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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. If insufficient space hereon Form B2 should be used. NOTES 1. If more than one declarant, each signature must have a separate attestation.

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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