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1. Title and Declaration: Formal opening stating this is an affidavit, including the date and location of execution
2. Deponent Details: Full legal name, date of birth, current address, and identification details of the person making the affidavit
3. Father's Details: Full legal name, date of birth, and current address of the father whose surname is to be used
4. Current Name Statement: Declaration of current legal name and explanation of desire to use father's surname
5. Relationship Verification: Statement confirming the biological or legal relationship with the father
6. Consent Declarations: Statements regarding obtained consents, including father's explicit consent to use his surname
7. Legal Basis: Reference to relevant Dutch laws and regulations permitting the use of father's surname
8. Verification and Oath: Formal declaration that all stated information is true and correct
9. Signature Block: Space for signatures of deponent, witnesses, and notary public
1. Guardian Consent: Required if the deponent is a minor, including guardian's details and consent declaration
2. Previous Name Changes: Required if the deponent has previously undergone any name changes, listing all previous names and dates of changes
3. Mother's Consent: May be required in specific cases, particularly for minors or when required by local regulations
4. Translation Declaration: Required if any supporting documents are in languages other than Dutch or English
5. Special Circumstances: Required for explaining any unusual circumstances or special reasons for the name change
1. Appendix A - Identity Documents: Certified copies of identification documents of the deponent and father
2. Appendix B - Birth Certificate: Certified copy of deponent's birth certificate showing parentage
3. Appendix C - Proof of Relationship: Documentation proving the relationship between deponent and father (if different from birth certificate)
4. Appendix D - Consent Forms: Signed consent forms from relevant parties (father, guardian, etc.)
5. Appendix E - Supporting Documents: Any additional documentation supporting the application (e.g., marriage certificates, divorce decrees if relevant)
Deponent
Father
Surname
Birth Name
Legal Guardian
Civil Registry
BRP (Basisregistratie Personen)
Competent Authority
Identity Document
Notary Public
Official Translation
Supporting Documentation
Witness
Legal Representative
Consent
Municipal Authority
Registration Officer
Certificate of Birth
Declaration of Paternity
Relationship Verification
Consent Declaration
Legal Authority
Name Usage Declaration
Supporting Evidence
Verification of Facts
Oath and Affirmation
Witness Attestation
Notarial Certification
Documentation Requirements
Privacy Statement
Civil Registry Compliance
Administrative Procedures
Signature Requirements
Legal Services
Public Administration
Government Services
Immigration Services
Civil Registry Services
Notarial Services
Professional Services
Education
Healthcare
Legal
Administrative Services
Public Records
Document Processing
Compliance
Identity Management
Government Relations
Civil Registry
Client Services
Legal Counsel
Notary Public
Civil Registry Officer
Immigration Officer
Legal Administrator
Identity Management Specialist
Public Services Administrator
Legal Documentation Specialist
Compliance Officer
Administrative Law Specialist
Family Law Attorney
Municipal Clerk
Government Services Officer
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