Statutory Declaration
Statutory declaration under the Statutory Declarations Act 1835
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STATUTORY DECLARATION
Statutory Declarations Act 1835
I, [Your Full Name], of [Your Address],
DO SOLEMNLY AND SINCERELY DECLARE as follows:
[Set out the matter you wish to declare. State the facts clearly and truthfully. Each paragraph should deal with a separate matter.]
And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of the Statutory Declarations Act 1835.
DECLARED by the said
[Your Full Name]
at _______________ (place)
on 19/10/2026
_________________ / [Your Full Name] /
(Declarant signature)
Before me:
_________________ (Signature of authorised person)
Name: _______________
Capacity: [Solicitor / Notary Public / Commissioner for Oaths / Justice of the Peace]
Address: _______________
NOTE: This is a template for guidance only. A statutory declaration must be made before a person authorised to administer oaths under the Statutory Declarations Act 1835 (e.g. a solicitor, notary public, or commissioner for oaths). Making a false declaration knowingly is an offence under the Perjury Act 1911, punishable by imprisonment. Seek legal advice on the appropriate wording for your circumstances.
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