FORM A
CERTIFICATE OF AUTHENTICITY OF BUSINESS RECORDS
I,
(name) attest on penalty of criminal punishment for false statement or false attestation that I am employed by
(name of business from which documents are sought) and that my official title is
(official title). I further state that each of the records attached hereto is the original or a duplicate of the original records in the custody of
(name of business from which
documents are sought). I further state that:
A) such records were made, at or near the time of the
occurrence of the matters set forth, by (or from information transmitted by) a person with knowledge of
B)
C)
D)
those matters;
such records were kept in the course of a regularly conducted business activity;
The business activity made such records as a regular practice; and
If such record is not the original, such record is a duplicate of the original.
(Signature and Date)
Sworn to or affirmed before me,
a
this
day of
(name),
(notary public, judicial officer, etc.),
19
DRAFT U.S.-HONG KONG MLAT TEXT, NOVEMBER 22, 1938