Statutory Declaration

OATHS ACT 1900, NSW, NINTH SCHEDULE

 

 

I, ……………………………………………………….. , of ……………………………….……………………….

                 [name of declarant]                                                              [residence]

do hereby solemnly declare and affirm that …………………………………………………………………..

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[the facts to be stated according to the declarant’s knowledge, belief, or information, severally]

And I make this solemn declaration, as to the matter (or matters) aforesaid, according to the law in this behalf made – and subject to the punishment by law provided for any wilfully false statement in any such declaration.

Declared at: ……………………………………………..  on ……………………………………………………………….

                                         [place]                                                            [date]

                                                                                  ………………………………………………………………

                                                                                               [signature of declarant]

in the presence of an authorised witness, who states:

I, ……………………………………………………………… , a ……………………………………………………………… ,

                [name of authorised witness]                                  [qualification of authorised witness]

certify the following matters concerning the making of this statutory declaration by the person who made it: [* please cross out any text that does not apply]

  1. *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[1] for not removing the covering, and
  2. *I have known the person for at least 12 months OR *I have confirmed the person’s identity using an identification document and the document I relied on was ……………………………………………….

                                                                                            [describe identification document relied on]

                                                                                    …………………………………………………………….

                 [signature of authorised witness]                                                [date]

[1] The only “special justification” for not removing a face covering is a legitimate medical reason (at September 2018)