Cap. 6:07 No. 7/2018 INSOLVENCY PARTE DEBTS (i) Debts not subject to security Name and address of debtor is not immediatelv claimable Amount Give particulars if the debt (ii) Debts subject to security Name and address of debtor Amount Nature of security and identification of asset subject to security (Part D above) Give particulars if the debt is not immediately claimable Name and address of any other person who is apart from the debtor liable for any of the abovementioned debts: .. AFFIDAVIT/SOLEMN DECLARATION I, . . . ........................... declare under oath/solemnly and sincerely declare* that to the best of my knowledge and belief the statements contained in this form are true and complete, and that every estimated amount therein contained is fairly and correctly estimated. Signature of declarant Sworn/solemnly declared before me on the ........... day oL ........... aL. Commissioner of Oaths Full name Business address Designation and area of office 343

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