Proof of Address

This is to verify that I, (Name of person utility bill)

First Last

Hereby confirm that (Member's Name)

First Last

Resides at the address stated on the (Member’s Name) attached (Type of e.g WASA)

Utility bill for the past years (Period of time at residence)

Mr/Ms/Mrs (Members Name)

First Last

Is my (Relationship to member)

Directions and/or Landmark (if applicable)

Date

Please attach a copy of the ID for the person on the utility bill

Max. file size: 50 MB.