EXAMPLE ( For British Embassy )

I Joe Bloggs holder of British passport No 00000000 issued at UKPA on 01/01/2001 and expires on 01/01/2010 do solemnly and sincerely affirm that:

1. (a) I am eligible to marry a Thai national according to Thai law. (*)
2. (b) I am of British nationality and I was born on 14/11/1973 in Canterbury

My father's name is Jonathan Bloggs and my mother's name is Jane Bloggs

(c) I am divorced

(d) and have no dependent from my previous marriage or relationships

1. (e) My occupation is Magician and I have an income of £ 0.01 per month.

(f) I propose the following people for reference purposes

if it is necessary to verify the above details.

1. Name: Jane Bloggs

Address: 200/15 Templeton Drive, Bloggsville, Bloggs, UK

1. 1. Name: Jemma Bloggs

Address: 73 Bloggs Road, Bloggs Town, Bloggs, UK

(g) My permanent address (in country of nationality) is:-

200/15 Templeton Drive, Bloggsville, Bloggs, UK

I confirm that all the above is true and correct.

Affirmed at the British Embassy )

Consular Section, Bangkok )

this ......... day of .......... 200 ....) ………………………………………………

Before me:

......................………………………………………………………………..

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