Status of Children Regulations 1999 (TAS)
Status of Children Regulations 1999
I, the Governor in and over the State of Tasmania and its Dependencies in the Commonwealth of Australia, acting with the advice of the Executive Council, make the following regulations under the Status of Children Act 1974 .9 August 1999
G. S. M. GREEN
Governor
By His Excellency’s Command,
P. PATMORE
Minister for Justice and Industrial Relations
Regulation 4
FORM 1 | |
INSTRUMENT OF ACKNOWLEDGMENT | |
Tasmania | |
CHILD | |
1. Surname: | |
2. Given names: | |
3. Date of birth: | |
4. Born at: | |
5. Sex: | |
FATHER | |
6. Surname: | |
7. Given names: | |
8. Usual occupation: | |
9. Year of birth: | |
10. Birthplace: | |
MOTHER | |
11. Surname: | |
12. Given names: | |
13. Maiden surname, if married: | |
14. Year of birth: | |
15. Birthplace: | |
16. Usual place of residence: | |
WE, the father and mother named above, acknowledge that we are respectively the father and mother of the child named above, and we certify that the above information is correct, according to the best of our knowledge and belief. | |
.............................................................. (Signature of father) | .............................................................. (Signature of mother) |
Signed in the presence of – | Signed in the presence of – |
.............................................................. (Signature of solicitor) | .............................................................. (Signature of solicitor) |
.............................................................. (Name of solicitor) | .............................................................. (Name of solicitor) |
.............................................................. (Address of solicitor) | .............................................................. (Address of solicitor) |
Dated ....................................... | Dated ........................................ |
SIGNED SEALED AND DELIVERED by | SIGNED SEALED AND DELIVERED by |
.............................................................. (Signature of father) | .............................................................. (Signature of mother) |
.............................................................. (Seal) | .............................................................. (Seal) |
Dated .................................... | Dated .................................... |
in the presence of – | in the presence of – |
.............................................................. (Signature of witness) | .............................................................. (Signature of witness) |
.............................................................. (Full name of witness) | .............................................................. (Full name of witness) |
.............................................................. (Postal address of witness) | .............................................................. (Postal address of witness) |
NOTES | |
Item 4. If the child was born in Tasmania, insert the exact address. | |
Items 10 and 15. The birthplaces are to be given as – | |
(a) if born in Australia, the State of birth (e.g. "Victoria"); or | |
(b) if born outside Australia, the country of birth (e.g. "France"). |
Displayed and numbered in accordance with the
Notified in the
These regulations are administered in the Department of Justice and Industrial Relations.
0
0
0