Statutory declaration by a supporting witness Form

in relation to a Partner or Prospective Marriage 888

visa application
Department of Home Affairs

About this form Warning: Under the Statutory Declarations Act 1959, people
who intentionally make a false statement in a statutory
This form must be completed by a person who:
declaration are liable for punishment of 4 years
• knows the visa applicant and their partner or fiancé(e) and the imprisonment. In addition, the Migration Act 1958
history of their relationship; (the Act) provides penalties for providing false or
• is at least 18 years of age; and misleading statements of 12 months imprisonment or
• is an Australian citizen or Australian permanent resident. a fine of AUD12,000.
Note: If the visa applicant is outside Australia and is unable to If you are not an Australian citizen or permanent resident and
have an Australian citizen or Australian permanent resident you reside outside Australia, your statement cannot be
complete this form, any person who knows the applicant and considered a statutory declaration under Australian law, even if it
their partner or fiancé(e) may also complete this form. is made using this form or the template provided by the
Attorney-General’s Department. However, under policy, your
The person completing this form must provide evidence of their
statement should be witnessed or certified according to the legal
current name, age and, where applicable, Australian citizenship
practices of the country in which you make the statement. Failing
or Australian permanent residency (for example, a certified copy
that, it should be witnessed by a person whose occupation or
of the birth certificate, Australian passport or passport containing
qualification is comparable to those listed above. This person
a permanent visa). All copies must be certified.
should sign, date and specify their occupation at the bottom of
Note: You may be asked to submit up to 3 separate declarations the statement.
during the processing of the visa application.
You should confirm the requirements with the nearest Australian
You may also be contacted for further comment and/or interview
mission overseas when you lodge your application. Contact
in relation to the information you provide.
details for Australian missions are available on the Department’s
website www.homeaffairs.gov.au
Purpose of this form
When assessing a Partner or Prospective Marriage visa Important information about privacy
application, the Department of Home Affairs (the Department)
Your personal information is protected by law, including the
must consider the social aspects of the claimed relationship. The
Privacy Act 1988. Important information about the collection,
Department will use the information provided in this form (your
use and disclosure (to other agencies and third parties, including
statements), among other things, to assess these aspects.
overseas entities) of your personal information, including
The Department’s policy is that these statements be provided in sensitive information, is contained in form 1442i Privacy notice.
the form of statutory declarations. You may use this form, or Form 1442i is available from the Department’s website
alternatively, you may use the statutory declaration template, www.homeaffairs.gov.au/about/corporate/information/forms
which is available on the Attorney-General’s Department website or offices of the Department. You should ensure that you read
at www.ag.gov.au/pages/default.aspx and understand form 1442i before completing this form.
In Australia, statutory declarations must be witnessed by a person
prescribed by the Statutory Declarations Act 1959 and Statutory
Declarations Regulations 1993. Any attachments to the Home page www.homeaffairs.gov.au
Declaration must be certified by a prescribed person. Prescribed
persons include those who are a: General Telephone 131 881 during business hours
• Justice of the Peace; enquiry line in Australia to speak to an operator (recorded
• medical practitioner; information available outside these hours).
• legal practitioner; If you are outside Australia, please contact
• civil marriage celebrant or registered minister of religion; your nearest Australian mission.
• dentist;
• nurse;
• optometrist;
• pharmacist;
• physiotherapist;
• full-time teacher;
• bank manager or bank officer with 5 or more continuous years
of service;
• postal manager or permanent employee of the Australian
Postal Commission with 5 or more continuous years of service;
• police officer; or
• public servant with 5 or more continuous years of service.
A full list of prescribed persons can be found on the
Attorney-General’s Department website.

Please keep this information page for your reference

© COMMONWEALTH OF AUSTRALIA, 2018 888 (Design date 10/18) - Page 1
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 Statutory declaration by a supporting witness Form

in relation to a Partner or Prospective Marriage 888

visa application
Department of Home Affairs

Please open this form using Adobe Acrobat Reader.
Either type (in English) in the fields provided or print this form
and complete it (in English) using a pen and BLOCK LETTERS.
Tick where applicable 3
3 State how you know the applicant and the applicant’s partner or
fiancé(e), and indicate how often you have been in contact with them
I am a close friend of the applicant ( Dalal Badawi) and the
applicant's partner, Louay Sayed Ahmad.

Details of person making the statutory declaration I have known Dalal and Louay for the last 3 years and half
after they were introduced to me by a mutual friend in
I, Family name El Chami 2018.

Given names Nihal Since then, I started to regularly see them, especially
of Your residential address
Dalal. I also maintain contact with Dalal on Whatsapp.

37 Clack Road, Chester Hill

Sydney, NSW.
Postcode 2162
Occupation or qualification
Early Intervention Specialist
Telephone numbers
Office hours (Area code +61 ) 416210085

After hours (Area code +61 ) 416210085

If insufficient space, please attach additional details
make the following declaration under the Statutory Declarations Act 1959:

4 State whether you believe the relationship of the applicant and his/her
1 Visa applicant’s name
partner or fiancé(e) to be genuine and continuing, and give your reasons
Family name Dalal for your belief

Given names El Badawi I believe that Dalal and Louay have a strong and lasting
relationship. Dalal has grown emotionally since meeting
How long have you known this person? 3 years and a half Louay and he has been a very stabilising influence in her
life.

2 Name of applicant’s partner or fiancé(e) I have witnessed them during my visits to their house that
Family name Louay
they are a loving couple. Not only do they support each
other emotionally, they manage their day to day life as a
Given names Alsayed Ahmad couple very well. They share the household chores and
manage their financials together.
How long have you known this person? 3 years and a half
Dalal gave birth to a beautiful girl in 2019 and both Dalal
and Louay are sharing the responsibility to take care of
their beautiful daughter, Larreine.

I see their relationship continuing to grow and them

building a long future together here in Australia.

Office use only

File number If insufficient space, please attach additional details

© COMMONWEALTH OF AUSTRALIA, 2018 888 (Design date 10/18) - Page 3

5 State any other matters you wish to add in support of the visa application
Dalal fits into Louay's everyday life very well. I noticed
that Dalal is happier when Louay is around.
Our circle of friend really like this beuatiful couple, Dalal
and Louay, and believe that their relationship is genuine.
7 WARNING: Giving false or misleading information is a serious offence.
6 Have you attached evidence of your Australian citizenship or Australian
permanent residency status?
Note: All copies must be certified.
No
Yes ✔
I understand that a person who intentionally makes a false statement in
a statutory declaration is guilty of an offence under section 11 of the
Statutory Declarations Act 1959, and I believe that the statements in this
declaration are true in every particular.

Your
signature
-
Declared at
Day Month Year

On
Before me,

Signature of
qualified
person -
Day Month Year

Date

Details of person before whom the declaration is made in printed letters

Family name

Given names

Preferred title: Mr Mrs Miss Ms Other

Contact address

Postcode

Occupation or qualification

Telephone number
Office hours (Area code )

We strongly advise that you keep a copy of this statutory

declaration and all attachments for your records.

If insufficient space, please attach additional details

888 (Design date 10/18) - Page 4 © COMMONWEALTH OF AUSTRALIA, 2018