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\par [Without prejudice to the rights and powers existing under the interest of the person giving consent,]
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\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs20\lang1033\langfe5129\langnp1033\insrsid14035685  this\tab \tab day of\tab \tab \tab 20  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\lang1033\langfe5129\langnp1033\insrsid14035685 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\lang1033\langfe5129\langnp1033\insrsid14035685 \trowd \irow0\irowband0\lastrow \ltrrow\ts11\trgaph108\trrh435\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid14035685\tblind108\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8647\clshdrawnil \cellx8647\row }\pard \ltrpar\ql \li0\ri0\widctlpar
\tx204\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14035685 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs16\lang1033\langfe5129\langnp1033\insrsid14035685 
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\keepn\nowidctlpar\tx204\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid14035685 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\lang1033\langfe1033\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14035685 Attestation}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b0\insrsid14035685 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trrh2942\trleft14\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid14035685\tblind122\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2905\clshdrawnil \cellx2919
\clvmgf\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5728\clshdrawnil \cellx8647\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl
\tx204\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035685 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe5129\cgrid\langnp2057\langfenp5129 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\f1\lang1033\langfe5129\langnp1033\insrsid14035685 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs16\lang1033\langfe5129\langnp1033\insrsid14035685 Signed in my presence by the Person giving consent
\par 
\par 
\par ________________________________________________
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\keepn\nowidctlpar\intbl\tx204\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\pararsid14035685 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\b\i\f1\fs16\lang1033\langfe1033\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b0\insrsid14035685 Signature of Witness
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\tx204\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035685 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe5129\cgrid\langnp2057\langfenp5129 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\f1\fs16\lang1033\langfe5129\langnp1033\insrsid14035685 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f1\fs16\lang1033\langfe5129\langnp1033\insrsid14035685 Witness to complete in BLOCK letters (unless legibly printed):
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs16\lang1033\langfe5129\langnp1033\insrsid14035685 
\par Witness name
\par 
\par Occupation
\par 
\par Address
\par 
\par 
\par 
\par 
\par 
\par \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\lang1033\langfe5129\langnp1033\insrsid14035685 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trrh2942\trleft14\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid14035685\tblind122\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2905\clshdrawnil \cellx2919
\clvmgf\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5728\clshdrawnil \cellx8647\row \ltrrow}\trowd \irow1\irowband1\lastrow \ltrrow
\ts11\trgaph108\trrh377\trleft14\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid14035685\tblind122\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2905\clshdrawnil \cellx2919
\clvmrg\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5728\clshdrawnil \cellx8647\pard\plain \ltrpar\s2\ql \li0\ri0\keepn\nowidctlpar\intbl
\tx204\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\pararsid14035685 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\lang1033\langfe1033\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14035685 
\par Signature [Common seal] 
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\tx204\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14035685 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe5129\cgrid\langnp2057\langfenp5129 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\f1\fs16\lang1033\langfe5129\langnp1033\insrsid14035685 of Person giving consent
\par \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\lang1033\langfe5129\langnp1033\insrsid14035685 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\f1\lang1033\langfe5129\langnp1033\insrsid14035685 \trowd \irow1\irowband1\lastrow \ltrrow\ts11\trgaph108\trrh377\trleft14\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid14035685\tblind122\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2905\clshdrawnil \cellx2919\clvmrg\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5728\clshdrawnil \cellx8647\row }\pard \ltrpar
\ql \li0\ri0\widctlpar\tx204\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14035685 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs16\lang1033\langfe5129\langnp1033\insrsid14035685 
\par }\pard\plain \ltrpar\s17\ql \li0\ri0\nowidctlpar\tx204\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14035685 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe1033\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \f1\fs16\lang1033\langfe1033\langnp1033\insrsid14035685 \'b9
 An Annexure Schedule in this form may be attached to the relevant instrument, where consent is required to enable registration under the Land Transfer Act 1952, or other enactments, under which no form is prescribed.  
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14035685 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs24\lang2057\langfe5129\cgrid\langnp2057\langfenp5129 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid14035685\charrsid13308569 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f36\fs20\insrsid1582632\charrsid1582632 
\par }}