Declaration
for the transfer pursuant to Section 3.8.3 of the Domain Registration Policy
in the event of the termination without legal successor and final deletion of the domain user

I, the undersigned:  ………………………………………………
Address:  ………………………………………………
ID number:  ………………………………………………
being fully aware of my criminal liability, hereby declare that:

1.	I have no knowledge that the domain user registered in the domain registry for the following domain name(s):

………………………………………………………………………………………………………………….

namely:

Legal entity:
Organization name:  …………………………………………………………………………………
Address:  …………………………………………………………………………………
Tax number:  ………………………………………………
Date of deletion:  ………………………………………… or
Natural person:
Name:  …………………………………………………………………………………
Address:  …………………………………………………………………………………
ID number:  ………………………………………………

had transferred the above domain name(s) to anyone prior to their deletion or death, and

2.	Since the final deletion of the above domain user, I have been continuously using the domain name(s).

Date:  ………………………………………………….

………………………………………………….
Signature of declarant

In the presence of the following witnesses:
Witness 1	Witness 2
Name:  …….………………………………	Name:  ……………………………………
Address:  …………………………..….…	Address:  …………………..……………
Signature:  …………………………..……	Signature:  ………………………………