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Application for certificate of domicile – supporting statutory declaration
Statutory declaration by Naik Mahomet, son of Nathisha.
I, [handwritten] Naik Mahomet son of Nathisha [end handwritten] of [handwritten] Coolgardie [end handwritten], do solemnly and sincerely declare that I have been residing in [handwritten] Coolgardie [end handwritten], at the places and during the periods following, viz.: [handwritten] 8 years [end handwritten.]
And during the time of my said residence I have made, and still intend to make, Australia my permanent place of abode.
My present fixed place of business is at [handwritten] Coolgardie [end handwritten], and my occupation is [handwritten] Camel proprietor [end handwritten].
My age is [handwritten] 45 years [end handwritten], height [handwritten] five feet four inches [end handwritten], complexion [handwritten] Copper color [end handwritten], build [handwritten] fairly built [end handwritten], hair [handwritten] dark [end handwritten], eyes [handwritten] black [end handwritten].
My (state whether wife or children) [handwritten] wife and three children [handwritten] are in [handwritten] Karachi India [end handwritten].
I own in this State (state whether any land of houses, and where situated) [handwritten] Richardson Street Block No [number] 787 Coolgardie [end handwritten].
And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the provisions of an Ordinance made and passed in the eighteenth year of the reign of Her late Majesty Queen Victoria, No. 12, intituled “An Ordinance for the abolition of Unnecessary Oaths, and to substitute Declarations in lieu thereof.”
