AFFIDAVIT OF PROOF OF NAMES AND SIGNATURES

Sample A (Christian)

THE UNITED REPUBLIC OF TANZANIA

THE OATHS (JUDICIAL PROCEEDINGS AND STATUTORY DECLARATIONS) ACT, 1966

AFFIDAVIT OF PROOF OF NAMES AND SIGNATURES

1. I, ……………………. of P.O. Box ……………. Dar es Salaam, an adult Christian ordinarily resident of …………….., Dar es Salaam and working for gain in Tanzania, do hereby swear and state as follows:

2. I am the deponent herein and a citizen of Tanzania.

3. My birth name is …………………………………..

4. Therefore, the following names refer to the one and the same person:
a) …………………………………
b) ………………………………….
c)   ………………………………….
d) …………………………………

5. The above (under item 4) are the variations of the same name and should not be considered name changes.

6. The deponent depose further that signature with or without an initial(s) “….” or “…..” are the variations of the same signature for all intents and purposes and should not be considered signature changes.

7. That what is stated herein above from paragraph 1 to 6 is true to the best of my own knowledge.


SWORN by the said
…………………………………….            }
at Dar es Salaam, who is introduced               }
to me by ………....................…,                  }       ……………………..
the latter being known to me personally          }          DEPONENT
 This …… day of ……………..  20…….    }

Before me:
Names:      ___________________________________
Signature:    ___________________________________
Postal Address:   ___________________________________

Designation:     COMMISSIONER FOR OATHS

Sample B (Muslim)

THE UNITED REPUBLIC OF TANZANIA

THE OATHS (JUDICIAL PROCEEDINGS AND STATUTORY DECLARATIONS) ACT, 1966

AFFIDAVIT OF PROOF OF NAMES

1. I, ………………………. of P.O. Box …………….. Mwanza, an adult Muslim ordinarily resident of ……………………, Mwanza and working for gain in Tanzania, do hereby affirm and state as follows:

2. I am the deponent herein and a citizen of Tanzania.

3. My birth name is …………………………………..

4. Therefore, the following names refer to the one and the same person:

a) …………………………………..
b) …………………………………..

5. The above (under item 4) are the variations of the same name and should not be considered name change for intents and purposes.

6. That what is stated herein above from paragraph 1 to 5 is true to the best of my own knowledge.


AFFIRMED by the said                                    }
…………………………………………           }
at Mwanza, who is known to me                          }       ………………………..
personally this .…..day of………….20……       }           DEPONENT

Before me:
Names:   ___________________________________
Signature: ___________________________________
Postal Address:  ___________________________________

Designation:     COMMISSIONER FOR OATHS