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 950 - 975 of 1267Previous12...3738394041..5051Next Given NameMotherFatherMichael VincentPhyllis JeanPaul AnthonyHarukoReikoSadaoShannon DeanNola ChristineRobert MaxwellDenise Therese Eileen Patricia Leslie Vincent River James SuryaEmma NicoleTyson JamesEmma Nicole MaidmentRobyn SandraMichael Johnmay francesloris noelareginald michaelwillemelisabethgermenDale Brian Jorgensen Robyn Jorgensen Brian Jorgensen Paul Francis SmithMoina TeresaGregory PaulPaul Joseph ZaidmanMinaMironJolanta Barbara ZofiaLeonJohn RobertBetty PatriciaLeoSusan TeresaDoris LilianJohn MichaelDavid RobertElizabethDavid HaroldVeronica RochelleKay AliceDavid WilliamNicolas George CharlesJosephine SusannahRolando Carlos NicolasWaseem ADAM-ALPHA-OMEGA-NEO X:WaseemWaseemPeter MichaelColleen MaryRichard MalcolmDenise Therese Eileen Patricia Leslie Vincent Hannah-LouisaBeryl Elsie MaryChristopher SeanWendy AnneDalmai AliceRaymond CharlesTyson JamesDonna LeeMichael JamesMichelle DianneDianne ElizabethPeter JamesAlisonElizabeth RoseBryon
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