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”):
Place Where Born:
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
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Given NameMotherFatherChristian LeeGwenda Peter BrianAdriana L.Colleen Margaret.Antonio.Lee DavidCheryl FayeRodney DavidRainer Johann AdamAnnelieseMax WalterJessica MareeNicole MareeScott MichaelGrace Matilda LauraBernadette FrancesGrant WayneMelanie JaneMarleneRaymond JohnRaymond JohnVera SylviaWilfred JohnBrett LincolnValerie DawnDesmond RexDavid-John Dorothy jeanRoy AlfredAntonioFrancescaLuigi Geno Angelica JelsFrancaGeorgeTony LukePamela Flora MacDonaldGerald EdwardJohn PeterDientjeJohannes Petrus AntoniusNoel ThomasFlorence LouisaNoel LewisJames NormanPatricia AnneJames NormanJames NormanPatricia AnneJames NormanCahal JamesMary AnnJames KearneyChristina MariaPauline LucindaOliver Christopher
(Not all details are displayed for privacy reasons)