TRANSLATOR’S AFFIDAVIT

I, (print translator’s name) ,

of the City of in the Province of —————————— do

SOLEMNLY DECLARE AS FOLLOWS:

• I am fluent in the English and the (language of translation) languages.

• I have prepared a translation from (language of translation) into English

of (insert name(s) of document(s) translated) of (insert

document owner’s name) , of which a certified copy/certified

copies of the original(s) is/are attached hereto.

• The attached document(s) is/are, in all respects, a true and correct translation from (language
of translation) into English.

• And I make this solemn declaration conscientiously believing it to be true, and knowing
that it is of the same force and effect as if made under oath.

Signature of Translator:

Printed Name of Translator:

SOLEMNLY DECLARED BEFORE ME at the City of ———————— ,

————————— ,
on: .

Notary Public