AFFIDAVIT

In Re: The Protection of Copyright in (Product Name)
Date:

I, (your name), (occupation), (address), having personal knowledge of the facts herein do make oath and swear as follows:

1.The materials in this sealed container were created by (author's name or names) between the dates (commencement date) and (completion date).

2.The said materials are original literary works and were not created by way of copying or with reference to any other work.

3.The said materials were sealed into this container by me on the date indicated for the purpose of establishing creation and first possession.

Sworn before me etc.