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 19431234567...7778Next Given NameMotherFatherBrandon Christpoher BellarCheryl JamesDavid Christopher BellarDavid MichaelNorah BernadetteMichael ChristopherTerence-johnTerence-johnOwenManuel David JosephSuzanne MaryJohn RichardKim TerjeKirsten AnettTerjetimothy alecdianne lesleyraymond colinMark AnthonyPaulineEric RichardMark AnthonyPaulineEric RichardAndrew WilliamLynette MargaretWilliamTimothy RogerElizabeth AnneChristoper ThomasDylan MorrisMargaret Nora AnnDaniel EirwynMatthew James SeviorDianneTrevor DonaldHarrison AtsuAlice AkosuaMartin kwameJohn Williams Kwesi KotunGeorgina EsuahMac Daniels KotunChristopher JohnLillian AnneArthur John CyrilAbiodun LongeSylviaKayodeTori JayneSueJohnDennis GeorgeBeverly JuneGeorge EdwardKarl WilliamCharlotte Jacoba Wilhelmina MariaKarl LudwigIanRitaWilliamAlun DavidAudreyBleddynWendy June StaunValerie HelenColin AtholFarahFatimaAhmadTerje WaageKirsten anettterje joachimMunazzaSaminaMohammed
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