Waterford Kamhlaba United World College Southern Africa ...



Document02-6-12-c-ii - Parent Affidavit - accompanied minor-----------------------------------------------------------------------------------------------------AFFIDAVIT-----------------------------------------------------------------------------------------------------I/We, the undersigned,(INSERT FULL NAME OF MOTHER),Passport / ID No. (INSERT NUMBER)and(INSERT FULL NAME OF FATHER)Passport / ID No. (INSERT NUMBER)do hereby make oath and state as follows:We are the parents/guardians of (INSERT FULL NAME OF CHILD AS ON PASSPORT) passport number (INSERT NUMBER)We confirm that our ward is a student of Waterford Kamhlaba United World College Southern Africa which is situated in Mbabane Swaziland.We hereby confirm that our ward is authorized to travel throughout Southern Africa (Swaziland, South Africa, Botswana, Lesotho, Zimbabwe, Mozambique and Namibia) on any school trip with any of the authorized teachers and/or employees of Waterford Kamhlaba who are named hereunder:EMPLOYEES NAMEPASSPORT NUMBEREMPLOYEES NAMEPASSPORT NUMBERThembinkhosi Titselo Gama40456133Ramila Patel508406942Lucky Sipho Mavimbela40394817Quinton Andrew Metin Reisman40534131Naboth Mudavanhu PhebeniDN196927Helen Marie Caillet13FV31394Mandla Daniel Kunene40551006Bongani Lucky Nxumalo40064284Mfanasibili Ephraem Vilakati40361326Kate Robin DoyleA01994584Lucinda Eeke Bride518235902Cebisiwe Millicent Dlamini40274756Stephen Benedict LowryA04039192Tichawona Henry MuyamboCN795480John Sipho Malinga40144595Iain Stuart Pearson507876862Inga Maria Von SomnitzM00087723Signature:Signature:Deponent (Mother)Deponent (Father)Address: (MOTHER TO INSERT)Address: (FATHER TO INSERT)Tel (work): (MOTHER TO INSERT)Tel (work): (FATHER TO INSERT)Tel (home): (MOTHER TO INSERT)Tel (home): (FATHER TO INSERT)Tel (mobile): (MOTHER TO INSERT)Tel (mobile): (FATHER TO INSERT)THUS SIGNED AND SWORN TO at ____________________________ (place) on this the ________ day of __________________ (month / year) the deponent having acknowledged that the deponent knows and understands the contents of this affidavit, that the deponent has no objection to taking the prescribed oath, that the oath which the deponent has taken in respect thereof is binding on the deponent’s conscience, and that the contents of this affidavit are both true and correct.......................................................COMMISSIONER OF OATHS ................
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