of the Evidence Act 1995
Section 179 of the Evidence Act 1995
Affidavit of member of State or Territory police force concerning fingerprints
Note: [Set out heading to action or matter]
Note: I, [name of deponent] of [address of deponent], a member of the police force of [State or Territory] make oath and say*/affirm*:
Note: 1. I am a fingerprint expert for the police force of [State or Territory].
- I have examined the fingerprint card marked for identification with the letter ‘A’.
Note: 3. I have compared the fingerprints shown on that card with the fingerprints shown on the fingerprint card in the records held by the police force of [State or Territory] showing the fingerprints of [name of person and alias, if any].
Note: 4. The fingerprints on those cards are identical.
Note: 5. According to the records of the police force of [State or Territory], which I believe to be accurate, [name of person] was convicted in that State*/Territory* of the following offences:
Note: 6. Annexed to this affidavit and marked with the letters [insert an alphabetical sequence of letters, commencing at ‘B’, corresponding to the number of annexures], are certified copies or certificates of conviction for each of those convictions.
Note: 7. From an examination of the records referred to above, I believe that the person referred to in each annexed certified copy or certificate as having been convicted of the offence stated in it is identical with the person whose fingerprints are shown on the fingerprint cards referred to in paragraph 3 of this affidavit.
Note: SWORN*/AFFIRMED*
by the deponent at [place]
this day
of [month and year] .
Before me:
| (signature) | (signature) | |
|---|---|---|
| A Justice of the Peace*/notary public*/lawyer*/person authorised to take affidavits in the Australian Capital Territory*. | Deponent | |
| *delete as appropriate |
Form 3 Affidavit of member of Australian Federal Police concerning fingerprints
(regulation 9)
Affidavit of member of Australian Federal Police concerning fingerprints
[Set out heading to action or matter]
I, [name of deponent] of [address of deponent], a member*/special member*/staff member* of the Australian Federal Police of, make oath and say*/affirm*:
-
I am a fingerprint expert for the Australian Federal Police.
-
I have examined the fingerprint card marked for identification with the letter ‘A’.
-
I have compared the fingerprints shown on that card with the fingerprints shown on the fingerprint card in the records held by the Australian Federal Police showing the fingerprints of [name of person and alias, if any].
-
The fingerprints on those cards are identical.
-
According to the records of the Australian Federal Police, which I believe to be accurate, [name of person] was convicted of the following offences against a law of the Commonwealth:
-
Annexed to this affidavit, and marked with the letters [insert an alphabetical sequence of letters, commencing at ‘B’, corresponding to the number of annexures], are certified copies or certificates of conviction for each of those convictions.
-
From an examination of the records referred to above, I believe that the person referred to in each annexed certified copy or certificate as having been convicted of the offence stated in it is identical with the person whose fingerprints are shown on the fingerprint cards referred to in paragraph 3 of this affidavit.
Note: SWORN*/AFFIRMED*
by the deponent at [place]
this day
of [month and year] .
Before me:
<table cellspacing="0" cellpadding="0" style="border-collapse:collapse"><tbody><tr><td style="width:164.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Note" style="margin-top:18pt; margin-left:0pt; text-align:center; line-height:92%; font-size:12pt"><span>(</span><span style="font-style:italic">signature</span><span>)</span></p></td><td colspan="2" style="width:33.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Note" style="margin-top:18pt; margin-left:0pt; text-align:center; line-height:92%; font-size:12pt"><span></span></p></td><td style="width:129.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Note" style="margin-top:18pt; margin-left:0pt; text-align:center; line-height:92%; font-size:12pt"><span>(</span><span style="font-style:italic">signature</span><span>)</span></p></td></tr><tr><td colspan="2" style="width:171.8pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Note" style="margin-left:0pt; text-align:center; line-height:92%; font-size:12pt"><span></span></p></td><td style="width:26.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Note" style="margin-left:0pt; text-align:center; line-height:92%; font-size:12pt"><span></span></p></td><td style="width:129.25pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Note" style="margin-left:0pt; text-align:center; line-height:92%; font-size:12pt"><span></span></p></td></tr><tr><td colspan="2" style="width:171.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Note" style="margin-left:0pt; line-height:92%; font-size:12pt"><span>A Justice of the Peace*/notary public*/lawyer*/person authorised to take affidavits in the Australian Capital Territory*.</span></p></td><td style="width:26.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Note" style="margin-left:0pt; text-align:center; line-height:92%; font-size:12pt"><span></span></p></td><td style="width:129.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Note" style="margin-left:0pt; text-align:center; line-height:92%; font-size:12pt"><span>Deponent</span></p></td></tr><tr><td style="width:164.7pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Note" style="margin-top:12pt; margin-left:28.35pt; line-height:92%; font-size:12pt"><span>*</span><span style="font-style:italic">delete as appropriate</span><span></span></p></td><td colspan="2" style="width:33.45pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Note" style="margin-top:0pt; margin-left:0pt; line-height:92%; font-size:12pt"><span></span></p></td><td style="width:129.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="Note" style="margin-top:0pt; margin-left:0pt; line-height:92%; font-size:12pt"><span></span></p></td></tr><tr style="height:0pt"><td style="width:175.5pt"></td><td style="width:7.1pt"></td><td style="width:37.15pt"></td><td style="width:140.05pt"></td></tr></tbody></table>