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Family Law (Hague Convention on Intercountry Adoption) Regulations 1998
Form 2—AffidavitForm 2—Affidavit
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## Form 2—Affidavit
(paragraphs 14(2A)(b), 14(2D)(b), 14(2E)(b), 15(2A)(b), 15(2C)(b), 15(2D)(b), 20(2A)(b), 20(2D)(b), 20(2E)(b), 22(2A)(b), 22(2C)(b) and 22(2D)(b))
I\*/WE\*, (insert forename(s) and surname(s) of deponent(s)), (insert occupation(s) of deponent(s)), of (insert address of deponent(s)), declare the following under oath:
(a) I\*/We\* am\*/are\* the deponent(s) for this document and have read the document and any attachment to the document; and
(b) the facts stated in the document, and any attachment to the document, that are within my\*/our\* knowledge are correct; and
(c) all other facts stated in the document, and in any attachment to the document, are correct to the best of my\*/our\* knowledge or belief.
SWORN by the deponent(s)
at (insert place where declaration made)
on (insert date of declaration)
...........................................................
(signature(s) of deponent(s))
...................................................................................
(name of deponent(s))
...................................................................................
(title or position of deponent(s))
BEFORE ME:
...................................................................................
(signature of person before whom affidavit is sworn)
...................................................................................
(name of signatory)
...................................................................................
(title or position of signatory)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\* omit if inapplicable