OCCUPANCY AFFIDAVIT - Western Cape
OCCUPANCY AFFIDAVIT
Particulars of employee
Surname & Initials :.............................................................................................
Persal no
:.............................................................................................
Department
:.............................................................................................
Directorate
:.............................................................................................
ID No
:.............................................................................................
Particulars of the property for which housing allowance is received or applied for
Street name
:..............................................................................................
Number
:..............................................................................................
Suburb
:..............................................................................................
Town / City
:...............................................................................................
To be completed by the Landlord / Agency if applicable
This is to certify that (Name of Tenant):........................................................................
ID No:
:...................................................................................................
Is the occupant of the above property:.......................................................................
Name
:...............................................................................................
Designation
:.................................................................................................
Signature
:................................................................................................
Date
:................................................................................................
Sworn statement by employee
I Mr / Ms ................................................... ID No:........................................................ Hereby declare that I and my immediate family occupy the above mentioned residence for which I am applying for a housing allowance.
Signature of applicant:..................................................... Date:...................................
GEHS ? OCCUPANCY AFFIDAVIT
WCED
01/01/2018
OATH /AFFIRMATION
I certify that the above administering the oath/affirmation I asked the deponent the following questions and wrote down his/her answer in his/her presence:
i. Do you know and understand the contents of the declaration? ............................................................................................................................
ii. Do you have any objection to taking the prescribed oath or affirmation? ....................................................................................................................................................
iii. Do you consider the prescribed oath or affirmation to be binding on your conscience? ....................................................................................................................................................
I certify that the deponent has acknowledged that he/ she knows and understands the content of the declaration. The deponent uttered the following words: "I swear that the contents of this declaration are true, so help me God" The signature of the deponent was fixed to the declaration in my presence.
Signature :................................................................................................................. Commissioner of Oath / Justice of the Peace
Full first name and surname: :........................................................................................... Designation (rank): ......................................................................Ex Officio Republic of SA. Street Address of Institution: ............................................................................................... Date: .............................................................................................................................. Place: .............................................................................................................................
Official Date Stamp
GEHS ? OCCUPANCY AFFIDAVIT
WCED
01/01/2018
................
................
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