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1. Title and Introduction: Formal title of the affidavit and introduction of the deponent making the sworn statement
2. Deponent Details: Full legal name, address, and relationship to the person whose birth is being registered
3. Subject Details: Full details of the person whose birth is being registered, including date and place of birth
4. Parental Information: Details of both parents, including full names, addresses at time of birth, and occupations
5. Birth Circumstances: Detailed account of the circumstances of birth, including location, attending persons, and any medical professionals present
6. Reason for Delay: Explanation of why the birth was not registered at the time of birth
7. Supporting Evidence: List and description of all documentary evidence being provided to support the application
8. Truth Declaration: Formal declaration that all stated information is true to the best of the deponent's knowledge
9. Signature Block: Space for signature, witness details, and commissioner for oaths certification
1. Medical Testimony: Section for including statements from medical professionals who were present at the birth, if available
2. Witness Statements: Additional sworn statements from witnesses who can verify the birth circumstances
3. Cultural/Religious Considerations: Explanation of any cultural or religious practices that may have influenced the delay in registration
4. Historical Context: Relevant historical circumstances that may have affected the original registration (war, migration, etc.)
5. Translation Certification: Required when any supporting documents are not in English or Irish
1. Schedule A - Identity Documents: Copies of identification documents for the deponent and subject
2. Schedule B - Medical Records: Any available medical records relating to the birth or early childhood
3. Schedule C - Baptismal Certificate: Religious records that may help establish the date of birth
4. Schedule D - School Records: Early education records showing age and identity
5. Schedule E - Census Records: Historical census data that may support the birth details
6. Appendix 1 - Witness Affidavits: Supporting affidavits from other individuals with knowledge of the birth
7. Appendix 2 - Documentary Evidence: Photographs, letters, or other contemporary documents supporting the stated birth date
Deponent
Subject
Birth
Delayed Registration
Commissioner for Oaths
Civil Registration Service
Supporting Documentation
Qualified Informant
Birth Certificate
Statutory Declaration
Place of Birth
Registrar
tÁrd-Chláraitheoir (Registrar General)
Original Record
True Copy
Vital Statistics
Legal Guardian
Natural Parent
Medical Practitioner
Documentary Evidence
Registration District
Sworn Statement
Identity Verification
Attestation
Factual Statement
Supporting Evidence
Witness Statement
Truth Declaration
Authentication
Personal Information
Documentary Reference
Jurisdictional Statement
Verification of Birth Details
Explanation of Delay
Parental Information
Medical Verification
Statutory Declaration
Signature and Witnessing
Document Authentication
Legal Capacity
Penalty Statement
Legal Services
Public Administration
Healthcare
Government Services
Immigration Services
Social Services
Education
Records Management
Legal
Administrative Services
Compliance
Public Records
Government Services
Documentation
Identity Verification
Civil Registration
Civil Registration Officer
Legal Administrator
Immigration Officer
Social Services Officer
Records Manager
Legal Secretary
Compliance Officer
Public Services Administrator
Healthcare Administrator
Identity Verification Specialist
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