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1. Title and Declaration: Formal opening stating this is an affidavit, including the date and location of execution

2. Deponent Details: Full legal name, date of birth, current address, and identification details of the person making the affidavit

3. Father's Details: Full legal name, date of birth, and current address of the father whose surname is to be used

4. Current Name Statement: Declaration of current legal name and explanation of desire to use father's surname

5. Relationship Verification: Statement confirming the biological or legal relationship with the father

6. Consent Declarations: Statements regarding obtained consents, including father's explicit consent to use his surname

7. Legal Basis: Reference to relevant Dutch laws and regulations permitting the use of father's surname

8. Verification and Oath: Formal declaration that all stated information is true and correct

9. Signature Block: Space for signatures of deponent, witnesses, and notary public

1. Appendix A - Identity Documents: Certified copies of identification documents of the deponent and father

2. Appendix B - Birth Certificate: Certified copy of deponent's birth certificate showing parentage

3. Appendix C - Proof of Relationship: Documentation proving the relationship between deponent and father (if different from birth certificate)

4. Appendix D - Consent Forms: Signed consent forms from relevant parties (father, guardian, etc.)

5. Appendix E - Supporting Documents: Any additional documentation supporting the application (e.g., marriage certificates, divorce decrees if relevant)