Témoignage d'identité. Exemple de TASA Canada

Witness Testimony Affirming Canadian Political Status and Identity

insert a passport picture of yourself here and delete this text box

…………………………………………………..©

This Witness Testimony verifies the identity of the Living Woman shown in this

photograph to establish their political status as a natural born Canadian National.

Name of individual appearing in this photo: Jane Mary Doe

Physical address of person appearing in this photo: Address, City, Quebec

Near Postal Code], Canada. Witness One:

I,…………………………………………………………. (printed name), know for

seven (7) years the lawful individual shown in the photo above by the name

shown, and I know of their family and history, sufficient to know that they were

born at the time and place shown on the face of the referenced Birth Certificate or

shown on the accompanying Canadian Naturalization paperwork.

My relationship to the Declarant is…………………………………………………………..

This testimony is true, complete, and correct to the best of my knowledge and I

make it under Penalty of Perjury under the Public Law of Canada:

So affirmed this …….... day of ……...................… in the year of .............…

I may be contacted at: (Phone) ............……...........

(Email) ........………...…….............

or at this mailing address

……………...........……………………...................................

Sign: …......……………………………...………….………

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Notary Witness and Acknowledgement

Quebec Province

......................... Province

Today I, a Commissioned Notary, met with the living witness known to me to

be...................................................., and also affirmed this 'Witness Testimony

Affirming Canadian Political Status and Identity' as shown before me this Written

Date, in Witness whereof, I set my Signature and Seal:

By:......................................................Public Notary; my commission expires on..……