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1. Title and Jurisdiction: Specifies 'Statement Affidavit' and the jurisdiction where it is being executed
2. Affiant Information: Full name, age, civil status, citizenship, and complete address of the person making the sworn statement
3. Oath Clause: Standard clause stating that the affiant is making statements under oath
4. Body of Statements: The main factual declarations, typically numbered paragraphs containing the actual statements being sworn to
5. Verification and Certification of Non-Forum Shopping: Statement verifying the truthfulness of the contents and certifying no similar matter is pending elsewhere
6. Jurat: Formal declaration showing when and where the document was sworn to before a notary public
1. Purpose Declaration: Statement explaining the specific purpose for which the affidavit is being executed, used when the affidavit is for a specific administrative or legal requirement
2. Witnesses Section: Names and signatures of witnesses, included when additional testimonial support is required
3. Supporting Laws Citation: References to specific laws or regulations, included when the affidavit is being made pursuant to specific legal requirements
4. Disclaimer: Additional statements limiting the scope or use of the affidavit, included when necessary to prevent misuse
5. Language Certification: Statement that the contents were explained in a language understood by the affiant, used when the affiant is not fluent in the document's language
1. Annex A - Identity Documents: Copies of valid government IDs or other identity documents of the affiant
2. Annex B - Supporting Documents: Any relevant documents that support or verify the statements made in the affidavit
3. Annex C - Additional Certifications: Any additional certificates or official documents required to support the purpose of the affidavit
4. Annex D - Photographs: When relevant, photographs or visual evidence supporting the statements made in the affidavit
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