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Victoria Police Statutory Declaration Form

A statutory declaration was made by an individual stating their name, address, and that the declaration is true and correct. The individual signed the declaration in front of a witness authorized to witness statutory declarations, such as a Justice of the Peace. The witness also signed and printed their name, address, and role witnessing the statutory declaration.

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2K views1 page

Victoria Police Statutory Declaration Form

A statutory declaration was made by an individual stating their name, address, and that the declaration is true and correct. The individual signed the declaration in front of a witness authorized to witness statutory declarations, such as a Justice of the Peace. The witness also signed and printed their name, address, and role witnessing the statutory declaration.

Uploaded by

Ashok
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
  • Statutory Declaration Form

Revised 11/11 VP Form 755

STATUTORY DECLARATION

I,
of
in the State of Victoria, do solemnly and sincerely declare:

I acknowledge that this declaration is true and correct and I make it in the belief that a person making a false declaration
is liable to the penalties of perjury.
Signature Of Person
Making Declaration

Declared at in the State of Victoria on


Before me,

SIGNATURE

PRINT NAME

ADDRESS

Justice of the Peace or Bail Justice


Member of the Police Force
STATUS Person authorised under Section 107A(1) of the Evidence
(Miscellaneous Provisions) Act 1958 to witness the signing of a
Statutory Declaration

Revised 11/11 VP Form 755 STATUTORY DECLARATION I, of in the State of Victoria, do

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