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SCHEDULE. 
 
Form of Statutory Declaration. 
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I, A.B., do solemnly and sincerely declare that:— 
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and I make this solemn declaration conscientiously believing the same to be true and by virtue of the Statutory Declarations Act, 1938. 
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(Signed) A. B. 
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Declared before me by A.B. who is personally known to me (or who is identified to me by C.D. who is personally known to me) at     
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________________ 
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this____________day of__________ 
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___________ 
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___________ 
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