CTHIn ForceLegislation
Evidence Regulations 2018
Form 3—Affidavit of member of AustralianForm 3—Affidavit of member of Australian Federal Police concerning fingerprints
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## Form 3—Affidavit of member of Australian Federal Police concerning fingerprints
Note: See section 11.
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\*:
1.I am a fingerprint expert for the Australian Federal Police.
2.I have examined the fingerprint form marked for identification with the letter ‘A’.
3.I have compared the fingerprints shown on that form with the fingerprints shown on the fingerprint form in the records held by the Australian Federal Police showing the fingerprints of \[name of person and alias, if any\].
4.The fingerprints on those forms were compared and in my opinion were made by the same source.
5.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:
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.
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 the person whose fingerprints are shown on the fingerprint forms referred to in paragraph 3 of this affidavit.
> Note: SWORN\*/AFFIRMED\*
by the deponent at \[place\]
this day
of \[month and year\] .
Before me:
```html
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><tbody><tr><td style="width:45.22%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="notetext"><span style="font-family:Arial, sans-serif">(</span><span style="font-family:Arial, sans-serif; font-style:italic">signature</span><span style="font-family:Arial, sans-serif">)</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="ENoteTableText"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:43.38%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="notetext"><span style="font-family:Arial, sans-serif">(</span><span style="font-family:Arial, sans-serif; font-style:italic">signature</span><span style="font-family:Arial, sans-serif">)</span></p></td></tr><tr><td colspan="2" style="border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="ENoteTableText"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:5.92%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="ENoteTableText"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:43.38%; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="notetext"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="notetext"><span style="font-family:Arial, sans-serif">A Justice of the Peace</span><span style="font-family:Arial, sans-serif; font-size:8pt; vertical-align:3pt">*</span><span style="font-family:Arial, sans-serif">/notary public</span><span style="font-family:Arial, sans-serif; font-size:8pt; vertical-align:3pt">*</span><span style="font-family:Arial, sans-serif">/lawyer</span><span style="font-family:Arial, sans-serif; font-size:8pt; vertical-align:3pt">*</span><span style="font-family:Arial, sans-serif">/person authorised to take affidavits in the Australian Capital Territory</span><span style="font-family:Arial, sans-serif; font-size:8pt; vertical-align:3pt">*</span><span style="font-family:Arial, sans-serif">.</span></p></td><td style="width:5.92%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="ENoteTableText"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:43.38%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="notetext"><span style="font-family:Arial, sans-serif">Deponent</span></p></td></tr><tr><td style="width:45.22%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="notetext"><span style="font-family:Arial, sans-serif; font-size:8pt; vertical-align:3pt">*</span><span style="font-family:Arial, sans-serif; font-style:italic">delete as appropriate</span></p></td><td colspan="2" style="padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="ENoteTableText"><span style="font-family:Arial, sans-serif"></span></p></td><td style="width:43.38%; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top"><p class="notetext"><span style="font-family:Arial, sans-serif"></span></p></td></tr><tr style="height:0pt"><td style="width:192.85pt"></td><td style="width:23.35pt"></td><td style="width:25.25pt"></td><td style="width:185pt"></td></tr></tbody></table>
```