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Income, Assets & Liabilities Declaration:

Date of Declaration: Place of Affidavit:
Declaration for the Year: Please upload your latest Photo:


Reason for Declaration:
Appointment Termination/Retirement Biennial Declaration
Other (Please Specify) Exit Declaration












Personal Details:
ADF No:*
Title:*
Surname:*
First Name:*
Middle Name:
Previous Name/Aliases:
Date of Birth:* (dd/mm/yyyy) / /
Present Citizenship:*
Details of any other Citizenship:
Marital Status:* Married Single Divorced Widowed
Gender:* Male Female
National Identification Number (NIN):*
e.g. F5432684
Note:By inputting the Mandatory (NIN), I hereby affirm that the National Identification Number (NIN) is correct and has been issued to me, I am aware that should I declare or register using another person (NIN) or an invalid (NIN), I shall be liable to penalties..



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