New South Wales Consolidated Acts New South Wales Consolidated Acts(Sections 3, 5)
This is to certify thatcame before me and entered into a recognizance to abstain from intoxicating liquor and intoxicating or narcotic drugs for a period ofmonths, and that before his entering into such recognizance I explained to him the nature of the same and the consequences of the breach thereof.
Theday of19.