The Address Declaration Form (Surat Pernyataan Alamat) is a fundamental administrative document in Indonesia's population management system. It is required when individuals need to officially declare their place of residence for various purposes, including obtaining or updating identification documents, registering for local services, or complying with immigration requirements. The form is structured to capture comprehensive residential information as mandated by Indonesian law, particularly Law No. 24 of 2013 on Population Administration. It typically requires verification from local authorities (RT/RW) and may be used across multiple sectors from banking to government services. The document plays a crucial role in maintaining accurate population records and ensuring proper administration of residential documentation in Indonesia.
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1. Personal Information: Basic identification details including full name, ID number (KTP/Passport), date of birth, and nationality
2. Current Address Details: Complete current residential address including RT/RW numbers, village/kelurahan, sub-district, city/regency, province, and postal code
3. Period of Residence: Duration of stay at the current address, including start date and expected end date if temporary
4. Property Status: Declaration of whether the resident owns, rents, or has other arrangements for the property
5. Declaration of Truth: Legal statement confirming that all provided information is true and accurate
6. Signature Block: Space for declarant's signature, date, and official stamp if required
1. Previous Address History: Details of previous addresses, used when required for specific administrative purposes or when the resident has recently moved
2. Emergency Contact: Contact information for emergency situations, included when the form is used for residential community records
3. Family Members: List of family members residing at the same address, required when the declaration is for family registration purposes
4. Supporting Documents: List of attached documents such as rental agreement or property ownership proof, included when verification is required
5. Foreign Resident Details: Additional information required for non-Indonesian residents including visa status and KITAS/KITAP numbers
1. Document Checklist: List of required supporting documents to be submitted with the form
2. Building/Property Details: Additional information about the property including building certificate numbers or property identification details
3. Verification Form: Form to be completed by local RT/RW officials confirming the residence declaration
Relevant legal definitions
Clauses
Relevant Industries
Government and Public Administration
Real Estate and Property Management
Banking and Financial Services
Education
Healthcare
Legal Services
Immigration Services
Corporate Services
Residential Property Management
Public Services
Relevant Teams
Human Resources
Legal
Compliance
Administration
Operations
Facilities Management
Property Management
Corporate Services
Resident Services
Document Control
Immigration Processing
Registration Services
Relevant Roles
HR Manager
Compliance Officer
Administrative Officer
Property Manager
Immigration Officer
Bank Officer
School Registrar
Hospital Administrator
Legal Administrator
Resident Relations Manager
Housing Officer
Corporate Secretary
Facilities Manager
Operations Manager
Office Administrator
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