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1. Title and Document Identification: Formal title 'Affidavit of Cancellation of Birth Certificate' and any relevant court or administrative body reference numbers
2. Declarant Information: Full legal name, current address, and occupation of the person making the affidavit
3. Birth Certificate Details: Specific details of the birth certificate in question including registration number, date of issue, and issuing authority
4. Basis for Cancellation: Clear statement of the legal grounds and reasons for requesting the cancellation of the birth certificate
5. Facts and Circumstances: Chronological or logical presentation of relevant facts supporting the request for cancellation
6. Supporting Documentation: List and description of all supporting documents attached to verify the claims made
7. Prayer/Request: Formal request for the cancellation action to be taken
8. Verification Statement: Standard declaration of truth and accuracy of the statements made
9. Execution Block: Space for signature, date, and witness details
1. Prior Legal Actions: Section detailing any previous attempts to cancel or modify the birth certificate, used when there is relevant history
2. Impact Statement: Description of how the current birth certificate affects the declarant, used when personal hardship or practical difficulties need to be emphasized
3. Third Party Interests: Section addressing any third parties who may have interests in or be affected by the cancellation, used when relevant
4. Alternative Documentation: Section describing alternative identity documents held, used when relevant to establishing continued proof of identity
5. Urgent Circumstances: Section detailing any time-sensitive circumstances requiring expedited processing, used when applicable
1. Appendix A - Identity Documents: Certified copies of current valid identification documents of the declarant
2. Appendix B - Birth Certificate: Copy of the birth certificate to be cancelled
3. Appendix C - Supporting Evidence: Additional documentation supporting the grounds for cancellation
4. Appendix D - Prior Correspondence: Copies of any relevant correspondence with government agencies regarding the birth certificate
5. Schedule 1 - Witness Statements: Any supporting witness statements or affidavits if required
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