The Affidavit For Change In Appearance And Signature is a crucial legal instrument in Indonesian civil administration that becomes necessary when an individual's physical appearance or signature has significantly changed from what appears in their official documents. This document is commonly required following medical procedures, aging-related changes, accidents, or deliberate modifications to appearance or signature style. It serves as a bridge between previous and current identification records, helping prevent confusion or challenges in identity verification. Under Indonesian law, this affidavit must be executed before a notary public and may require supporting documentation such as medical records, photographs, or witness statements. The document is particularly important for maintaining continuity in legal and financial transactions, especially in cases where identity verification is crucial.
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1. Title and Declaration: Formal title of the affidavit and opening declaration statement including the date and location
2. Declarant Information: Complete details of the person making the affidavit including full name, ID number (NIK), place and date of birth, nationality, occupation, and current residential address
3. Previous Appearance Description: Detailed description of the previous physical appearance including relevant identifying features
4. Current Appearance Description: Detailed description of the current physical appearance, highlighting specific changes
5. Previous Signature: Description and specimen of the previous signature
6. New Signature: Description and specimen of the new signature
7. Reason for Change: Explanation of the circumstances or reasons leading to the change in appearance and/or signature
8. Declaration of Truth: Formal statement affirming that all information provided is true and accurate
9. Legal Consequences: Statement acknowledging understanding of legal consequences for false declarations
10. Closing and Execution: Date, location, and space for signatures of declarant and notary
1. Medical Documentation Reference: Section referencing medical procedures or documentation if appearance change is due to medical procedures
2. Previous Official Documents: Section listing affected official documents that contain the old appearance/signature
3. Witness Statements: Statements from witnesses who can verify the declarant's identity and changes, particularly useful for significant appearance changes
4. Religious Authority Declaration: Required if the appearance change involves religious aspects or requirements
5. Translator Certification: Required if the affidavit needs to be in multiple languages
1. Appendix A - Identification Documents: Copies of current valid identification documents (KTP, passport, etc.)
2. Appendix B - Photographic Evidence: Recent photographs showing current appearance and previous photographs showing former appearance
3. Appendix C - Signature Specimens: Multiple specimens of both old and new signatures
4. Appendix D - Supporting Documents: Any relevant supporting documentation such as medical certificates, court orders, or other official documents explaining the change
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