Before me, 7 7 Signature of person before ___________________________________________________ whom the [Witness Signature] declaration is made (see over) 8 8 Full name, qualification and ________________________________________________________________, address of person currently a before whom the declaration is [Witness Full Name] made (in printed letters) _____________________________________________________________________, of [Witness Occupation] ________________________________________________________________________. [Witness Address] 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. Note 2 Chapter 2 of the Criminal Code applies to all offences against the Statutory Declarations Act 1959 see — section 5A of the Statutory Declarations Act 1959.
Before me, 7 Signature of person before whom the declaration is made (see over) 7 ___________________________________________________ [Witness Signature] 8 Full name, qualification and address of person before whom the declaration is made (in printed letters) 8 ________________________________________________________________, currently a [Witness Full Name] _____________________________________________________________________, of [Witness Occupation] ________________________________________________________________________. [Witness Address] 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. Note 2 Chapter 2 of the Criminal Code applies to all offences against the Statutory Declarations Act 1959 — see section 5A of the Statutory Declarations Act 1959.