Statutory Declaration I, Thomas Frank Edgar, holder of British Passport number 130088162 reside at 2 Jackman Close, Lichfield, WS13 8PW of full age 32 years Do solemnly and sincerely DECLARE and say as follows: - [insert statement(s) you wish to make] And I make this declaration conscientiously believing the same to be true and in accordance with the provisions of the Statutory Declarations Act 1835. DECLARED The following is for office use only at the British Embassy Beijing / Consulate General Chongqing / Guangzhou / Shanghai [delete as appropriate] the [date] day of [month] [year] (signature) …………………………….…..…. Before me [insert name and title] ………………………………………………….. (signature) (Official seal) The service provided by the British Embassy Beijing / Consulate General Chongqing / Guangzhou / Shanghai [delete as appropriate] on this document should not be taken as to certifying that this document is binding in law (whether under UK law or otherwise). Individuals are advised to seek independent legal advice as to the validity of this document under the relevant law.