STATUTORY DECLARATION I, (full name) …………………………………………………………………………………………………………………………… of …………………………………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………………………………………….. (occupation) ………………………………………………………………………………………… do solemnly and sincerely declare that: I acknowledge that this declaration is true and correct and I make it in the belief that a person making a false declaration is liable to the penalties of perjury. DECLARED at ) ……………………………………………….. in the State of Victoria this day of ) …………………. 2018 ) …………………………………………..….. …………………………………………………………………. Signature Before me …………………………………………………………………. Witness signature
STATUTORY DECLARATION I, …………………………………………………………………………………………………………………………… (full name) of …………………………………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………………………………………….. ………………………………………………………………………………………… (occupation) do solemnly and sincerely declare that: I acknowledge that this declaration is true and correct and I make it in the belief that a person making a false declaration is liable to the penalties of perjury. DECLARED at ……………………………………………….. ) in the State of Victoria this …………………. day of ) …………………………………………..….. 2018 ) …………………………………………………………………. Signature Before me …………………………………………………………………. Witness signature
Statutory-Declaration-Form-Working-File-22012018.docx