More guidance on making statutory declarations can be found at. Commonwealth statutory declaration, as long as they are in western australia at the time of witnessing schedule 2, item 231 of the statutory declarations regulations 1993 commonwealth. And i make this solemn declaration by virtue of the statutory declarations act 1959 and subject to. A blank stat dec form for declaration in the state of south australia.
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. Law society of prince edward island statutory declaration, form 6 regulation 763 canada province of in the matter of the legal profession act s. Declared before me this day of in the year in the city of winnipeg in the province of manitoba signature of declarant. This page explains how to make a statutory declaration in victoria.
Complete a statutory declaration tips to help you complete a commonwealth statutory declaration. A statutory declaration is a legal document that you sign to state something is true. Please complete the following form using the notes in the lefthand margin for guidance. For covid19 news, updates and advice from the australian government, visit australia. 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. Australia in regards to the salary packaging of the item, and confirm it is in line with australian taxation office guidelines for the item to be an exempt benefit. 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. Commonwealth of australia statutory declaration 1 here insert name, address and occupation of person making the declaration. Download a statutory declaration currently selected.
Declared at in the state of victoria this day of 20. Travaux publics et services public works and government. If this declaration is not complete in every detail, it will be returned for completion and payment will be delayed. This act may be cited as the statutory declarations act 1959. Statutory declaration for the state of victoria pdf, kb. A statutory declaration or stat dec is a written statement declared to be true in the presence of an authorised witness. Download a word or pdf copy of a statutory declaration. Note 2a statutory declaration under the s1a111111ry dednra1ir111s act 19591966 may be made only before a chief, police, stipendiar. Im a former acn employee and based sa mga nabasa ko here in this site, acn does not provide a detailed coe with duties and responsibilities. Use this template to create a statutory declaration for the state of victoria. We would like to show you a description here but the site wont allow us. Edit, fill, sign, download statutory declaration form victoria online on. Who can witness my statutory declaration only an authorised person may witness you sign your statutory declaration.
Imakethissolemndeclarationconscientiouslybelievingthesametobetrue andbyvirtueoftheprovisionsofthestatutorydeclarationsact,1960. Your witness must also sign the declaration and complete their identifying details. Coronavirus covid19 and the attorneygenerals department. Statutory declaration statutory declarations act 1959 1 i, name, address and. State of south australia oaths act 1936 i we, full name of. Statutory declaration statutory declarations act 1959. The making of a false or fraudulent declaration is a contravention of the criminal code of canada, and could carry, upon conviction penalties including fines or imprisonment. Publications statutory declarations download a statutory declaration.
Download a statutory declaration attorneygenerals department. It can be signed in front of any witness who is 18 or older. Statutory declaration australia food standards australia. I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath. Full name of person being identified not as a relative but in the capacity of, nature of relationship with person being identified for years. Statutory declaration form australia statutory declaration. All south australia police forms available on our site can be found here. I saw the face of the person or i did not see the face of the person because the person was wearing a face covering, but i am satisfied that the person had a special justification. Statutory declarations attorneygenerals department.
Subscribedandsolemnly declaredbytheabovementioned at. Oaths, affidavits and declarations act 1 here insert name and address of person making the declaration. Statutory declaration swan hill rural city council. A statutory declaration may be made in accordance with either the law of the state or territory where it is made or the law of the commonwealth. Statutory declaration university of new south wales. Person before whom a statutory declaration may be made under the law of the state or territory in which the declaration is made police officer registrar, or deputy registrar, of a court senior executive employee of a commonwealth authority senior.
Commonwealth of australia migration corporation of australia. A nsw statutory declaration is made under the oaths act 1900. Statutory declaration australia the information provided in parts 1 to 3 must be attested to by a statutory declaration in some suitable form along the following lines. Commonwealth of australia statutory declaration form. Justice of peace, pharmacist, police officer, court registrar, bank manager, medical. Making a false statement in a statutory declaration is against the law, and you can be. Declarations, a notary public, a person before whom a statutory declaration may be made under the law of the state in which the declaration is made, an australian consular officer or an australian diplomatic officer as defined by section two of the consular fees act 1995, a. Make sure you have attached all the additional information required. Declarations, a notary public, a person before whom a statutory declaration may be made under the law of the state in which the declaration is made, an australian consular officer or an australian diplomatic officer as defined by section two of the consular fees act 1995, a chiropractor. Any attachments to the declaration must be certified by a prescribed person. Statutory declaration i full name of address do solemnly and sincerely declare that. Download a statutory declaration download a word or pdf copy of a commonwealth statutory declaration. Person before whom a statutory declaration may be made under the law of the state or territory in which the declaration is made police officer registrar, or deputy registrar, of a court senior executive employee of a commonwealth authority senior executive employee of a state or territory.
And i make this solemn declaration by virtue of the oaths act and conscientiously believing the statements contained in this declaration to be true in every particular. And i make this declaration conscientiously believing the same to be true, and by virtue of the provisions of the oaths act 1867 qld. Apr 09, 2020 mr206 multi purpose licence application form 4. This is in questionnaire form, useful if you wish to prepare the whole document on the screen before printing out and signing before a qualified witness. Statutory declaration i enter your full name of enter the address where you live enter your occupation for example, bricklayer, teacher, unemployed solemnly and sincerely declare that list the facts in your own words. To find a justice of the peace jp in your area go to. Each state and territory, except the australian capital territory, have their own legislation. Who have agreed to provide a verbal or written declaration on request regarding the nature of my relationship with 8 should the department wish to contact them and request a declaration. Then authorized witness must print or stamp his name, address, and title under section 107a of the evidence act 1958 vic. Uts provides this statutory declaration form for individuals who cannot demonstrate their aboriginality through confirmation from a local aboriginal land council or an aboriginal or torres strait islander organisation.
Printable and fillable statutory declaration form victoria. Statutory declaration form victoria edit, fill, sign. I understand that a person who intentionally makes a false statement in a stator declaration is guilty of an offence under section 11 of the statutory declaration act 1959 commonwealth. Some examples of people who can witness statutory declarations are. Use this form to make a statutory declaration if you are a parent of the children named in an application for child support. Please refer to the application checklist on your information sheet. All attachments must be certified by a person with the authorisation to certify copies. This declaration is made under the oaths, affidavits and statutory declarations act 2005. For covid19 news, updates and advice from the australian government. Statutory declaration department of the environment. Statutory declaration for the state of victoria health.
Person before whom a statutory declaration may be made under the law of the state or territory in which the declaration is made police officer registrar, or deputy registrar, of a court senior executive service employee of. Statutory declaration state of south australia oaths act 1936 i we, full name of, address do solemnly and sincerely declare that. If youve been asked to witness a statutory declaration, please see the information for authorised witnesses. Find out how our services are being delivered and how you can access them. If you are having difficulty opening or filling out a pdf form we suggest you read these fillabe forms tips. The act contains 2 alternative formats for a statutory declaration, and you. A statutory declaration is a written statement that you sign and declare to be true and correct in the presence of an authorised witness. 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. This declaration is true and i know that it is an offe nce to make a declaration know ing that it is false in a m aterial part icu lar. A list of all persons qualified to witness or affirm the signature of the declarant is attached. For more on who is authorised to witness your statutory declaration, see the. Occupation 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. Who can witness your statutory declaration list of people who can witness a commonwealth statutory declaration. Department of justice statutory declaration oaths act 2001 i full name.
Pwede mo ba ipost ulet yung sample statutory declaration. Commonwealth of australia statutory declaration you are a parent. In the event of a statutory declaration being made outside of south australia, ensure it is made before a person authorised to take a statutory declaration by virtue of the law in force in the jurisdiction in which it is made. Collection of most popular forms in a given sphere. A list of authorised witnesses under the act is attached. 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. Im a new member of this site and i am also planning to work in australia. Fill, sign and send anytime, anywhere, from any device with pdffiller. Statutory declaration statutory declarations act 1959 1 i, name, address and occupation of person making the declaration.
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