
the Oaths Act of 1963.
____________________________
Signature
of declarant and date
__________________________________________________________________________
Delaration made at the Embassy of Nigeria, Kyiv,
on ______ day of __________________, 2005 before me:
________________________________
For
Commissioner of Oaths.
Fee paid ________________________________
Revenue collector's receipt No. _________________________________________________
Date ___________________________________
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