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Commonwealth Statutory Declaration

Commonwealth of Australia Statutory Declaration Statutory Declarations Act 1959 1 Insert the name, address and occupation of person making the Declaration I,1 make the following Declaration under the Statutory Declarations Act 1959: 2 Set out matter declared to in numbered paragraphs 2 I understand that a person who intentionally makes a false statement in a Statutory Declaration is guilty of an offence under section 11 of the Statutory Declarations Act 1959, and I believe that the statements in this Declaration are true in every particular. 3 Signature of person making the Declaration 3 4 Place 5 Day 6 Month and year Declared at 4 on 5 of 6 Before me, 7 Signature of person before whom the Declaration is made (see over) 7 8 Full name, qualification and address of person before whom the Declaration is made (in printed letters) 8 Note 1 A person who intentionally makes a false statement in a Statutory Declaration is guilty of an offence, the punishment for which is imprisonment for a term of 4 years see section 11 of the Statutory Declarations Act 1959.

Person before whom a statutory declaration may be made under the law of the State or Territory in which the declaration is made . Police officer . Registrar, or Deputy Registrar, of a court . Senior Executive Service employee of: (a) the Commonwealth or a Commonwealth authority; or (b) a State or Territory or a State or Territory authority ...

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Transcription of Commonwealth Statutory Declaration

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  Registration, Maritime, Search, Secure, Distress, Beacon, Search and rescue, 406 mhz distress beacon registration

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