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WITNESS DECLARATION FORM (For Policy Service Use) Name of Insured Name of Policyholder Policy No. Name of Insurance Intermediary Registration Code of Insurance Intermediary/ Code of Branch/Intermediary*
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How to fill out witness declaration

01
To fill out a witness declaration, follow these steps:
02
Start by writing your full name, address, and contact information at the top of the document.
03
Include the title of the document, such as 'Witness Declaration' or 'Affidavit', below your contact information.
04
Write the date and the location where you are signing the declaration.
05
Clearly state that you are providing a witness declaration by using a title or statement at the beginning, for example, 'I, [Your Name], hereby declare as a witness.'
06
Present your clear and honest account of the events or facts you witnessed. It is important to be specific and detailed in your description.
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Use numbered paragraphs or bullet points to organize your points and make it easier to read.
08
Sign and date the witness declaration at the end, and include your printed name below your signature.
09
If required, you may need to have your witness declaration notarized or witnessed by an authorized person. Check the legal requirements of your jurisdiction before submitting the document.

Who needs witness declaration?

01
Witness declarations are often required in legal proceedings, such as court cases, investigations, or arbitration hearings.
02
Examples of individuals who may need a witness declaration include:
03
- Parties involved in a legal dispute who need to provide evidence or support their case.
04
- Individuals who have witnessed a crime or accident and need to provide their account of what they saw to law enforcement agencies.
05
- People involved in insurance claims who require witnesses to attest to the occurrence of events or facts.
06
- Employers or employees involved in workplace disputes where witness testimony is necessary to resolve the issue.
07
- Anyone who needs to provide a formal statement as a witness to support or validate a particular event or situation.
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Witness declaration is a written statement made by an individual who has witnessed a particular event or situation.
Individuals who have witnessed an event and have relevant information are required to file witness declaration.
To fill out a witness declaration, one must provide a detailed account of the event witnessed, including date, time, location, and any other relevant information.
The purpose of witness declaration is to provide a documented record of an incident or event from the perspective of someone who witnessed it.
The witness must report accurate details of the event they witnessed, including names of individuals involved, chronological sequence of events, and any other pertinent information.
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