Victorian Consolidated Regulations

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OATHS AND AFFIRMATIONS (AFFIDAVITS, STATUTORY DECLARATIONS AND CERTIFICATIONS) REGULATIONS 2018 - SCHEDULE 1

Schedule 1—Form of affidavit

Regulation 7

I, [ full name ] of [ address ], [ occupation or child ], *affirm/*make oath and say:

[ insert statement to be sworn or affirmed in numbered paragraphs ]

1.    

The contents of this affidavit are true and correct and I make it knowing that a person making a false affidavit may be prosecuted for the offence of perjury.

*Sworn/*Affirmed at [ place ]

*in the State of Victoria

on [ date ]

[ signature of person swearing or affirming the affidavit contents, to be signed in front of the authorised affidavit
taker ]

Before me,

[ signature of authorised affidavit taker ]

on [ date ]

[ name, statement of the capacity in which the authorised affidavit taker has authority to take the affidavit, and personal or professional address in legible writing, typing or stamp ]

A person authorised under section 19(1) of the Oaths and Affirmations Act 2018 to take an affidavit.

*delete if not applicable



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