The Affidavit For Domicile Certificate is a crucial document in Indonesian administrative law, required for various official purposes such as opening bank accounts, school enrollment, employment registration, or obtaining certain permits and licenses. This sworn statement document is governed by Indonesian population administration laws, including Law No. 23 of 2006 and subsequent amendments, along with related ministerial regulations. The affidavit must include specific details about the deponent's residence, including complete address with RT/RW numbers, duration of stay, and must be properly witnessed and authenticated by authorized officials. The document serves as official proof of residence and is often requested by various institutions as part of their verification process. Its format and content must comply with local administrative requirements and may need to be updated periodically to maintain validity.
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1. Title and Declaration: Formal title 'AFFIDAVIT OF DOMICILE' and opening declaration statement identifying it as a sworn statement
2. Deponent Details: Complete identification of the person making the affidavit, including full name, ID number (NIK), date of birth, and nationality
3. Residential Address Statement: Clear statement of current residential address with specific details including RT/RW numbers, kelurahan, kecamatan, and city
4. Period of Residence: Declaration of how long the deponent has resided at the stated address
5. Purpose Statement: Statement indicating the purpose for which the domicile certificate is being obtained
6. Truth Declaration: Formal declaration that all statements made in the affidavit are true and correct
7. Execution Block: Place, date, and signature section for the deponent
8. Witness Section: Space for witness details and signatures
9. Notary/Official Attestation: Section for notary or authorized official to authenticate the document
1. Previous Address History: Section listing previous addresses, used when specifically required by authorities or when proving duration of stay in Indonesia
2. Family Member Details: Details of family members residing at the same address, included when the certificate is needed for family-related purposes
3. Employment Information: Details of current employment, included when the certificate is required for employment-related purposes
4. Supporting References: Names and contacts of individuals who can verify the residence claim, used in cases requiring additional verification
1. Identity Document Copies: Authenticated copies of KTP (ID card), passport, or other relevant identification documents
2. Proof of Residence: Copies of utility bills, rental agreement, or property ownership documents
3. RT/RW Letter: Supporting letter from local neighborhood administrator (RT/RW) confirming residence
4. Photographs: Recent photographs of the deponent, if required by local regulations
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