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 and I believe that the statements in this Statutory Declarations Act 1959, declaration are true in every particular. Signature of person making the declaration Declared at on of place day month year Before me, Signature of person before whom the declaration is made Full name, qualification and address of person before whom the declaration is made (in printed letters) A person who intentionally makes a false statement in a statutory declaration is guilty of an offence, the punishment for Note 1 which is imprisonment for a term of 4 years see section 11 of the Statutory Declarations Act 1959. — Chapter 2 of the applies to all offences against the see section 5A of the Note 2 Criminal Code Statutory Declarations Act 1959 — Statutory Declarations Act 1959.
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. Signature of person making the declaration Declared at place on day of month year Before me, Signature of person before whom the declaration is made Full name, qualification and address of person before whom the declaration is made (in printed letters) 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.