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 1475 - 1500 of 1815Previous12...5859606162..7273Next Given NameMotherFatherGoranMarijaVladimirkellie janeannette gaillloyd wesleykellie janeannette gaillloyd wesleySharree Grace Sharron PatriciaKeith Graham BetinaVeraErnst EmilBetinaVeraErnst EmilCarolineFelicity RoseStewart HolroydCaroline Felicity RoseStewart HolroydNickolas Leslie Te KaahoTe Rairi RosemaryTerekino Omoeavaroafrederick dykebeatrice maynoel frederickcheryl hiltonvioletarthurAaron JamesJanette AnneDavid NesbitMargaret JoanAlice James WallaceNicola AnneNoeline AnnMiles KevinPaul richardSuzanne Frederick James Jacqueline TraceyMargaret AnnDavid RichardJason MichaelSylvia Elly GerlindeAlan JamesAlexander HermanovichAllaHerman"Emma Louise"JoanGraham MervynMargret RaeRaeGordon AlbertGoran StanarMarijaVladimirSuellen LouiseSusan JoyGeorge JosephDarren AnthonyLinda MargretStephan CharlesMichael VincentPhyllis JeanPaul AnthonyHarukoReikoSadao
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