IN THE HIGH COURT OF ________

IN THE ________ JUDICIAL DIVISION

HOLDEN AT ________

SUIT NO: ________

AFFIDAVIT OF LOSS OF CERTIFICATE OF REGISTRATION/INCORPORATION

I, ________, ________, ________ Citizen, ________, of ________, do hereby make oath and state as follows:

1. That I am a Director of ________ ("the Company"), a company duly incorporated under the Companies and Allied Matters Act 2020 with Registration/RC Number ________ and having its registered office situate at ________, and I am duly authorised by the Company to depose to this affidavit on its behalf.
2. That by virtue of my position aforesaid, I am conversant with the facts herein deposed to.
3. That the original Certificate of Registration/Incorporation of the Company bearing Registration/RC Number ________, issued by the Corporate Affairs Commission on the ________, has been lost.
4. That the said Certificate was lost in the following circumstances: ________, and the loss thereof was discovered on or about the ________.
5. Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad minim veniam quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat duis aute irure dolor in reprehenderit.
6. That the said loss was duly reported at the ________ Police Station on the ________ vide Police Report/Extract Reference Number ________.
7. That I hereby apply to the Corporate Affairs Commission for the issuance of a Certified True Copy of the Certificate of Registration/Incorporation in respect of the Company.
8. That the Certified True Copy of the Certificate of Registration/Incorporation is required for the purpose of ________.
9. That should the original Certificate be found at any time hereafter, same shall be returned and surrendered to the Corporate Affairs Commission.
10. Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad minim veniam quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea.

___________________________
DEPONENT

SWORN TO at the ________

This ________ day of ________ 20________.

___________________________
BEFORE ME
COMMISSIONER FOR OATHS