AFFIDAVIT with respect to ORIGINAL RECORDS
The following form is to be used where original documents or
records are attached.
I, ____________________________, knowing that I may
be prosecuted under the laws of ___________________________ for
intentionally making a false statement or affidavit, MAKE OATH AND
SAY AS FOLLOWS:
1. I am employed by _______________________________
(hereinafter _____________________). I am employed as
______________________________, and by virtue of that employment
have knowledge of the matters hereinafter set out.
2. Attached to this my Affidavit are original
documents or records maintained by the ______________________ in
the usual and ordinary course of business.
3. The attached records or documents were created in
the ordinary course of the business of the _________________ by
persons who at the time of the making of the entry or record or
document had knowledge of the circumstances or events set out
therein.
4. The attached records or documents were made at or
near the time of the circumstances or events set out therein by
persons who were under a duty to accurately record the
circumstances or events.
5. I believe the attached records or documents to be
accurate.
Sworn before me this day __________ of ____________,
200
at the City of_______________________________________
in _______________________________________________
_________________________________________________
Affiant
(Insert name and qualifications of
individual with authority to take sworn declarations or statements,
and position.)
n.b.: In addition to the usual consular
officials, a judicial official in a foreign jurisdiction is also
authorized pursuant to the Canada Evidence Act to receive
this affidavit by signing on the line immediately above, provided
the official is authorized to administer, take or receive an oath,
affidvavit, declaration, etc. in the same foreign
jurisdiction.
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