保证书
同一个人保证书
我的名字是黄华,年龄42岁,住在北京南阳路100号。特此郑重保证和声明:
- 我是保证人且是中国公民。
- 我与1967年12月17号出生于中国北京。
- 我的出生姓名是黄梅。
<标注并突出您姓名更改的原因>
所以特此郑重保证和声明以上信息真实正确。
地点:北京 时间:XX-XX-XXXX | 保证人: |
注意:
AFFIDAVIT
ONE AND THE SAME PERSON
I, the undersigned, Hua Huang, aged 42 years, residing at 100 Nanyanglu, Beijing, China, do hereby solemnly affirm and declare on oath that:
- I am the deponent herein and a citizen of China.
- I was born on Dec. 17, 1977, in Beijing, China.
- My birth name is Mei Huang.
- The following names refer to the one and the same person:
Mei Huang
Hua Huang
So I do hereby solemnly affirm that the foregoing are true and correct statements.
Place: Beijing, China
Date: May 30, 2019
Date: May 30, 2019
DEPONENT