I certify that the deponent acknowledged that he knew and understood the contents of the above declaration, that I duly administered the oath as prescribed by Regulation No R.1258 of 21 July 1972, and that thereafter the deponent in my presence signed the declaration at (place) on this (day, month, year).3 4

(Signature of commissioner)5 (Full name of commissioner) (Designation)

(Business address)

(Area for which he holds appointment) (Office held by him if he holds his appointment ex officio)6

1 For identification purposes and to comply with various Acts eg the regulations in terms of the Deeds Registries Act 47 of 1937.

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