Printed form of declaration that the member has no infirmity likely to shorten the natural duration of life. Dated 24 ? 1864. Declaration is for Emel Clansen, of Golden Gully. Also a declaration by the Court Surgeon, dated 29 March 1864 who examined him.societies, aof, correspondence, ancient order of foresters no. 3770 collection - correspondence, court king of the forest, emel clansen