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1. Declaration Header: Formal opening stating this is an affidavit, including the date and place of execution
2. Declarant Details: Full name, current address, date of birth, and identification details of the person making the affidavit
3. Subject of Registration: Details of the person whose birth is being registered (if different from declarant)
4. Birth Details: Complete information about the birth including date, time, place, and circumstances
5. Parental Information: Full details of both parents including their names, nationalities, and addresses at time of birth
6. Reason for Delay: Detailed explanation of why the birth was not registered within the standard timeframe
7. Supporting Evidence: List and description of all documentary evidence being provided to support the delayed registration
8. Verification of Facts: Statement confirming all information provided is true and accurate
9. Oath/Affirmation: Formal sworn statement and signature section
1. Witness Statements: Statements from witnesses who can confirm the birth circumstances, used when documentary evidence is limited
2. Medical Information: Details of any medical professionals or facilities involved in the birth, if applicable
3. Previous Registration Attempts: Information about any previous attempts to register the birth, if any
4. Interpreter Declaration: Required when the declarant needs an interpreter to make the affidavit
5. Legal Representative Statement: Required when the affidavit is being made by a legal representative on behalf of another person
1. Schedule A - Identity Documents: Copies of identification documents of the declarant and subject of registration
2. Schedule B - Supporting Documents: Copies of all supporting documents such as hospital records, baptismal certificates, or school records
3. Schedule C - Witness Affidavits: Sworn statements from witnesses, if applicable
4. Schedule D - Translation Certificates: Certified translations of any documents not in Dutch or English
5. Appendix 1 - Document Checklist: Checklist of all required and submitted documents
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