SUPREME COURT OF QUEENSLAND

REGISTRY: CAIRNS
NUMBER: 403/21
Harris v State of Queensland

Affidavit
I, Full Name
of (insert Street Address)
(insert Occupation)
a permanent resident of Queensland swear / affirm*:

I, the above named, wish to inform the court of my concerns relating to the
Explosives and Other Legislation Amendment Act 2019:
_______________________________________________________________
insert concerns here
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

Taken and sworn/affirmed* at _______________________ in the State of

Queensland this ____________day of _______________ 2021.

________________________ _________________________

(signed by deponent) (signed by Justice of the Peace)

Deponent Justice of the Peace / Commissioner

for Declarations

*delete as applicable

Affidavit Name: Leonard William Harris

Filed on Behalf of the Applicants(s)
Form 5, Version 1
Uniform Civil Procedure Rules 1999
Rule 26
Address: 3270 Kennedy Highway Mareeba QLD 4880
Phone No: 0490380984
Fax No:
Email: len@thesilentmajority.org.au