Queensland Statutory Declaration Form printable pdf download

Queensland Statutory Declaration Form

Queensland

Statutory Declaration

QUEENSLAND

TO WIT

do solemnly and sincerely

declare that:

1. I have not taken part in any act of animal cruelty in relation to Greyhound training in the past 10

years, including the practice known as live-baiting or blooding.

2. In the past 10 years I have not instructed someone else (or given any express or implied approval

to someone else) to take part in any act of animal cruelty in relation to Greyhound training,

including the practice known as live-baiting or blooding.

3. To the best of my knowledge, no Greyhound while under my care or ownership has been involved

in any act of animal cruelty in relation to Greyhound training in the past 10 years, including the

practice known as live-baiting or blooding.

4. In signing this declaration I acknowledge that my understanding of Live Baiting or Blooding is that

it is the practice of using a live animal in the training of Greyhound racing whereby that live animal

has been subject to cruel activity. For example, a live animal is attached to the lure and a

Greyhound is encouraged to chase that lure (with or without a muzzle) or a live animal is attached

to a lead or rope and Greyhounds are encouraged to attack and kill that live animal.

And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the

provisions of the Oaths Act 1867 (Qld).

Signed and declared by the abovenamed

declarant at

in the State of ____________________

this

day of 20___

Before me:

Signature of person before whom the declaration

Signature of declarant

is made

Full name and qualification of person before whom

the declaration is made

QRIC_FM_GH_MAN26_V1.0

QRIC/2016/2818

Queensland Statutory Declaration Form