The Simple Declaration Form is a fundamental legal document widely used in Indonesian administrative and business contexts. It serves as an official means for individuals or organizations to formally declare information, facts, or circumstances under Indonesian law. This document type is particularly important in a jurisdiction where formal declarations carry significant legal weight and must comply with specific regulatory requirements, including language requirements under Law No. 24 of 2009. The form is commonly used for various purposes such as confirming personal status, declaring business interests, certifying document authenticity, or making statutory declarations. It may require notarization or official authentication depending on its intended use and can be presented to government agencies, financial institutions, or other organizations as official supporting documentation.
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1. Header Information: Contains the title of the declaration, reference number, and date of the declaration
2. Declarant Details: Full legal name, identification details (ID/passport number), and address of the person making the declaration
3. Declaration Content: The main substance of the declaration, clearly stating the facts or information being declared
4. Legal Basis: Reference to relevant laws or regulations under which the declaration is being made
5. Truth Statement: Standard statement confirming that the information provided is true and accurate
6. Penalty Acknowledgment: Statement acknowledging understanding of legal consequences for false declarations
7. Signature Block: Space for declarant's signature, date, and place of signing
1. Witness Section: Required when the declaration needs to be witnessed under specific circumstances
2. Official Use Section: Added when the form needs to be processed by government officials or authorities
3. English Translation: Parallel English translation when the declaration needs to be used internationally
4. Supporting Document List: When the declaration references attached supporting documents
5. Notary Authentication: When the declaration requires notarial verification
1. Identity Documents: Copies of relevant identification documents of the declarant
2. Supporting Evidence: Any documents supporting the claims made in the declaration
3. Power of Attorney: If the declaration is being made on behalf of another person or entity
4. Official Forms: Any government-prescribed forms that need to be attached to the declaration
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