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1. Title and Date: Clear identification of the document as a Parental Consent Form for Passport Application with the date of execution
2. Parent/Legal Guardian Information: Full details of the consenting parent(s) including full name, ID number (KTP), address, and contact information
3. Child Information: Complete details of the child including full name, place and date of birth, gender, and current address
4. Consent Declaration: Clear statement of consent for the passport application and issuance for the minor
5. Purpose and Duration: Statement regarding the purpose of the passport and intended duration of validity
6. Legal Authority Declaration: Declaration of legal authority to provide consent as parent/legal guardian
7. Signature Block: Space for parent(s)/guardian(s) signatures, dates, and witness signatures
1. Travel Authorization: Additional consent for the child to travel internationally, used when the consent form will also serve as a travel authorization
2. Custody Declaration: Required when only one parent is signing, explaining why single parent consent is sufficient (e.g., sole custody, death of other parent)
3. Emergency Contact Information: Additional contact details for emergencies, recommended when the form will be used for travel purposes
4. Specific Journey Details: Details of specific planned international travel, if the consent is being given for a particular trip
5. Other Parent Acknowledgment: Section for the non-consenting parent to acknowledge awareness, used in cases where both parents are available but only one is applying
1. Required Documents Checklist: List of all supporting documents that must be attached to the consent form
2. Proof of Identity: Copies of parent(s) ID cards (KTP) and child's birth certificate
3. Supporting Documentation: Any additional documents such as custody orders, death certificates, or court orders if relevant to the application
4. Notary Authentication Page: Page for notary certification and stamps as required by Indonesian law
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