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1. Header: Official title of the document 'SURAT PERNYATAAN DI BAWAH SUMPAH' and reference number if applicable
2. Declarant Details: Full identification of the person making the declaration including full name, ID number (NIK), place/date of birth, nationality, occupation, and current address
3. Declaration Opening: Formal opening statement confirming that the declaration is made under oath and with full legal awareness
4. Statement of Truth: Clear statement that the declarant is making the declaration truthfully and without coercion
5. Core Declaration: The main substance of the sworn statement, clearly numbered if multiple points
6. Legal Consequences: Acknowledgment of understanding the legal consequences of making false statements under oath
7. Closing Statement: Formal closing confirming the declaration is made in good faith and for legitimate purposes
8. Place and Date: Location and date where the declaration is made
9. Authentication Section: Space for signatures, stamps, and notary authentication
1. Witness Details: Required when witnesses are present for the declaration, including their full names and identification details
2. Supporting Documents Reference: Used when the declaration refers to specific supporting documents or evidence
3. Translation Declaration: Required when the document needs to be in multiple languages, stating which version is legally binding
4. Power of Attorney Reference: Required when the declaration is made by a legal representative on behalf of another person
1. Identity Documents: Copies of relevant identification documents of the declarant
2. Supporting Evidence: Any documents referenced in the declaration that support the statements made
3. Power of Attorney: If applicable, the document authorizing a representative to make the declaration
4. Official Translations: If required, certified translations of the declaration in other languages
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