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Appendix 2

Appendix 2

Statutory Declaration

A statutory declaration allows a person to make a legal declaration under oath and in the presence of a lawyer. They are commonly used when an individual needs to satisfy a legal requirement by affirming the truth of something.


Statutory Declaration


do solemnly declare as follows

1 I am a full- time student at Queen Mary, University of London I commenced my course in September 20XX. I am making this declaration in support of my application to be assessed as an independent student due to the fact that I am irreconcilably estranged from my parents and have been so for a considerable amount of time.

2. These are the circumstances of my estrangement (Explain when you became estranged and the details of how you became estranged)

3. I do not have any documentation from a professional about these events as this was a private matter which we kept within the family.

4. I have not seen or spoken to my father since [date] and I have not seen or spoken to my mother since [date].

5. Summarise why you think the estrangement is irreconcilable (for example, “Because the estrangement from my parents is a permanent long-term situation, I believe this is irreconcilable”)

I make this solemn declaration conscientiously believing the same to be true and by virtue of the Statutory Declarations Act 1835.

Declared by the above   )

Named                         )

Name of STUDENT       )

AT                               )




This        day of            )

                    2021        )

                                          Before Me

                                                                                 Solicitor/Commissioner for Oaths

Law, regulations and policies can change quickly. The information on our website is given in good faith and has been carefully checked but QMUL cannot accept responsibility for any errors or omissions. QMUL is not responsible for the content or reliability of the linked websites which are provided for further information.

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