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 22221234567...8889Next Given NameMotherFatherMichael JohnAnnRonaldCaroline JaneRobyn IreneKenneth CollinsColin MarkNicoletta FlorenceGordon CharlesEric allenMerlin valenciaReginald eliasVincent LeeMargret RoseRichard PeterRoger JohnLeslie AnnJohn SalmonJulia SarahSheilaPeter LeeGraham KeithValerie IsobelKeithChristopher Donald JamesCarol LorraineLeslie JohnNovicaZeljkaNikolaFortunatoCaterinaGiuseppeDarrin LenoradoMyra LenorJames EdwardEvina Jacoba ArnoldaTrijntjeEvertEvina Jacoba ArnoldaTrijntjeEvertJack Charles MillwardKim MareeAnthony JohnRyder ToraeDanielle GRupert ThomasRupert ThomasElla LeeRupert ThomasColin Leslie MauriceCherie MarilynRoger VictorAlex WilliamAmanda AnneGaryolajide olayemiolabisi tawawakeel adewaleBB Nobba of the bloodline ReddingPAMELA RAMONAPATRICK JERRODLI JUAN DECARLO REDDINGPAMELA RAMONAPATRICK JERRODAlex WilliamAmanda AnneGaryLI JUAN DECARLO REDDINGPAMELA RAMONA MAXWELLPATRICK JERROD REDDINGJulia SarahSheilaPeter Lee
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