Statutory Declaration Form - Western Australia

Western Australia
Oaths, Affidavits and Statutory Declarations Act 2005
Statutory Declaration
I,
{name of perso n
making declaration}
of
{address of person
making declaration}
occupation
{occupation of person
making declaration}
sincerely declare as follows:
{insert above the content of the statutory declaration; use numbered paragraphs if
content is long}
This declaration is true and I 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 Oat hs, Af fi dav it s and St at utor y Dec l ar ati ons Ac t
2005.
At
{place}
On
{date}
In the presence of
{Signature of authorised witness}
{Name of authorised witness}
{Qualification as suc h a w it ness }
By
{Signature of person making the declaration}
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Statutory Declaration Form - Western Australia PDF

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