Last Updated: 12 August 1971
[SD F 1] SCHEDULE STATUTORY DECLARATION

(Section 3)

I ................................................................................. of ................................................................................. solemly and sincerely declare that .................................................................................

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And I make this solemn declaration believing the same to be true and by virtue of the Statutory Declarations Act 1970.

Declared at...............................................................................................................................................................................................................................................................................this ......................................................................................................................................................day of ...................................................................................................................................................... 20.................................................. before me and I certify that the declaration was read over in the .................................................................................................... language to the declarant who appeared fully to understand the meaning thereof.}
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(Office held or nature of Appointment)