Note/L10N/KDQ/2.03/Books/povssblankaffidavit?
povssblankaffidavit 
原文 
I ......................................................hereby declare it is my wish and will to be known in future as ........................................................... I understand and accept that all assets and liabilities, debts and obligations relating to .......................................... will be carried forward to the new name and remain my responsibility.
Signed................................................(current name)
Signed.................................................(new name)
Approved................................................
訳文 
I ......................................................hereby declare it is my wish and will to be known in future as ........................................................... I understand and accept that all assets and liabilities, debts and obligations relating to .......................................... will be carried forward to the new name and remain my responsibility.
Signed................................................(current name)
Signed.................................................(new name)
Approved................................................