I. Introduction

I, [Your Name], residing at [Your Company Address], hereby affirm and declare under penalty of perjury, according to the laws of [Your Country/State], that the following statements are true and correct to the best of my knowledge and belief.

II. Personal Details

1. Applicant's Full Name: [Your Name]

2. Date of Birth: [Date of Birth]

3. Address: [Your Company Address]

4. City: [City]

5. State: [State]

6. Zip Code: [Zip Code]

7. Country: [Country]

8. Phone Number: [Your Company Number]

9. Email Address: [Your Company Email]

III. Driving Licence Details

1. Driver's Licence Number: [Driver's Licence Number]

2. Date of Issuance: [Date of Issuance]

3. Issuing Authority: [Issuing Authority]

4. Class/Type of Licence: [Class/Type of Licence]

5. Expiration Date: [Expiration Date]

IV. Affirmation Statement

I, [Your Name], solemnly affirm that:

• I have personally verified the identity of the applicant.

• The documents presented by the applicant appear to be genuine.

• The applicant has signed the application in my presence.

• I have no financial interest in the transaction.

• I have not been coerced or influenced in any manner to notarize this affidavit.

V. Notary Details

1. Notary Public's Full Name: [Notary Public's Full Name]

2. Notary Public's Commission Number: [Notary Public's Commission Number]

3. Date of Notarization: [Date of Notarization]

4. Seal/Stamp of Notary: [Seal/Stamp of Notary]

5. Signature of Notary: [Signature of Notary]

VI. Jurisdiction

This affidavit is executed and sworn to before me in the jurisdiction of [Jurisdiction].

Witness my hand and official seal.

[Seal/Stamp of Notary]

[Printed Name of Notary Public]

[Notary Public's Commission Number]

[Date of Notarization]

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