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Oaths Act 1867 - 1988
QUEENSLAND
TO WIT }
I,______________________________________________________________________________
of _________________________________________________________________, in the state of
Queensland,
do solemnly and sincerely declare that:
AND I MAKE THIS SOLEMN DECLARATION CONSCIENTIOUSLY BELIEVING THE SAME TO BE TRUE, AND BY VIRTUE OF THE PROVISIONS OF THE OATHS ACT 1867 – 1988.
Signature: ________________________________________
(sign only in the presence of JP or CDec)
Taken and Declared before me, at__________________________}
This___________________ day of ___________________20 }
A Justice of the Peace
or Commissioner for Declarations