LETTER OF ATTESTATION
I……………………………………………………………………………...,
holder
of
National
Registration
Card
(NRC)
Number………...…………………………………………………… and of contact number…………………………………………., do hereby confirm that l have
known (Mr/Mrs/Ms/Dr/Prof)……………………………………………………….... for the past …………………………………… and below are his personal details:NHIMA NUMBER
LAST NAME
FIRST NAME
CONTACT NUMBER
RESIDENTIAL
ADDRESS
NRC NUMBER
MIDDLE NAME
E-MAIL ADDRESS
I further do hereby attest that he/she is married and below are details of the spouse: NHIMA NUMBER
NRC NUMBER
LAST NAME
MIDDLE NAME
FIRST NAME
CONTACT NUMBER
E-MAIL ADDRESS
RESIDENTIAL
ADDRESS
I acknowledge that the above information provided is true to the best of my knowledge.
Signed at…………………… on this the ……………day of…….………………20………...
Attested by (Signature) ……………………………………………………….
Official Stamp
LETTER OF ATTESTATION
I……………………………………………………………………………...,
holder
of
National
Registration
Card
(NRC)
Number………...…………………………………………………… and of contact number…………………………………………., do hereby confirm that l have
known (Mr/Mrs/Ms/Dr/Prof)……………………………………………….... for the past …………………………………… and below are his personal details:NHIMA NUMBER
LAST NAME
FIRST NAME
CONTACT NUMBER
RESIDENTIAL
ADDRESS
NRC NUMBER
MIDDLE NAME
E-MAIL ADDRESS
I further do hereby attest that he/she is married and below are details for the beneficiaries: SRL No.
FIRST NAME
MIDDLE NAME
SURNAME
1
2
3
4
5
I acknowledge that the above information provided is true to the best of my knowledge.
Signed at…………………… on this the ……………day of…….………………20………...
Attested by (Signature) ………………………………………………………. Official Stamp
DATE OF BIRTH
RELATIONSHIP