Printed declaration from John Silverlock of Long Gully Sandhurst, Laborer, declaring that he is under the age of 30 years and that his wife does not exceed 40 years and that they do not have any infirmity likely to shorten the natural duration of life. Also signed by H. L. Atkinson that he has examined the Candidate and to the best of his belief, he is quite free of any infirmity which would tend to shorten the natural duration of life. Dated 3 July 1864. Printed by Bro Graham Berry, at The 'Observer' Office, Collingwood. Attached is a white piece of paper - John Silverlock age 29 Born in Chichester England now living in Long Gully Sandhurst. Occupation General servant married. Wifes ? Age 39 / 3 Children. Signed by J. Davidson and R ONeil.societies, aof, correspondence, ancient order of foresters no. 3770 collection - correspondence, court king of the forest, john silverlock, h l atkinson, j davidson, r oneil, graham berry