The Police Declaration Form is a fundamental document within the Malaysian legal system, designed to facilitate formal communications between individuals or organizations and law enforcement authorities. It is typically used when individuals need to report incidents such as loss of documents, theft, accidents, or other situations requiring official police documentation. The form serves multiple purposes, including supporting insurance claims, legal proceedings, or administrative requirements. The document must comply with Malaysian legislation, including the Police Act 1967, Criminal Procedure Code, and Evidence Act 1950. The Police Declaration Form requires careful attention to detail as it creates an official record that may have legal implications, and false declarations can result in criminal penalties under Malaysian law.
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1. Declaration Header: Official letterhead, form number, and police station details
2. Declarant's Personal Information: Full name, IC/Passport number, address, contact details, and other identifying information of the person making the declaration
3. Time and Location Details: Date and time of making the declaration, location of the police station
4. Incident Details: Comprehensive description of the incident including date, time, location, and sequence of events
5. Verification Statement: Standard text confirming that the declaration is true and made voluntarily
6. Acknowledgment of Legal Implications: Statement warning about consequences of false declarations under Malaysian law
7. Signatures: Space for declarant's signature, witness signature, and receiving officer's details
1. Translator Declaration: Required when the declarant needs a translator, including translator's details and confirmation of accurate translation
2. Property List: Detailed list of items when declaration involves lost/stolen property or recovered items
3. Witness Information: Details of witnesses to the incident being reported, if any
4. Vehicle Information: Specific section for vehicle-related incidents including registration numbers, makes, and models
5. Medical Information: Required for incidents involving injuries or medical emergencies
1. Attachment A - Supporting Documents: List and copies of supporting documents provided (ID cards, photos, receipts, etc.)
2. Attachment B - Sketch/Map: Diagrams or maps related to the incident location or scene
3. Attachment C - Photographs: Referenced photographs of damage, injuries, or relevant scenes
4. Attachment D - Additional Statements: Any supplementary statements or clarifications to the main declaration
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