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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