Self employment income affidavit
Labour & UIF
Use this form to state your monthly income in rands and identify the income source that applies. It includes self-employment as a source choice. Complete the relevant personal and income fields, remove choices that do not apply, and read the oath statements carefully. The form has spaces for place and date, and separate signature sections.
Prepare your affidavit
Do not sign before the commissioner of oaths. Review your statement and sign in their presence. This PDF is not signed or certified.
Official downloads
How to use it
- Fill in your particulars Enter each personal detail in the matching field on your own copy. The form has separate spaces for identity number, age, residential address and occupation. Check the field label before writing so your occupation does not get confused with your income source.
- Describe your income State your monthly income in rands in the income section. Then identify the source or sources that apply to you. Self-employment is one of the choices. Keep the amount with the income statement and the source with its own selection.
- Remove choices that do not apply Review the employment-status wording and the income-source choices. The form instructs you to delete whichever option is not applicable. Read the remaining choices after editing them so they match your circumstances.
- Read the oath statements Read each declaration before signing. The form asks whether you understand the oath, have no objection to taking it, and regard it as binding on your conscience. Do not complete a statement unless it reflects your understanding.
- Complete the closing fields Fill in the place and date spaces on the form. Find your signature line and the separate section for the Commissioner of Oaths. The form shows both areas, so check that you can distinguish them before completing the page.
Document checklist
- Personal particulars On your own copy, locate the fields for your identity number, age, residential address and occupation. This checklist does not ask you to enter or share those details here.
- Income statement Find the part that asks for a monthly amount in rands and its source. The source choices include self-employment.
- Closing fields Locate the place and date spaces, your signature line and the separate Commissioner of Oaths signature section.
Questions & answers
Does the income section ask for monthly or annual income?
It asks for a monthly amount in rands. Use the period named in that field when completing the statement.
Is self-employment the only income source shown?
No. The choices also include formal employment, remittances from family or relatives, and a state grant. Delete the choices that do not apply.
Where should I identify self-employment?
The form has an occupation field and a separate income-source choice. Use the source choice to identify self-employment when it applies.
What does the oath declaration ask me to consider?
It covers your understanding of the oath, whether you object to taking it, and whether you regard it as binding on your conscience. Read the statements before signing.
Whose signature sections appear on the form?
The form has a signature line for the deponent and a separate section for the Commissioner of Oaths.
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