IN THE HIGH COURT OF [ ] STATE IN THE [ ] JUDICIAL DIVISION HOLDEN AT [ ]
AFFIDAVIT OF LOSS OF [state type of document] I, [ Your name ], [sex], [religion], [nationality], [position] in [state name of Company] of [state registered address of Company], do make oath and state as follows: 1. That I am the above named person. 2. That I could no longer locate the original copy of [state document] of [state name of Company], a company registered in Nigeria. 3. That I made efforts forthwith to locate the document but all efforts to retrieve the said document have proved abortive. 4. That as a result of this, I now require a Certified True Copy for record purposes [insert the clause if necessary]. 5. That I depose to this affidavit in good faith conscientiously believing its contents to be true and correct and in accordance with the Oaths Law.
____________________ DEPONENT Sworn to at the High Court Registry, Lagos. This …………… day of ………………, 20[ ]
BEFORE ME
COMMISSIONER FOR OATHS