AFFIDAVITOFSINGLESTATUS婚姻状况宣誓证明书-VisaRite

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AFFIDAVIT OF SINGLE STATUS

婚姻状况宣誓证明书

I, (本人姓名): _______________________________________________________________

RESIDING AT (现住):____________________________

BEING DULY SWORN DEPOSES AND SAYS (我谨宣誓声明)

DATE /PLACE OF BIRTH (出生日期/地点): _____________________________________ GENDER: [ ] Male(男) / [ ] Female(女)

CITIZENSHIP (国籍): ______________________________________ PASSPORT NO (护照号): ______________________________________ EMPLOYER/OCCUPATION (公司/职业): ______________________________________ ADDRESS OF EMPLOYER (公司地址): ______________________________________ ______________________________________

MARITAL STATUS (现婚姻状况):

1. [ ] SINGLE, NEVER MARRIED (单身,从未结婚)

2. [ ] WINDOWED (鳏寡)

PRIOR SPOUSE (前配偶) : _____________________________

DEATH DATE (去世日) : _____________________________

3. [ ] DIVORCED (离异)

PRIOR SPOUSE (前配偶) : _____________________________

DIVORCE PLACE AND DATE

(离婚日期/地点) : _____________________________

4. [ ] HAVE NOT REMARRIED SINCE, REMAIN SINGLE NOW

(我未曾再结婚,现在仍为单身)

I DECLARE THE AFFIDAVIT MADE BY ME TO BE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, AND I’M WILLING TO BEAR ALL THE LEGAL RESPONSIBILITIES ARISING THEREFROM. (我声明以上所有情况属实,本人愿承担一切法律责任)

Signature (签名):

Date (日期):

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