The Form 1 Self Declaration is a standardized document format recognized under Indonesian law for making formal declarations. This document type is utilized when an individual needs to make an official statement about their personal circumstances, qualifications, or other matters requiring formal declaration. The form must comply with Law No. 30 of 2014 on Government Administration and related regulations. Form 1 Self Declaration documents are commonly required for various administrative procedures, including government applications, business registrations, or corporate compliance matters. They typically include personal identification details, the substance of the declaration, and formal attestation elements. The document carries legal weight, and false declarations can result in penalties under Indonesian law. This format is designed to provide a standardized approach to making formal declarations while ensuring compliance with Indonesian legal requirements.
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1. Declaration Header: Official title of the form, reference number, and government department details if applicable
2. Declarant Information: Full legal name, national ID number (NIK), date of birth, address, and contact details of the person making the declaration
3. Declaration Statement: Clear statement that this is a self-declaration made under Indonesian law
4. Subject Matter: The main content or purpose of the declaration, stated clearly and specifically
5. Truth Statement: Standard statement confirming that all information provided is true and accurate
6. Legal Consequences: Acknowledgment of understanding the legal consequences of making false declarations
7. Execution: Date, place, signature, and thumb print of the declarant
8. Witness Section: Space for witness details and signatures if required by specific regulations
1. Supporting Facts: Additional facts or circumstances supporting the main declaration, used when complex situations need more detailed explanation
2. Previous Declarations: Reference to any related previous declarations, used when this declaration updates or relates to earlier ones
3. Third Party References: References to other individuals or entities mentioned in the declaration, used when the declaration involves or affects other parties
4. Official Use Section: Section for government officials to complete, used when the declaration requires official verification or processing
1. Identity Documents: Copies of KTP (ID card), Family Card, or other relevant identity documents
2. Supporting Documents: Any additional documents referenced in the declaration that support the statements made
3. Translation Certificate: If the declaration is bilingual, a certificate from a sworn translator confirming the accuracy of the translation
4. Power of Attorney: If the declaration is being made on behalf of another person, the power of attorney document authorizing this
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