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1. Declarant Information: Formal identification of the person making the affidavit, including full legal name, occupation, and residential address
2. Basis of Knowledge: Statement confirming the declarant's personal knowledge of the matters declared in the affidavit
3. Current Employment Status: Details of employment situation, including current employment or unemployment status, employer details if applicable, and income
4. Household Composition: Information about dependents and other household members contributing to or affecting the financial situation
5. Nature of Hardship: Clear description of the specific hardship being experienced (e.g., medical issues, job loss, natural disaster impact)
6. Financial Circumstances: Current financial situation including income, expenses, assets, and liabilities
7. Attempts to Address Hardship: Description of steps already taken to address the financial difficulty
8. Relief Sought: Specific statement of what relief or accommodation is being requested
9. Declaration of Truth: Formal declaration that the contents are true and correct, including jurat and signature block
1. Medical Circumstances: Detailed section about medical conditions causing or contributing to hardship, including relevant medical documentation references
2. Natural Disaster Impact: Specific section detailing impact of natural disasters on financial situation, used when hardship is disaster-related
3. Business Impact: Section describing impact on business operations and income, used when hardship affects business owners
4. COVID-19 Impact: Section specifically addressing pandemic-related hardship, including lockdown effects and business restrictions
5. Third Party Support: Information about financial or other support received from family, friends, or support organizations
6. Future Prospects: Discussion of anticipated changes that may improve the financial situation
1. Schedule A - Income Statement: Detailed breakdown of all sources of income, including payslips, government benefits, and other income sources
2. Schedule B - Expense Statement: Comprehensive list of all regular expenses and financial obligations
3. Schedule C - Asset Schedule: List of all assets owned, including property, vehicles, and other valuable items
4. Schedule D - Liability Schedule: Details of all debts and financial obligations
5. Schedule E - Supporting Documents: Index of all supporting documents referenced in the affidavit, such as medical certificates, termination notices, or natural disaster impact evidence
6. Schedule F - Previous Payment History: Record of payment history and previous attempts to meet financial obligations
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Financial Hardship Officer
Credit Assessment Manager
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