PDF Template
Loss (General) Affidavit
Download a blank template to fill in by hand
This template includes fields for:
- Full Names and Surname
- South African ID Number
- Description of the Lost Item or Document
- Issuing Party
- Reference / Serial / Certificate Number
- Approximate Date of Loss
- How the Item Was Lost
- Last Known Location
- Efforts Made to Locate the Item
or
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Use Online GeneratorHow to Use This Template
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1
Download and print
Download the PDF template and print it out on A4 paper.
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2
Fill in your details
Complete all the fields with a blue or black pen. Write clearly and legibly.
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3
Commission at a police station
Take the completed form to any South African Police Station. A Commissioner of Oaths will verify your identity and witness your signature (free of charge).
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Bring your ID
Remember to bring your South African ID document or passport when going to commission your affidavit.