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 275 - 300 of 1584Previous12...1011121314..6364Next Given NameMotherFatherJuan Carlos Ana RosaJuan BautistaNathan jamesBessie Rea Hemi TemihaHoward Donna MareeLance Raymond Ynez Antonio IIVickieYnez AntonioShannon ToddKathryn ThereseJames KennethJohn EdwardRuth IvabelleBernard DeanSeatonMarjory DorisSamuel Quentindarren neildarren neilDarren neilMathiasGerdaBjørnMathiasGerdaBjørnEnslin ChristopherChristeneAndriesAntony NigelAntony NigelAntony NigelChristopher Albert Nola MarleneChristopher Albert Sophie Agatha Isabelle Shane GerardFabien Paul DurcanIsabelle Shane GerardShane Gerard DurcanAgatha JohnChristopher RobertRhonda MerleRobert GeoffreySaraMary AnnStephen PeterIan Stuart Buchanan Hollinsworth Maureen Helena FlletcherJohn Buchanan Hollinsworth Janice MareeHelen RosePeter WilliamAlan KeithBetty MurielHenry JamesKylee-annBarbara AnnAllan LaurieShane Allan Pamela MayJames AllanRussell AnthonyAnn GarnerAnthony GlynnJustin GrantSaraRussell Anthony
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