Given Name/s:
Maternal Biological Creator’s Given Name/s:
Maternal Biological Creator’s Family Name:
Paternal Biological Creator’s Given Name/s:
Paternal Biological Creator’s Family Name:
Time Born (if unknown, put “Not Known”):
Date Born:
Place Where Born:
Gender:
manwoman
I the undersigned certify that the information indicated on this form is true and accurate. I further certify that the Declaration of Living Status is to be recorded by the People’s Court of Terra Australis for preservation in the Book of Deeds.
I understand that by submitting this declaration online, I have agreed to the electronic autograph below and that this application shall have the same legal effect as if made under oath. I am also aware that by submitting false information on this application I would be guilty of committing perjury, for which I may be prosecuted. I accept full liability for this submission.
Autograph of Living Man/Woman
Email Address of Living Man/Woman
Displaying 0 - 25 of 15811234567...6364Next Given NameMotherFatherAngelaAngela MarieAngela Marie"""JamesRosemaryCyrilJoyLin YingYu SingParmjeet Kaur Dang/SapraParkash KaurManhor Singhเมย์ริง (May-Ring)Charlotte曾 同 (Tseng-Tung)Femi Etim WilliamsYasmineNoelMarissa Kathleen Mahalia MunroHelen AnnChristopher DavidRichardLauriceOrlandoTina FlorenceLorraine JoyHansPaul JeffreyGeraldine FrancesTheodore LyellJohn. HenryDoreen MayHenry LlewellynMark Alan PeterEvelyn MaryJamesJessica-DotDeryaWilliam DauntSandra AliceJaneEugene PaulSandraAliceHaayemaPeter WilliamBeverly JoanRussell JohnPeter WilliamBeverly JoanRussell JohnRamón AlfonsoFranciscaEmigdio AlfredoKasemColetteMoufacEbiama SheilaHilda ChrispinaKennethPatricia-LynnRobin-DawnBernard-MichealTrevor-JohnBarbara-HaddonMurray-JohnTrevor-JohnBarbara-HaddonMurray-JohnJohn HenryDoreen MayHenry llewelyn
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