All templatesREPUBLIC OF KENYA
IN THE MATTER OF THE OATHS AND STATUTORY DECLARATIONS ACT (CAP. 15)
STATUTORY DECLARATION
I, MERCY ATIENO OTIENO, of P.O. Box 4410-40100, Kisumu, holder of National Identity Card No. 28451190, do solemnly and sincerely declare as follows:
1. THAT my name appears as Mercy Atieno on my KCSE certificate and as Mercy Atieno Otieno on my national identity card.
2. THAT both names refer to me, the same person.
Family and personal
Statutory declaration template (Kenya)
Also called: Statutory Declaration
What it is for
A formal sworn statement, for example for a lost document.
The Kenyan law it follows
- Oaths and Statutory Declarations Act Cap 15 — s.8 (a magistrate or commissioner for oaths may take a declaration in the form in the Schedule), s.11 (a false declaration is an offence) and the Schedule (the form)
Who prepares it
You can prepare this yourself. It is still wise to have an advocate read it before you sign, especially where a lot of money or a long commitment is involved.
Fill this in with your own details
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Sample statutory declaration
The first part of the sample is shown here. The names, amounts and facts are made up to show how the document reads.
The rest of this statutory declaration is for Lex members
Create a free account to read the whole sample, fill it in with your own details and download it in Word.
This is a sample for general information. It is not legal advice and may not suit your situation. Laws change, and a document has to fit your own facts; have an advocate check it before you rely on it.