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1Insert full name (and address if not given in the application form) 2Delete and adapt as necessary. 3Insert name if applicable 4Insert marking as on plan. 5Delete this paragraph if there is no plans referred to in part 7. |
I1, solemnly and sincerely declare as follows:- 1.2 I am ((the person) (one of the persons) who (has) (have) signed the foregoing application)) ((the solicitor to (the applicant) (3 one of the applicants)). 2. I have read the Notes to the application form. 3. The facts set out in the application form are to the best of my knowledge and belief fully and truly stated and I am not aware of any fact which should be brought to the attention of the registration authority as likely to affect its decision on this application, nor of any other document relating to the matter other than those (if any) mentioned in parts 8 and 9 of the application. 4. The plan now produced and shown to me marked 4 is the plan referred to in part 3 of the application. 5.5 The plan now produced and shown to me marked 4 the plan referred to in part 7 of the application. And I make this solemn declaration, conscientiously believing the same to be true, and by virtue of the Statutory Declarations Act 1835. |
Declared by the said ....................................................................}
...................................................................................................}.....................................................
at ................................................................................................} Signature of Declarant
in the ....................................... of ..............................................}
this ..........................................day of ...........................19..........}
before me,
Signature ....................................................................................
Address ......................................................................................
...................................................................................................
Qualification .....................................................................................
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