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ANNEX WITNESS STATEMENT WITNESS INFORMATION Surname (Family Name): First Name(s): Fathers Name:Mothers Name:Nickname (if any): Date of Birth: Place of Birth: Language(s) Spoken: Language(s) Written

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Start by writing your first name in the designated field.

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Next, write your middle name (if applicable) in the appropriate field.

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Finally, write your last name in the designated field.

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Personal names around form are needed by individuals who are filling out official documents, such as job applications, registration forms, legal forms, etc.

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