statutory declarations act 1959 pdf

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 . Statutory Declaration. 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 … 18. 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. Statutory Declarations Act 1959 . endstream endobj startxref 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) ��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 . 3 Signature of person making the declaration 3 . 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. h�b```�i�� Suits on behalf of his Majesty to be proved by declaration. Statutory Declarations Act 1959. Application and ongoing endorsement is free for OTA members. [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. imprisonment for a term of 4 years — see section 11 of the Statutory Declarations Act 1959. 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. 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: I, 1 Address 1 Occupation 1 make the following declaration under the Statutory Declarations Act 1959: 2. 10 Signature of person before whom the declaration is made (see page 3) 11 Full name, qualification and 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 . 2012] CAP. We only give information about Commonwealth statutory declarations. 20. 2 . 3 Signature of the person making the declaration 4 Place 5 Day 6 Month and year Statutory Declarations Act 1959, and I believe that the statements in this declaration are true in every particular. 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. 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 … 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 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.] %%EOF 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 298 0 obj <>stream STATUTORY DECLARATION (Statutory Declarations Act 1959) & Better Access to Mental Health (BAMH) Endorsement Application Form. 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 . Insert name, address and occupation of first person making the declaration. make the following declaration under the . of the Statutory Declarations Act 1959. endstream endobj startxref 2 . I 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. 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 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 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 Effective date: 2 September 2019. 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 You must include all previous convictions. %PDF-1.6 %���� Declarations to be in the form prescribed by schedule. 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). 8 . on . {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. Australia. 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. 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. Statutory Declarations Act 1959. Statutory Declarations Act 1959 . 1 Insert the name, address and occupation of person making the declaration. 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: 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. �8�F��·� � PY �``\���X,� �p�م�'�>�FO��̾��L���31�ƞ�Ǚ����s�����LB��43_ �-|L�� ��� � ypA I am Director) 3. � ��ea��8p|���@� 9 . 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 … Download (80 bytes) Additional information. Voluntary declaration in the form in the schedule may be taken. Before me, 7 Signature of I,1 make the following declaration under the Statutory Declarations Act 1959: 2 Set out matter declared to in numbered paragraphs . 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. of . 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 . Please note that as of the 1/1/2015 only members of the association are eligible to apply for endorsement. 07/Dec/2009: C2004C07079 : 31/Dec/1973: 20/Dec/1990: Act No. �Lh����r/p���`��?�$c�$p�uBx�|X�OŤ��nƼV���1|���Tp����-��H����搤�/�l,��E�ޗB|oc��r��U����������^����}��=��U6ƌ�~ Commonwealth of Australia, Statutory Declaration, Statutory Declarations Act 1959. Statutory declarations There are 2 types of statutory declarations (or stat decs) — Commonwealth and state and territory statutory declarations. Medical practitioner Nurse Optometrist . 6 . (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. Medical practitioner Nurse Optometrist . Insert position/title (eg. h�b```�,�x�����(�����a�_ QFI�D�T�������"� V���ŵ/5b"{� Act 1959 – see section 5A of the Statutory Declarations Act 1959. 0 3 Signature of person making the declaration. 4. 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. 1 Insert the full . 6 Month and year : Declared at 4 on 5 of 6. Statutory Declarations Act 1959 — see section 5A of the . STATUTORY DECLARATION Statutory Declarations Act 1959 1. %%EOF Insert name of organisation 4. 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. Act 1959 – see section 5A of the Statutory Declarations Act 1959. 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. Statutory Declarations Act 1959 and the Migration Act 1958. 52 of 1959. Declaration in writing sufficient to prove execution of any will, codicil, &c. 17. 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). 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