Document ID: chunk:federal_register_of_legislation:F2024C00687:schedule:1:p4
Version: federal_register_of_legislation:F2024C00687
Segment Type: schedule
Provision Reference: sch 1 (pt 4/9)
Character Range: 160138–163177

for the purposes of *a parentage testing procedure/*parentage testing procedures; and
     (b) the carrying out of *that procedure/*those procedures on the *sample/*samples.

*SWORN/*AFFIRMED by the
deponent at

on 20

 (Signature of deponent)

BEFORE ME: (insert name of person
before whom the affidavit is sworn
or affirmed)
 (Signature of person
 before whom affidavit is
 sworn or affirmed)
Attach a recent photograph of the donor named in the affidavit, measuring approximately 45 millimetres by 35 millimetres, that shows a full face view of the donor's head and the donor's shoulders against a plain background. The photograph must be marked 'A', and must bear a statement, signed by both the person before whom the affidavit is sworn or affirmed and the deponent, identifying it as the photograph mentioned in the affidavit.
*Omit if not applicable.

Form 4—Parentage testing procedure Collection of bodily samples
(regulation 21J)
PARENTAGE TESTING PROCEDURE
COLLECTION OF BODILY SAMPLES
NAME OF CHILD WHOSE
PARENTAGE IS IN ISSUE: (insert child's name)
    1. I, (insert name of sampler), of (insert professional address), (insert occupation), took the *bodily sample/*bodily samples specified below at (insert time) *am/*pm on (insert date) at (insert place of collection) from the following *person/*persons:
 (a) (insert name of person, type of bodily sample and person's photograph);
 *(b) (insert name of person, type of bodily sample and person's photograph);
 *(c) (insert name of person, type of bodily sample and person's photograph);
 *(d) (insert name of person, type of bodily sample and person's photograph).

    2. When I took the *bodily sample/*bodily samples specified above, I strictly observed the procedures provided under Part IIA of the Family Law Regulations.

    3. I placed the *bodily sample/*each of the bodily samples specified above in a container that was immediately sealed and then labelled in accordance with regulation 21I of the Family Law Regulations.

DATED:
(Signature of sampler)
*Omit if not applicable.

Form 5—Parentage testing procedure report
(regulation 21M)
PARENTAGE TESTING PROCEDURE REPORT
NAME OF CHILD WHOSE
PARENTAGE IS IN ISSUE: (insert child's name)
PART I

    1. I, (insert name of nominated reporter), of (insert street address of laboratory where testing was performed), (insert occupation), am a person nominated by the laboratory specified below to prepare a report for the purposes of paragraph 69ZB(b) of the Family Law Act 1975.
    2. I report that *a parentage testing procedure/*parentage testing procedures being:
 *(a) red cell antigen blood grouping;
 *(b) red cell enzyme blood grouping;
 *(c) testing for serum markers;
 *(d) HLA tissue typing;
 *(e) DNA typing;
     *has/*have been carried out on the bodily *sample/*samples contained in the sealed *container/*containers bearing the *name/*names of the following *donor/*donors:
 (a) (insert donor's name, date of birth and relationship to child whose parentage is in issue);
 *(b) (insert donor's name,