| To whom it may concern:
This is to certify that I am single, without dependents, unemployed, and without a monthly income;
that my health has made it impossible for me to continue working as a __________________ (job description) and I have been unable to find other employment;
that I have neither a bank account, a medical aid scheme, or property of my own, nor do I receive a pension of any kind;
that I am wholly dependent on and supported by my _____________ (nature of relationship), _________________ (name) who lives at the same address.
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