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 22511234567...9091Next Given NameMotherFatherGregory RonaldDaphne MayFrederick LudolfTroy AlanRobyn MareeMichaelAllan GeoffreyIreneGeoffreyAshleigh Margaret PolsonDenise LeeGary JohnJason WilliamPauline JenniferVictor CharlesTammy LeePamela AnnHarold GrahameGuillermo EmirNilda EloisaErico EmirGregory JohnMargaret EllenLesley Jamesjames robertjoannerobert leslieRamón AlfonsoFranciscaAlfredoRamón AlfonsoFranciscaAlfredoNicole ReneePeggy JoyceTheodaisSteven WayneSheila SharonRonald LamarStellaMariaNicholaosWalterJanWilfredMichael AndrewJudith AnnArthurMichael AndrewJudith AnnArthgurMichael AndrewJudith AnnArthurColin MarkNicoletta FlorenceGordon CharlesAngela TamahinePenny MahinarangiHape ManuelJulia SarahSheilaPeter LeeJason MichaelGail EllenTerrance JohnTammy MarcellePauline MarcelleMalcolm GeorgeCharlotte LaviniaWinsome CarrolErrol HubertMargaret JeanAudrey JeanFrederick John
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