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. Note: Indicate below the nature of the offence(s), when and where the conduct giving rise to the offence(s) occurred (including outside of Australia). Insert name, address and occupation of first person making the declaration. 1 Insert the name, address and occupation of person making the declaration . 355 0 obj <>stream h�bbd``b`�$O��@ ���;@b� �� D� fO �rD�$�g��� bH�B q�#� ����r�?ÚO ;)9 Statutory Declarations Act 1959. Section 234 of the Migration Act carries a penalty of up to 10 years imprisonment for knowingly making a false statement in connection with a 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. 1 Insert the name, address and occupation of person making the declaration . 0 We only give information about Commonwealth statutory declarations. 8 . of . Download (80 bytes) Additional information. Before me, 7 Signature of 3 Signature of the person making the declaration 4 Place 5 Day 6 Month and year 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: 6 Month and year : Declared at 4 on 5 of 6. 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 Statutory Declarations Act 1959 . Medical practitioner Nurse Optometrist . I,1. guilty of an offence under section 11 of the Statutory Declarations Act 1959, and I believe that the in this declaration are true in every particular. 2 . Imake this declaration in response to a request from the Montara Commission of Inquiry into on . 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 . 10 Signature of person before whom the declaration is made (see page 3) 11 Full name, qualification and Australian law defines a statutory declaration as a written statement declared to be true in the presence of an authorised witness. 18. 1 Insert the name, address and occupation of person making the declaration. Superseded. 0 any person before whom, under the Statutory Declarations Act 1959 of the Commonwealth, a Statutory Declaration may be made. 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) Application and ongoing endorsement is free for OTA members. �.��I�^U���>d�� ��m������I���ᄌ'{�bN8K��+�#���š��Gi Please note that as of the 1/1/2015 only members of the association are eligible to apply for endorsement. Changes to Legislation Revised legislation carried on this site may not be fully up to date. 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 �8�F��·� � PY �``\���X,� �p�م�'�>�FO��̾��L���31�ƞ�Ǚ����s�����LB��43_ �-|L�� ��� � ypA 19. 2 . imprisonment for a term of 4 years — see section 11 of the Statutory Declarations Act 1959. The Statutory Declarations Act provides for penalties of up to 4 years imprisonment. Declarations Act 1957. I … 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 321 0 obj <> endobj 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). There are 2 types of statutory declarations (or stat decs) — Commonwealth and state and territory statutory declarations. A complete list of authorised witnesses for statutory declarations is contained in Schedule 2 of the Western Australian Oaths, Affidavits and Statutory Declarations Act 2005, or any person before whom, under the Statutory Declarations Act 1959 of the Commonwealth, a statutory declaration may be made. 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. 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 If more space is required please attach another sheet. Australia. 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 Commonwealth Statutory Declaration Form - PDF. 52 of 1959. Act 1959 – see section 5A of the Statutory Declarations Act 1959. of . 15 Oaths and Statutory Declarations 5 [Issue 1] CHAPTER 15 OATHS AND STATUTORY DECLARATIONS ACT [Date of commencement: 22nd March 1919 — Parts I and II, 30th November, 1926 — Part III, 10th July, 1931 — Part IV 27th March, 1906 — Part V, 18th October, 1954 — Part VI.] 6 . 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 Declaration. A statutory declaration under the . any person before whom, under the Statutory Declarations Act 1959 of the Commonwealth, a Statutory Declaration may be made. Act 1959 – see section 5A of the Statutory Declarations Act 1959. Declarations to be in the form prescribed by schedule. 9 . 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. An Act of Parliament to provide for the appointment of commissioners for 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 3 . Declared at . Voluntary declaration in the form in the schedule may be taken. endstream endobj startxref 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 . 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. C�ʓ��f|}�������!� �h�-$[�CDz����!��ff`f��ZR���� � f�� 4 Place 5 Day . I, 1 Address 1 Occupation 1 make the following declaration under the Statutory Declarations Act 1959: 2. Statutory Declarations Act 1959, and I believe that the statements in this declaration are true in every particular. You must include all previous convictions. (a) The Statutory Declarations Act 1959 was amended by the Schedule only of the Law and Justice Legislation Amendment Act 1991, subsection 2(4) of which provides as follows: (4) Subject to subsection (5), the amendments of the Statutory Declarations Act 1959 made by this Act, and subsections 3(3) and (4), commence on a day to be fixed by Proclamation. I, 1 . Suits on behalf of his Majesty to be proved by declaration. � ��ea��8p|���@� Statutory Declarations Act 1959: That I have a mutual commitment to a shared life as a husband and wife, or as a de facto. Statutory Declarations Act 1959 — see section 5A of the . 10 Signature of person before whom the declaration is made (see page 3) 11 Full name, qualification and 3. 4 Place 5 Day 6 Month and year 3 . 2 . Declaration under the Statutory DeclarationsAct 1959 I, Noel Edward Treasure, 112 Clement Street Swanbourne, Western Australia, Drilling Supervisor, make the following declaration under the Statutory DeclarationsAct 1959 (Cth)as follows: 1. h�b```�,�x�����(�����a�_ QFI�D�T�������"� V���ŵ/5b"{� I am an Australian Citizen / Permanent Resident of Australia. {insert content of the statutory declaration; use numbered paragraphs if content is long} This declaration is true and I know that it is an offence to make a declaration knowing that it is false in a material particular. h�bbd```b``�"g�I�2,�&��"{���@$��d^_f��I�H:XX6^H2΋����H�Pɫ$�g�e��4�L�?ço `lE We only give information about Commonwealth statutory declarations. Statutory Declarations Act 1959: 2 Set out matter declared to in numbered paragraphs. I,1 make the following declaration under the Statutory Declarations Act 1959: 2 Set out matter declared to in numbered paragraphs . 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 the Statutory Declarations Act 1959. I,1 make the following declaration under the Statutory Declarations Act 1959: 2 Set out matter declared to in numbered paragraphs . 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. There are currently no known outstanding effects for the Statutory Declarations Act 1835. No. since turning 16 years of age, I have never been a citizen or permanent resident of a … %PDF-1.6 %���� %PDF-1.6 %���� 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. 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 G��)J���~ζ_M�X�v���8�@pE'�l��e���r��~ �DL�n����;������U0rm�%V�>Z�u�6N��a�o�W3뚖;SΗ�z�[g+�t粁}����*����ʀ�MK��F�&�˷�fG��8 �����u#���L`�AT�Zz����~�U�����-�����51���f?���5����u��C�q.�&�bG��m��z����. 20. 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 . endstream endobj startxref Statutory Declarations Act 1959. Declared at 4 on 5 of 6. Statutory Declarations Act 1959. Insert name of organisation 4. any person before whom, under the Statutory Declarations Act 1959 of the Commonwealth, a Statutory Declaration may be made. 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 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 %%EOF 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 . �Lh����r/p���`��?�$c�$p�uBx�|X�OŤ��nƼV���1|���Tp����-��H����搤�/�l,��E�ޗB|oc��r��U����������^����}��=��U6ƌ�~ 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 . Statutory Declarations Act 1959: 2 (place a tick or cross in applicable box): since turning 16 years of age, I have been a citizen or permanent resident of a country/countries other than Australia. I am Director) 3. h�ė�o�8��?�>P�Hl'� First published date: 2 September 2019. Fees on oaths payable on declarations substituted in lieu thereof. An Act relating to Statutory Declarations. STATUTORY DECLARATIONS. 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. 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. [Rev. Before me, 7 Signature of person before Licence. Declared at . 9 . STATUTORY DECLARATION . We only give information about Commonwealth statutory declarations. 6 . Commonwealth of Australia STATUTORY DECLARATION – PARTNER VISA (SPONSOR) Statutory Declarations Act 1959 1 Insert the full I, 1 name, address* and occupation of person making the declaration make the following declaration under the Statutory Declarations Act 1959: 1. 07/Dec/2009: C2004C07079 : 31/Dec/1973: 20/Dec/1990: Act No. 298 0 obj <>stream 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. make the following declaration under the . This declaration is made under the Oaths, Affidavits and Statutory Declarations Act 2005 Statutory Declarations Act 1959 and the Migration Act 1958. 7 Place 8 Day 9 Month and year . 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 Declaration in writing sufficient to prove execution of any will, codicil, &c. 17. �����J��Ww����5���׎#�zd3گ��.�`;)n$č�*�T�>��R�%�k��V5̶8h\K�=Y�ՠ�v^�ٔ8؜n�EZ `�a����x{����x3�M9Pp�C����Eů=N STATUTORY DECLARATION Statutory Declarations Act 1959 1. 1 Insert the full . endstream endobj 266 0 obj <. Statutory Declarations Act 1959 . Note 2 Chapter 2 of the riminal ode applies to all offences against the Statutory Declarations Act 1959— see 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 … name, address* and occupation of person making . 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 … thefollowing declaration under Statutory Declarations Act 1959: Note 1 A person who intentionally makes a false statement in a statutory declaration is guilty of an offence, the punishment for b.which is imprisonment for a term of 4 years - see Section 11 of the Statutory Declarations Act 1959. 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 … Statutory Declarations Act 1959. I make this declaration in response to a request from the Montara Commission of Inquiry into [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. I 3 Signature of person making the declaration. Under Section 30 of the Oaths and Affirmations Act 2018 (as of 1 March 2019), previously Evidence (Miscellaneous Provisions) Act 1958, the list of persons who may witness statutory declarations … 7 Place 8 Day 9 Month and year . 2012] CAP. 265 0 obj <> endobj 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 … Statutory Declarations Act 1959 . Medical practitioner Nurse Optometrist . on . Insert position/title (eg. 8 . 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 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 . ��B����1�"����D� ��``��+)H�4�D$�J��8Jb���>Яf��1{���HǷ��R�7�y� �fo澁�,���t�)Jp��B`#�;���\쒛����a8��ސ�l�7`\N���rzE�t��5�˯�i���n��?�s�|�.MA�o��!�� �e�7>7z��b��������L17{{1G7M��&�!p1t���~p�YgE������}�y���d�)��ӟ?J���9�m�*r STATUTORY DECLARATION (Statutory Declarations Act 1959) & Better Access to Mental Health (BAMH) Endorsement Application Form. 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 Medical practitioner Nurse Optometrist Patent attorney Pharmacist Physiotherapist Declared at 4 me, on 5 A person who intmtfonally makes a fabe in a statutory døaarMionis gt_my of an for is g term Of 4 years — eeø ection 11 Of the Stauory DaclantønsAct 1959. make the following declaration under the . 1. %%EOF 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. Note: Do not complete the following section until you are with the person witnessing your declaration. Commonwealth of Australia, Statutory Declaration, 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 . Statutory declarations There are 2 types of statutory declarations (or stat decs) — Commonwealth and state and territory statutory declarations. 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: There are 2 types of statutory declarations (or stat decs) — Commonwealth and state and territory statutory declarations. 4. h�b```�i�� That I have a mutual commitment to a shared life as a husband and wife, or as a de facto 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 . of the Statutory Declarations Act 1959. Effective date: 2 September 2019. 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 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 …