52 of 1959. h�b```�i�� 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. I make this declaration in response to a request from the Montara Commission of Inquiry into (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. I,1. endstream endobj 322 0 obj <>/Metadata 14 0 R/PageLabels 317 0 R/Pages 319 0 R/StructTreeRoot 25 0 R/Type/Catalog/ViewerPreferences<>>> endobj 323 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 324 0 obj <>stream 0 on . I am Director) 3. C�ʓ��f|}�������!� �h�-$[�CDz����!��ff`f��ZR���� � f�� Declaration under the Statutory DeclarationsAct 1959 I, Noel Edward Treasure, 112 Clement Street Swanbourne, Western Australia, Drilling Supervisor, make the following declaration under the Statutory DeclarationsAct 1959 (Cth)as follows: 1. the declaration I,1 make the following declaration under the Statutory Declarations Act 1959: 2 Set out matter declared to in numbered paragraphs 2 I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under section 11 of the Statutory Declarations Act 1959,and I believe that the 339 0 obj <>/Filter/FlateDecode/ID[<1CA371BC2952144E96D302DB254222C8>]/Index[321 35]/Info 320 0 R/Length 88/Prev 32554/Root 322 0 R/Size 356/Type/XRef/W[1 2 1]>>stream Statutory Declarations Act 1959 A person who intentionally makes a false statement in a statutory declaration is guilty of an offence, the punishment for which is imprisonment for a term of 4 years — see section 11 of the Statutory Declarations Act 1959 . Download (80 bytes) Additional information. 1. 8 . 1 Insert the full . We only give information about Commonwealth statutory declarations. 3 Signature of the person making the declaration 4 Place 5 Day 6 Month and year � ��ea��8p|���@� A statutory declaration under the Statutory Declarations Act 1959 may be made before– (1) A person who is currently licensed or registered under a law to practise in one of the following occupations: Chiropractor Dentist Legal practitioner Medical practitioner Nurse Optometrist Patent attorney Pharmacist Physiotherapist of the Statutory Declarations Act 1959. ��B����1�"����D� ��``��+)H�4�D$�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 You must include all previous convictions. 6 Month and year : Declared at 4 on 5 of 6. %PDF-1.6 %���� [Rev. I,1 make the following declaration under the Statutory Declarations Act 1959: 2 Set out matter declared to in numbered paragraphs . 3. Declared at 4 on 5 of 6. 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: There are 2 types of statutory declarations (or stat decs) — Commonwealth and state and territory statutory declarations. 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. Statutory Declarations Act 1959 . Statutory Declarations Act 1959 . 2 . This declaration is made under the Oaths, Affidavits and Statutory Declarations Act 2005 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 of a state or … h�ė�o�8��?�>P�Hl'� Declared at . A statutory declaration under the . endstream endobj startxref 1 Insert the name, address and occupation of person making the declaration . Any authorised witness for the State of Western Australia may also witness a Commonwealth Statutory Declaration, as long as they are in Western Australia at the 10 Signature of person before whom the declaration is made (see page 3) 11 Full name, qualification and 1 Insert the name, address and occupation of person making the declaration . Note: Do not complete the following section until you are with the person witnessing your declaration. We only give information about Commonwealth statutory declarations. make the following declaration under the . 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