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Statutory Declaration

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Statutory Declaration

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WESTERN AUSTRALIAOATHS, AFFIDAVITS AND STATUTORY DECLARATIONS ACT 2005STATUTORY DECLARATIONI, ...................................................................................................................................................................................................................................................................................................................{name, address and occupation of person making declaration}sincerely declare as follows:-........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................{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 thatit is false in a material particular.This declaration is made under the Oaths, Affidavits and <strong>Statutory</strong> <strong>Declaration</strong>s Act 2005at.............................................................................{place}on............................................................................{date}in the presence of -................................................................................{Signature of authorised witness}by....................................................{Signature of person making thedeclaration}................................................................................................................................................................{Name of authorised witness and qualification as such awitness}


*Important This <strong>Declaration</strong> must be made before any of the following persons:-Academic (post-secondary institution)AccountantArchitectAustralian Consular OfficerAustralian Diplomatic OfficerBailiffBank ManagerChartered secretaryChemistChiropractorCompany auditor or liquidatorCourt officer (magistrate, registrar or clerk)Defence Force officerDentistDoctorElectorate Officer (State – WA only)EngineerIndustrial organisation secretaryInsurance brokerJustice of the Peace (any State)LawyerLocal government councillorLoss adjusterMarriage CelebrantMember of Parliament Minister of religionNurseOptometristPatent AttorneyPhysiotherapistPodiatristPolice officerPost Officer managerPsychologistPublic Notary,Public Servant (State or Commonwealth)Real Estate agentSettlement agentSheriff or deputy SheriffSurveyorTeacherTribunal officerVeterinary surgeonLocal government CEO or deputy CEOOr any person before whom, under the <strong>Statutory</strong> <strong>Declaration</strong>s Act 1959 of the Commonwealth, a<strong>Statutory</strong> <strong>Declaration</strong> may be made.Full definitions of these professions are available at;http://www.courts.dotag.wa.gov.au/_files/Professions_witness_statutory_declarations.pdfAny authorised witness for the State of Western Australia may also witness aCommonwealth <strong>Statutory</strong> <strong>Declaration</strong>, as long as they are in Western Australia at the timeof witnessing {Schedule 2, item 231 of the Commonwealth <strong>Statutory</strong> <strong>Declaration</strong>sRegulations 1993}.Further information on witnessing documents is available at www.dotag.wa.gov.auIMPORTANT INFORMATION:AS OF 1 JANUARY 2006 THERE IS NO PROVISION FORCOMMISSIONERS FOR DECLARATIONS IN THE STATE OFWESTERN AUSTRALIA

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