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1. Declaration Title and Reference Number: Clear identification of the document as an Address Declaration Form with a unique reference number
2. Declarant Information: Basic details of the person making the declaration including full name, IC/passport number, and contact details
3. Current Address Declaration: Detailed current residential address being declared, including postal code and state
4. Period of Residence: Duration of stay at the declared address, including start date
5. Proof of Address: List of acceptable documents being submitted as proof of residence
6. Declaration Statement: Formal statement confirming the truth of the declared information
7. Signature and Date: Space for declarant's signature and date of declaration
1. Previous Address Details: Section for listing previous residential addresses, used when there's a requirement to track address history
2. Corporate Declaration: Additional section for corporate entities declaring their registered/business address, including company registration numbers
3. Witness Details: Section for witness information when the declaration needs to be witnessed
4. Translation Declaration: Required when the form is completed in multiple languages or needs certified translation
5. Emergency Contact Information: Optional section for providing emergency contact details at the declared address
1. Schedule A - Document Checklist: List of required supporting documents for address verification
2. Schedule B - Acceptable Proof of Address: Comprehensive list of documents accepted as proof of residence
3. Appendix 1 - Guide for Completion: Instructions and guidelines for properly completing the form
4. Appendix 2 - Privacy Notice: Information about how the declared personal data will be used and protected
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