Statutory Declaration

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of Commonweat*r Australia DECLARATION STATUTORY Act Declarations 1959 Statutory

ln*i lhe nanm, dddless and ocf'upation ot ,f,lrson making the dedantion

3061, Victoria Campbellfield Grove, 45 1,1Mrs NguThi Tran,Pensioner, Stewart

DwlarationsAct 1959: underthe Statutory declaration makethe following


Sd out matter declared to in numbercd pare{ephs 2

Citizen. 1 . lam an Australian 2. I am the auntyof Ms ChauThiTo Tran,of Duong 75 BenChuong PhuocLoc KhuPho2, Phuong TinhBinh Thuan ThiXa Lagi, Vietnam my and Ms I invitemy niece, ChauThiTo Tran,to visitmyfamilyand I in Australia, to attend 2009in Melbourne. November 29 on wedding Sunday Hong TuyetNguyen's Thi daughter

is in makesa false statement a statutorydeclaration that a personwho intentionally I understand 1959,and I believethat the Act Declarations guilty of an offenceundersection11 of lhe Statutory are in statements this declaration true in everyparticular.
of Signature maHng retsp/n
thd dedaretion PIece Day o Month and War

Declaredat

Mqrlo--' r 4

Melboume

ot"ffidffie ry

Beforeme,
7

7 Sigaaturc of prson before whomtha declaration is made (see ove) I Full name, qualifrcdtionend address ofperson before whom the declarction is mscte(in Ninted ,eltels)

a makes hlie statement who inlentionally Note1 Aperson &clarationaAct 1959. 1 for wtrichis imprisonment a termof 4 years- seesection 1 of the Statutory

ge$g !=ru( 5419 ,ti[-prouat'?l:5wD - Thoo Prrprierun Nguyqngdlltyof ah ofience,thepunishment FtV Ltd br is d6cta'ration iri a statutory

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