New South Wales Consolidated Acts(Sections 21, 24)
I,, of (residence), do hereby solemnly declare and affirm that [the facts to be stated according to the declarant’s knowledge, belief, or information, severally]. And I make this solemn declaration, as to the matter (or matters) aforesaid, according to the law in this behalf made-and subject to the punishment by law provided for any wilfully false statement in any such declaration.