Fillable FORM 4 (AFFIDAVIT OF SERVICE): IN THE MAGISTRATES (South Africa Department of Justice and Constitutional Development)

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FORM 4 (AFFIDAVIT OF SERVICE): IN THE MAGISTRATES (South Africa Department of Justice and Constitutional Development)

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Certificate of Service Approved Senior Magistrates Civil Section Johannesburg Page 1 of 1
November 8, 2011
FORM 4 (AFFIDAVIT OF SERVICE)
IN THE MAGISTRATE’S COURT FOR THE DISTRICT OF JOHANNESBURG
HELD AT JOHANNESBURG
CASE NO: .......................................................
In the matter between:-
........................................................................................................................................... APPLICANT
and
..........................................................................................................................................
RESPONDENT
CERTIFICATE OF SERVICE
I, undersigned,
My Name
Address
City, Province
Phone
E-mail
I am the Applicant or
Attorney for the Applicant and my Law Society number is __________
I hereby declare under oath that I served a copy of Application for Rescission on the
following people. I declare under criminal penalty of Section 101 Criminal Procedure Act 51
of 1977 that this Affidavit of Service is true and correct.
Person’s Name
Method of Service
Served at this
Address
Served on
this Date
(Other Party or
Attorney)
Hand Delivery
Left at home (With person older
than 16 years of age and
discretion residing there.)
(Clerk of Court)
Hand Delivery
Date:
Sign here ►
I hereby certify that the deponent has acknowledged that he/she knows and understands the contents of this
affidavit which was signed and sworn before me at____________________________________________ on
(date)__________________________.
________________________________________
COMMISSIONER OF OATHS
ADDRESS_______________________________________
_______________________________________
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FORM 4 (AFFIDAVIT OF SERVICE): IN THE MAGISTRATES (South Africa Department of Justice and Constitutional Development)

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Completed 20 June 2021

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