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Sample witness affidavit for asylum Form: What You Should Know
It should not be considered to be definitive on all matters related to the asylum process. The statements made in this example do not necessarily reflect an attorney's practice. If you need assistance in preparing a declaration please refer to the Guidance for Asylums and the Sample Assertive Asylum Claims Template. I, John Doe, being duly sworn, declare under penalty of perjury and in accordance with the penalties of perjury: 1. I am an unmarried Mexican national residing in California. 2. Furthermore, I have been unlawfully present here in the US since 1994. 3. Furthermore, I do not have any family in Mexico and I believe I may have relatives in the US. 4. I was trafficked to the US on 14 June 2001. In the month of January 2023 I was arrested and charged in the State of Massachusetts. 5. My primary residence on this island is in Los Angeles County, California. 6. In the month of April 2023 I became ill and was hospitalized for a total of nine weeks, from May 2023 to 2 June 2002. 7. During this illness I have undergone a medical examination, my medical records are complete and my medical problems were documented by Dr. Angle Standby. I am fully aware that Dr. Standby is an expert in this field and can testify that any illness I may have had from July to May 2023 is a result of my medical treatments and not of my immigration status or the reason for my presence in the US. 8. I also wish to make it clear that I do not represent myself but as an individual whose case is pending at the present time. All material herein is provided 'as is' and without any guarantee of accuracy.
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