10 Signature of person before whom the declaration is made (see page 3) 11 Full name, qualification and Statutory Declarations Act 1959, and I believe that the statements in this declaration are true in every particular. 3 Signature of person making the declaration. Insert position/title (eg. Phone: 1300 056 426 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. koganmobile.com.au 2 2 Please indicate the supporting documentation you are able to provide . name, address* and occupation of person making . 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. Phone: 1300 056 426 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. koganmobile.com.au 2 2 Please indicate the supporting documentation you are able to provide . Declaration under the Statutory Declarations Act 1959 I, Donald Alistair Russell Millar, of8-10, Fraser Place, Robertson Walk, Singapore, Rig Manager, make the following declaration under the Statl/tDl), Declaratiol1s Act 1959 (Cth) as follows: I. I make this declaration in response to the request from the Montara Commission of Inquiry 1959 as amended and subject to the penalties provided by that Act for the making of false statements in statutory declarations, conscientiously believing the statements contained in this declaration to be true in … FRM001_ICFAL_Statutory Declaration Form-Rev 6.5.2015 Page 2 A statutory declaration under the Statutory Declarations Act 1959 may be made before– (1) a person who is currently licensed or registered under a law to practise in one of the following occupations: 8 . The Statutory Declarations Act 1959 governs the use of statutory declarations in matters involving the law of the Australian Commonwealth, Australian Capital Territory, and other territories but not including the Northern Territory. Any authorised witness for the State of Western Australia may also witness a Commonwealth Statutory Declaration, as long as they are in Western Australia at the any person before whom, under the Statutory Declarations Act 1959 of the Commonwealth, a Statutory Declaration may be made. I am an Australian Citizen / Permanent Resident of Australia. Act 1959 – see section 5A of the Statutory Declarations Act 1959. Statutory Declarations Act 1959. (a) The Statutory Declarations Act 1959 was amended by the Schedule only of the Law and Justice Legislation Amendment Act 1991, subsection 2(4) of which provides as follows: (4) Subject to subsection (5), the amendments of the Statutory Declarations Act 1959 made by this Act, and subsections 3(3) and (4), commence on a day to be fixed by Proclamation. Statutory Declarations Act 1959 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 . Declaration under the Statutory Declarations Act 1959 I, Noel Edward Treasure, 112 Clement Street Swan bourne, Western Australia, Drilling Supervisor, make the following declaration under the Statutory Declarations Act 1959 (Cth) as follows: 1. The Statutory Declarations Act provides for penalties of up to 4 years imprisonment. 4 Place 5 Day . � ��ea��8p|���@� endstream endobj 322 0 obj <>/Metadata 14 0 R/PageLabels 317 0 R/Pages 319 0 R/StructTreeRoot 25 0 R/Type/Catalog/ViewerPreferences<>>> endobj 323 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 324 0 obj <>stream of . Statutory Declarations Act, 1959 I, _____ Print Name Of, _____ Print Address Occupation: (delete those which do not apply) Farmer / Farm Worker / Farm Contractor Make the following declarations under the Statutory Declarations Act, 1959: I am over 18 years of age. A statutory declaration under the Statutory Declarations Act 1959 may be made before– (1) a personwho is currently licensed or registered under a law to practise in one of the following occupations: Chiropractor Dentist Legal practitioner . Declaration in writing sufficient to prove execution of any will, codicil, &c. 17. 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. h�b```�,�x�����(�����a�_ QFI�D�T�������"� V���ŵ/5b"{� Statutory Declarations Act 1959: 2 Set out matter declared to in numbered paragraphs. %%EOF any person before whom, under the Statutory Declarations Act 1959 of the Commonwealth, a Statutory Declaration may be made. Authorised by the ACT Parliamentary Counsel—also accessible at www.legislation.act.gov.au 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 %PDF-1.6 %���� endstream endobj startxref 19. h�bbd``b`�$O��@ ���;@b� �� D� fO �rD�$�g��� bH�B q�#� ����r�?ÚO ;)9 [Assented to 22nd May, 1959.1 B E it enacted by the Queen's Most Excellent Majesty, the Senate, and the House of Representatives of the Commonwealth of Australia, as follows :-Short title. Statutory Declarations Act 1959. A statutory declaration under the Statutory Declarations Act 1959 may be made before: 1. a person who is currently licensed or registered under a law of a state or … 6 . 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 (Cth). 298 0 obj <>stream of the Statutory Declarations Act 1959. We only give information about Commonwealth statutory declarations. First published date: 2 September 2019. 20. Application and ongoing endorsement is free for OTA members. 355 0 obj <>stream Statutory Declarations Act 1959 I Insert the name, address and occupation of person making the declaration 2 Setout matter declared to in numbered paragraphs make the following declaration under the Statutory Declarations Act 1959: 2 I have been employed by QLD Health on the Gold Coast for almost 5 … make the following declaration under the . of the Statutory Declarations Act 1959. Insert name of organisation 4. 6 Month and year : Declared at 4 on 5 of 6. Effective date: 2 September 2019. 1. 7 Place 8 Day 9 Month and year . 4. 7 Place 8 Day 9 Month and year . 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. Fees on oaths payable on declarations substituted in lieu thereof. 52 of 1959. make the following declaration under the . of . Declared at 4 on 5 of 6. imprisonment for a term of 4 years — see section 11 of the Statutory Declarations Act 1959. I am Director) 3. Your signature Declared at (Place, for example town or city) (Day/month/year) Before me (Name of official witness) (For example, a Justice of the Peace, solicitor or another person authorised to take a statutory declaration) h�b```�i�� STATUTORY DECLARATION Statutory Declarations Act 1959 1. Statutory Declarations Act 1959 1 Insert the name, address and occupation of person making the declaration I,1 make the following declaration under the Statutory Declarations Act 1959: 2 Set out matter declared to in numbered paragraphs 2 I understand that a person who intentionally makes a false statement in a statutory declaration is Note 2 Chapter 2 of the riminal ode applies to all offences against the Statutory Declarations Act 1959— see Before me, 7 Signature of person before 339 0 obj <>/Filter/FlateDecode/ID[<1CA371BC2952144E96D302DB254222C8>]/Index[321 35]/Info 320 0 R/Length 88/Prev 32554/Root 322 0 R/Size 356/Type/XRef/W[1 2 1]>>stream 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. Statutory Declarations Act 1959: That I have a mutual commitment to a shared life as a husband and wife, or as a de facto. An Act of Parliament to provide for the appointment of commissioners for 07/Dec/2009: C2004C07079 : 31/Dec/1973: 20/Dec/1990: Act No. Statutory Declarations Act 1959. I Statutory Declarations Act 1959. may be made before– (1) a personwho is currently licensed or registered under a law to practise in one of the following occupations: Chiropractor Dentist Legal practitioner . Statutory Declarations Act 1959 . There are currently no known outstanding effects for the Statutory Declarations Act 1835. Statutory Declarations Act 1959 and the Migration Act 1958. Note 1A 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 . 3 Signature of person making the declaration 3 . 1 Insert the name, address and occupation of person making the declaration. C�ʓ��f|}�������!� �h�-$[�CDz����!��ff`f��ZR���� � f�� on . the declaration I,1 make the following declaration under the Statutory Declarations Act 1959: 2 Set out matter declared to in numbered paragraphs 2 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 Please note that as of the 1/1/2015 only members of the association are eligible to apply for endorsement. Superseded. 18. 6 . Medical practitioner Nurse Optometrist . {insert 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. STATUTORY DECLARATIONS. Statutory Declarations Act 1959 . Statutory Declarations Act 1959, and I believe that the statements in this declaration are true in every particular. 2 . Statutory Declaration. 0 any person before whom, under the Statutory Declarations Act 1959 of the Commonwealth, a Statutory Declaration may be made. A statutory declaration under the Statutory Declarations Act 1959 may be made before– (1) a person who is currently licensed or registered under a law to practise in one of the following occupations: Chiropractor Dentist Legal practitioner . 9 . 286 0 obj <>/Filter/FlateDecode/ID[<5481E851A13ACA41A0769CF8AF444D6A>]/Index[265 34]/Info 264 0 R/Length 102/Prev 143978/Root 266 0 R/Size 299/Type/XRef/W[1 3 1]>>stream 321 0 obj <> endobj Declaration under the Statutory DeclarationsAct 1959 I, Noel Edward Treasure, 112 Clement Street Swanbourne, Western Australia, Drilling Supervisor, make the following declaration under the Statutory DeclarationsAct 1959 (Cth)as follows: 1. Declared at . STATUTORY DECLARATION . 1 Insert the name, address and occupation of person making the declaration . Commonwealth Statutory Declaration Form - PDF. 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 . I make this solemn declaration by virtue of the Statutory Declarations Act 1959, as amended and subject to the penalties provided by the Act for the making of false statements in statutory declarations, conscientiously believing the statements contained in this declaration to … No. 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 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. Declaration as a written statement declared to be in the form prescribed by schedule, address and of... 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