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Affidavit of Loss of Certificate of Registration - Form

AFFIDAVIT OF LOSS OF CERTIFICATE OF REGISTRATION


I, ________, of ________

Do hereby make this oath and state as follows:

1. That I am a director of ________ with its office address situate at ________.

2. That the original certificate of registration was lost.

3. That I apply to the Corporate Affairs Commission to issue one copy of the certificate of registration.

4. That the certified true copy of the certificate of registration is required




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DEPONENT

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