The Affidavit of Live Birth is a crucial document within Indonesia's civil registration system, primarily used when standard birth registration was not completed at the time of birth or when original documentation has been lost or damaged. This affidavit is governed by Indonesian law, specifically Law No. 23 of 2006 on Population Administration and its subsequent amendments. The document includes detailed information about the birth event, including date, location, parents' details, and witness testimonies. It requires notarization and must be submitted to the local civil registration office for processing. The affidavit serves as a legal basis for obtaining official birth documentation and can be used for various purposes including school enrollment, passport applications, and other official matters requiring proof of birth.
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1. Title and Declaration: States the document type as 'Affidavit of Live Birth' and includes the formal declaration statement
2. Declarant Information: Details of the person making the affidavit, including full name, ID number, relationship to the person whose birth is being certified
3. Subject's Birth Details: Complete information about the birth including full name, date of birth, time of birth, place of birth, and gender
4. Parents' Information: Full names, nationalities, and addresses of both parents at the time of birth
5. Medical Facility/Birth Attendant: Details of the hospital, clinic, or birth attendant present during the birth
6. Primary Witness Statement: Statement from a person present at the birth or with direct knowledge of the birth
7. Verification: Statement verifying all information provided is true and correct
8. Execution: Space for declarant's signature, date, and notary details
1. Additional Witnesses: Used when multiple witnesses are available to confirm the birth details
2. Delayed Registration Explanation: Required when the birth registration is being done significantly after the birth date
3. Supporting Documents List: Used when additional documents are being submitted to support the affidavit
4. Religious Details: Included when religious information is relevant for official registration purposes
5. Tribal/Ethnic Information: Required in cases where tribal or ethnic information is relevant for official records
6. Previous Registration Attempts: Included if there were any previous attempts to register the birth
1. Appendix A - Identity Documents: Copies of declarant's and parents' identity documents
2. Appendix B - Supporting Evidence: Any available documentation supporting the birth details (hospital records, baptismal certificates, etc.)
3. Appendix C - Witness Identification: Copies of witness identity documents and their credentials if applicable
4. Schedule 1 - Additional Declarations: Any supplementary sworn statements from family members or officials
5. Schedule 2 - Local Authority Confirmations: Any supporting letters or documents from local authorities or community leaders
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