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DECLARATION

THE HIGH COMMISSION FOR


PAKISTAN CANBERRA

THE CONSULATE GENERAL OF


PAKISTAN SYDNEY

STATUTORY DECLARATION
UNDER STATUTORY DECLARATION ACT OF 1959 OF COMMONWEALTH OF AUSTRALIA
I, _________________________________ S/O. D/O. W/O. _______________________________
Resident of _______________________________________________________________________
do hereby solemnly affirm and declare the following, as per the requirements of Statutory
Declaration Act of 1959:

That I am the holder of a Driving Licence, issued by the competent authority in Pakistan, as per
details given below:
License No.

_________________________

Valid / Renewed Up to DD / MM / YEAR

Issued On DD / MM / YEAR
From (Place of Issue) ___________________

That the aforementioned license is genuine

That I am holder of Pakistani Passport No. _________


_______ Issued On: DD / MM / YEAR

That my CNIC or NICOP No. is ____________________

That my Australian Passport No. (if possesed) is

Valid Until: DD / MM / YEAR

_____________________________________

That my Australian Driving License No.


_____________________________________
(if possesed) is
I fully understand that if I have intentionally made any false statement in this Statutory
Declaration or concealed any material information I will be guilty of violating Section 11 of
the Statutory Declaration Act 1959. I, nonetheless, reiterate that all teh statements made above
by me in this Declaration are factual and correct to the best of my knowledge and belief.

Signature of the Applicant


(To be signed in front of Notary Public or Justice
of Peace)

Full Name of the Notary Public /


Justice of Peace
Signature / Seal of the Notary Public /
Justice of Peace

APPLICATION FORM

THE HIGH COMMISSION FOR


PAKISTAN CANBERRA

THE CONSULATE GENERAL OF


PAKISTAN SYDNEY

APPLICATION FOR AUTHENTICATION OF PAKISTAN DRIVING LICENSE


1 NAME OF APPLICANT
2 FATHER'S NAME
3

DATE & PLACE OF


BIRTH

DD / MM / YEAR CITY COUNTRY

4 ADDRESS (PAKISTAN)

5 ADDRESS (AUSTRALIA)

6 PHONE NO.

7. EMAIL ID

PAKISTAN DRIVING
LICENSE NO.

10

ISSUING AUTHORITY
ADDRESS:

11

AUSTRALIAN DRIVING
LICENSE NO. (IF ANY)

9. EXPIRY DATE

12 PASSPORT NO.

13 EXPIRY DATE

14 CNIC / NICOP NO.

15 EXPIRY DATE

I hereby solemnly affirm and declare that the enclosed driving license has been validly issued by
the competent authority in Pakistan and that the attestations are genuine.

SIGNATURE OF APPLICANT

DATE

DD / MM / YEAR

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