It is an offence to give any altered, false, incomplete or misleading. Statutory declaration new zealand what is this form for. Occupation 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. Statutory declaration this statutory declaration must be completed and signed in front of an authorised person i, do solemnly and sincerely declare that as at the date of this statutory declaration that. I am an australian citizen, an australian permanent resident or an eligible new zealand citizen who has turned 18 years old. Statutory declaration nz fill out and sign printable pdf. You will need to provide your own ird number on the form and to. And i make this solemn declaration believing the same to be true and by virtue of the statutory declarations ordinance, 1970. New zealand passport office, department of internal affairs, 120 victoria street po box 10526, wellington. I agree that the lost medals are no longer issued to me for my permanent retention and that in the event that i subsequently find or regain control of the lost medals i will return the medals to the nzdf without delay. I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under section 11 of the. I am an officer of and am authorised to make this declaration on its behalf.
Send your signed declaration to us if you fax this declaration, please also send us the original form by mail. I have had 3 years experience in real estate agency work within the 10 years preceding this application to be licensed as an agent or a branch manager. Statutory declaration ir595d if you are applying for an ird number for a child in your care, you can use this form if you do not have any other documents which show your relationship to the child. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Statutory declaration i, name, place of abode, and occupation solemnly and sincerely declare that the statements contained in the this form are true. Government officer authorised to take statutory declarations. A statutory declaration is a written statement which a person swears, affirms or declares to be true in the presence of an authorised witness usually a justice of the peace, a lawyer or a notary public. Statutory declaration a full list of potential persons authorised to witness a statutory declaration made in new zealand can be obtained from. Fill out, securely sign, print or email your new zealand form statutory instantly with signnow. Statutory declaration i full name of address do solemnly and sincerely declare that. You can type or write the statutory declaration before visiting an authorised witness, but dont sign it yet. This form must be signed in new zealand by a deputy registrarregistrar of the high court or. I make this declaration because, as far as is known, written records of my membership or attendances do not exist or are incomplete.
It is an offence to give any altered, false, incomplete or misleading information or to make a false statement or declaration. A statutory declaration is a legally binding document which may be used in legal proceedings in new zealand under the oaths and declarations act 1957. Guidance on the acceptability of statutory declarations for passport purposes. Sample statutory declaration i, insert full legal name of address and occupation do hereby solemnly and sincerely declare that. To make a statutory declaration, download and complete the statutory declaration form below. A nsw statutory declaration is made under the oaths act 1900. Making a statutory declaration a statutory declaration is a written statement declaring something to be true in the presence of an authorised witness.
Fire and emergency new zealand form 7 statutory declaration. Before you sign the form and fill in the date and place, you need to find an authorised witness. This statutory declaration is in support of my application to the united fire brigades association for service awards for which i believe i am eligible and which have not before been issued. Statutory declaration toi ohomai institute of technology. I have not been convicted, whether in new zealand or another country, of a crime. When you have found your witness, you may need to make an appointment to sign this declaration in front of them.
Statutory declaration in relation to a special vehicle. Fire and emergency new zealand statutory declaration i, full name of place of residence occupation do solemnly and sincerely declare please select one of the following options 1. Statutory declaration template with examples statutory declaration form, often called a stat dec for use any time you need to swear a statement of truth. Statutory declaration ir595d forms and guides by keyword. New zealand new zealand passport office po box 1568. Statutory declaration ir880d forms and guides by keyword. Quicker, simpler, safer tolling new zealand s roads.
Travel statutory declaration please complete the details and the declaration below and return it to veterans affairs. Where by any law in force in new zealand whether made before or after the commencement of this act any person is authorised or required to make a declaration or a statutory declaration, that declaration shall be made and subscribed in the manner prescribed by section 9 or section 11, as the case may require. The oio requires statutory declarations for a number of purposes. This statutory declaration must be completed and signed by an applicant for skipper. When applying for trade mark insert number on insert date of filing, i incorrectly applied for the. There are significant penalties for must be licens anyone providing immigration advice in new zealand is not who licensed. The declaration must be taken in front of an authorised person to. Justice of the peace for new zealand please note making a false statement in a statutory declaration is a prosecutable offence. Please provide the following contact details in case we need to contact you about your statutory declaration. This statutory declaration is required to be completed by all students applying to enrol on the graduate diploma in new zealand immigration advice level 7.
Ensure you complete all applicable sections and have the form witnessed by an authorised person, as stated at the bottom of the form. You can download a declaration form as a pdf or text file and type in the. Statutory declaration for downloaded documents pdf 25kb statutory declaration for downloaded documents accessible alternative txt 1. Strike out paragraph 3 if the application and declaration relate to a salespersons licence. Use this form to verify your documentation by statutory declaration. Sponsor declaration statutory declarations act 1959 i,1 1 insert the name, address and occupation of person making the declaration make the following declaration under the statutory declarations act 1959. Samplestatutorydeclarationformfordownloadeddocuments. This declaration must be signed before a person authorised to take a statutory declaration, which includes a lawyer, a justice of the peace, a notary public, a court registrar or deputy registrar, a member of parliament. Note that in principle, a statutory declaration should not be used to document sea service for stcw certificates, as there should be documentation available from the ships master or owners. A statutory declaration is a written statement declaring something to be true in the presence of an authorised witness. Commonwealth of australia statutory declaration form. Trade me disputes tribunal statutory declaration to obtain respondents details for disputes tribunal proceedings in accord with section 9 oaths and declarations act 1957 i, of solemnly and honestly declare that i require the name and address details of the trade me user for the conduct of proceedings before the. And i make this solemn declaration conscientiously believing it to be true, and by notice of the oaths and.
Form 2b statutory declaration as to ownerbuilder status. It tells examiners about what a statutory declaration is, when it is used both in the. Statutory declaration nz fill online, printable, fillable, blank. I ami am not subject to the following special conditions in the carrying out of my occupation in new zealand. Statutory declaration in relation to a stationary vehicle. This statutory declaration is made in the event someone else using your vehicle when it was allegedly involved in a moving vehicle offence. Statutory declaration requests fire and emergency new zealand the information on this page relates specifically to form 7 statutory declaration requests issued by fire and emergency new zealand. I confirm that i have read and meet the eligibility criteria. Statutory declaration for special consideration uc statutory declaration for special consideration a statutory declaration must be made where you are unable to obtain sufficient supporting evidence for the grounds of. Quicker, simpler, safer tolling new zealands roads.
Statutory declaration requests fire and emergency new zealand the information on this page relates specifically to form 7 statutory declaration requests. Once received, personnel archives and medals will issue a quote for the cost of replacing the lost medals. Please complete the details and the declaration below and return it to veterans affairs. Toll road terms and condition pdf, 296 kb toll road schedule of fees pdf, 106 kb forms. Statutory declaration form medical council of new zealand.
And i make this solemn declaration conscientiously believing the same to be true and by virtue. Oaths and declarations act 1957 new zealand legislation. Personal details statutory declaration please complete the details and the declaration below and return it to veterans affairs. I, insert full legal name of address and occupation do hereby solemnly and sincerely declare that. I request and consent to a full withdrawal from my australian complying. Statutory declaration form pdf 96kb declaration of loss or theft of a passport pdf 445kb apply for a nz passport when born overseas to a nz citizen. Direct debit authority form pdf, 244 kb statutory declaration in respect of a toll payment pdf, 1 kb brochures. Section 34c of the land transport act 1998 statutory declaration in relation to a special vehicle lane offence auckland transport, private bag 92 250 auckland 1142.
A statutory declaration is a written statement signed in front of an authorised person and declared to be true. Ir595d april 2019 statutory declaration to support your ird number application individual ir595 for a child under 16 years of age oaths and declarations act 1957 tax administration act 1994 crimes act 1961 enter your own ird number here. This form is a statutory declaration you can use to prove your relationship with a child in your care when applying for paid parental leave. Transtasman occupations tribunal new zealand ministry. And i make this solemn declaration conscientiously believing the same to be true and by virtue of the oaths and declarations act 1957. The act contains 2 alternative formats for a statutory declaration, and you can use whichever is more suitable for your needs. Statutory declaration i enter your full name of enter the address where you live enter your occupation for example, bricklayer, teacher, unemployed solemnly and sincerely declare that list the facts in your own words. Affidavits and statutory declarations are examples where you set out your evidence in a written form and sign in front of a person who is authorised to take declarations and administer oaths. Statutory declaration use this form to verify your documentation by statutory declaration important instructions on using this form a statutory declaration is a legally binding document which may be used in legal proceedings in new zealand under the oaths and declarations act 1957. Statutory declaration skilled regional class sp 489.
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