FORM 80C - Rule 80

FORM OF JURAT WHERE DEPONENT IS SWORN BY INTERPRETATION

Sworn (or Affirmed) before me
at the (City, Town, etc.) of
(name) in the (Regional
Municipality, etc.) of (name)
by the interpretation of (name
of interpreter), who had
previously sworn (affirmed)
that (he or she) was well
acquainted with the (name of
deponent's language) and (name
of official language in which
affidavit is written) and that
(he or she) would faithfully
interpret the said affidavit,
on (date).

_______________________________ ______________________________ 
Commissioner for Taking Affidavits          (Signature of Deponent)
(or as the case may be)