Victorian Consolidated Regulations Victorian Consolidated RegulationsI, [ 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