Declaration of Living Status

Lodgement Form

    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.

    ‚ÄčI 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.



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    Given NameMotherFather
    Debbie
    Valmai Irene
    Thomas Clarence
    Ian Crossley
    Joan
    Gordon
    Wendy Anne
    Dalmai Alice
    Raymond Charles
    Larisa Anne
    Irene
    Glynis James
    Gregory Keith
    Gwendolyn Joyce
    Keith Frank
    Craig Anthony
    Barbara Susan
    Kenneth John
    Phillip Hugh
    Valma Joyce
    Thomas Aloysius
    Kalliroy Symonds
    Mahi
    George
    Sharon Pheme
    Margaret Pheme
    Brian Frances
    Gaye Lynette
    Valda Isobel
    Roy William James
    Xenofonda
    Stella
    Alexandros
    Aimee Frederica
    Marlene Susan
    Michael Thomas
    Barry John
    Eleine Elizabeth Merle
    Robert William
    Carol Ann
    Nerida Kathleen
    David Ronald
    Cilla Louise
    Irene Carole
    Michael John
    Joeline-laurel
    Karen-dorothy
    John-robert
    Alison Kate
    Juliette Ann
    Timothy Joseph
    :Grant-David:
    :Janine:
    :Graham-Douglas:
    :Karra-Leanne:
    :Daphne-May:
    :Henry-John:
    Leon Turoa Terehu
    Merlene Urekore
    William Eddie Buster
    Herman
    Johanna Carolina Jozina
    Reinder
    Elizabeth Brigitta
    Gerarda Johanna
    Norbertus
    Dejan Nicholas
    Biserka
    Tomislav
    Izabela Angeles
    Resureccion
    Restituto
    Izabela Angeles
    Resureccion
    Restituto

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