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GRB Statutory Declaration

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melvin ekbote
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50 views1 page

GRB Statutory Declaration

Uploaded by

melvin ekbote
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

WESTERN AUSTRALIA

STATUTORY DECLARATION

I,
…………………………………………………………………………………………………
………………………………………………………………………………………
[name, address and occupation of person making the declaration]

sincerely declare as follows —


[insert content of the statutory declaration; use numbered paragraphs if content is long]

1. On the ………………………… day of …………………. 20…. I served the Attorney


General with a copy of my application.

2. I served the copy of my application on the Attorney General by :

posting it to the address of the Ministerial office at:


Attorney General
5th Floor Dumas House
2 Havelock Street
WEST PERTH WA 6005

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.

This declaration is made under the Oaths, Affidavits and Statutory Declarations Act 2005
at ………………………………………. ……... [place]

on ………………………………………………. [date]

by ……………………………….. [Signature of person making the declaration]

in the presence of ……………………………… [Signature of authorised witness]

……………………………………………………….
[Full name and qualification of authorised witness]

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