Fillable Statutory Declaration (Ministry of Justice New Zealand)

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Statutory Declaration (Ministry of Justice New Zealand)

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The Statutory Declaration (Ministry of Justice New Zealand) form is 1 page long and contains:

  • 1 signature
  • 0 check-boxes
  • 7 other fields

Country of origin: NEW-ZEALAND
File type: PDF

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Statutory Declaration
Complete this declaration if you need to request your criminal conviction history information
from the Ministry of Justice but you do not have one of the required valid identification
documents.
I
(Write your full name)
of (Write your address)
solemnly and sincerely declare that:
• I
am completing this declaration because I do not have a valid identification
• I am the person named in the request
I
make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and
Declarations Act 1957.
Your signature
Date (Day/month/year)
D
eclared at (Place, for example town or city)
B
efore me (Name of official witness)
S
ignature and stamp of official witness (Such as a Justice of the Peace, solicitor or another person authorised to take
a statutory declaration under section 9 of the Oaths and Declarations Act 1957)
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signature
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Statutory Declaration (Ministry of Justice New Zealand)

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Completed 16 July 2021

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