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1. Title and Declaration Statement: Formal heading identifying the document as an Affidavit of Birth and including a declaration statement regarding the truth of the contents
2. Declarant Information: Full legal name, address, and identification details of the person making the affidavit, including their relationship to the subject
3. Subject Information: Details of the person whose birth is being attested to, including full name, date of birth, time of birth, and place of birth
4. Parents Information: Full legal names, nationalities, and addresses of both parents at the time of birth
5. Birth Circumstances: Detailed account of the birth including location (hospital, home, etc.), attending medical professionals, and any relevant circumstances
6. Supporting Facts: Additional facts that verify the birth, such as hospital records, witness presence, or other contemporary documentation
7. Verification Statement: Formal statement confirming that all information provided is true and correct to the best of the declarant's knowledge
8. Signature Block: Space for declarant's signature, date, and notary authentication
1. Medical Attestation: Section for medical professional's confirmation of birth details, used when the affidavit is being made by medical staff present at the birth
2. Witness Statements: Additional declarations from witnesses present at the birth, used when institutional records are incomplete or unavailable
3. Delayed Registration Explanation: Required when the birth registration is being made significantly after the birth event, explaining the reason for delay
4. Translation Certificate: Required when any supporting documents are in languages other than the official languages of Belgium
5. Religious or Cultural Details: Optional section for recording any religious or cultural ceremonies or naming conventions associated with the birth
1. Identity Documents: Copies of declarant's identification documents and any available identification for the subject
2. Medical Records: Copies of hospital records, birth notifications, or other medical documentation of the birth
3. Witness Identification: Copies of identification documents for any witnesses providing statements
4. Supporting Evidence: Any additional documentation supporting the birth facts (baptismal certificates, family records, etc.)
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