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The Age Declaration Certificate serves as a crucial legal instrument in Indonesia's civil documentation system when standard birth documentation is unavailable or requires supplementary verification. This document becomes necessary in various situations, such as school enrollment, employment applications, marriage proceedings, or other administrative processes requiring age verification. The certificate must comply with Indonesian law, particularly Law No. 23 of 2006 on Population Administration and related regulations. It typically includes the declarant's personal information, declared date of birth, supporting evidence, and may require witness testimonies or parental confirmation. The document's validity often depends on verification by local authorities or notarization, and it carries legal consequences for false declarations.

1. Header Information: Official letterhead, document title 'Age Declaration Certificate', and reference number

2. Declaration Date and Place: The date and location where the declaration is being made

3. Declarant Details: Full name, current address, and identity card (KTP) number of the person making the declaration about their age

4. Age Declaration: Clear statement of the declared date of birth and age, including both numeric and written forms to avoid any ambiguity

5. Reason for Declaration: Brief explanation of why an age declaration is being made (e.g., absence of birth certificate, administrative requirement)

6. Supporting Evidence: List of any supporting documents or testimony being used to verify the age claim

7. Legal Basis: Reference to relevant Indonesian laws and regulations that permit and govern age declarations

8. Verification Statement: Statement confirming the truth of the declaration and acknowledgment of legal consequences for false declarations

9. Signature Block: Space for declarant's signature, name, and date of signing