PAPUA NEW GUINEA
STATUTORY DECLARATION
I, (a)
do solemnly and sincerely declare that (b),
And I make this solemn declaration by virtue of the Oaths, Affirmations and Statutory Declaration
Act 1962 conscientiously believing the statements contained therein to be true in everyparticular.
Declared at…………………………………… (c) ……………………………………………
The .................................................... day of Before me (d) …………………………………
………………………………… 20………… (e) …………………………………
(a) Here insert name, address and occupation of person making the declaration.
(b) Here insert the matter declared to. Where the matter is long it should be set out in numbered paragraph.
(c) Signature of the person making the declaration
(d) Signature of the person before whom the declaration is made.
(e) Here insert the title of the person before whom the declaration is made.
Note – Any person who willfully makes a false statement in a Statutory Declaration is guilty of an indictable
offence and is liable to imprisonment with or without labour, for four years.