Form 1802 (Affidavit)

FORM 1802          
File no.                  

 

NATIONAL SECURITY AND INTELLIGENCE REVIEW AGENCY

IN THE MATTER of a complaint filed with the National Security and Intelligence Review Agency pursuant to section ___ of the NSIRA Act, S.C. 2019, c. 13

 

_________________________________________
Complainant
-and-

 

__________________________________________

Respondent(s)


AFFIDAVIT OF (Name)


 

I, (full name and occupation of the affiant), of the (City, Town, etc.) of (name) in the (County, Regional Municipality, etc.) of (name), SWEAR (or AFFIRM) THAT:

 

  1. (Set out the statements of fact in consecutively numbered paragraphs, with each paragraph being confined as far as possible to a particular statement of fact.)

 

Sworn (or Affirmed) before me at the (City, Town, etc.) of (name) in the (County, Regional Municipality, etc.) of (name) on (date).

 

_______________________________

Commissioner of Taking Affidavits

 

_______________________________
(Signature of Affiant)

Date modified: