STATUTORY DECLARATION - Landgate
FORM B3 WESTERN AUSTRALIA TRANSFER OF LAND ACT 1893 OATHS, AFFIDAVITS AND STATUTORY DECLARATIONS ACT 2005 STATUTORY DECLARATIONI / WE (name, address and occupation of person(s) making the DECLARATION ) sincerely declare as follows - This DECLARATION is true and I / WE know that it is an offence to make a DECLARATION knowing that it is false in a material particular. This DECLARATION is made under the Oaths, Affidavits and STATUTORY Declarations Act 2005 at (place) ________________________________________ ____ on ______ day of __________________________ 20 ______ by - ________________________________________ _______ Signature of person(s) making the DECLARATION (sign in the space above) In the presence of - ___________________________________ Signature of authorised witness (sign in the space above) (Print the full name, address and qualification of authorised witness in the space above) INSTRUCTIONS 1.
the paramedicine profession. Paramedic . 29. A registered patent attorney under the . Patents Act 1990. of the Commonwealth. Patent attorney . 30. A person registered under the . Health Practitioner Regulation National Law (Western Australia) in the physiotherapy profession. Physiotherapist .
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