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1. Title and Introduction: Formal title of the affidavit and introductory statement identifying the document type and jurisdiction (Belgium)
2. Declarant Information: Full legal name, date of birth, national registration number, and current address of the person making the declaration
3. Original Identification Details: Details of current official identification documents, including ID card numbers, passport numbers, and other relevant official documents
4. Declaration of Changes: Detailed description of specific changes in appearance and/or signature, including the reason for changes if applicable
5. Previous Appearance Description: Detailed description of previous appearance and/or signature characteristics
6. Current Appearance Description: Detailed description of new appearance and/or signature characteristics
7. Supporting Documentation: List and description of attached supporting documents (photographs, medical certificates, etc.)
8. Verification Statement: Formal statement verifying that all information provided is true and accurate
9. Signature Block: Space for old and new signatures, date, and place of signing
10. Notary Authentication: Section for notary's verification, stamp, and signature
1. Medical Certification: Section for medical professional's statement confirming changes due to medical procedures or conditions - required when changes are due to medical reasons
2. Witness Statements: Statements from witnesses who can verify the declarant's identity and changes - recommended for significant appearance changes
3. Translation Certificate: Required when the affidavit needs to be used in non-Belgian jurisdictions or when the declarant requires a translated version
4. Power of Attorney: Required when the affidavit is being executed by an authorized representative on behalf of the declarant
5. Previous Legal Name Changes: Required when the declarant has previously undergone legal name changes
1. Schedule A - Photographic Evidence: Recent and previous photographs showing the change in appearance, properly dated and certified
2. Schedule B - Signature Specimens: Multiple examples of both previous and new signatures, dated and witnessed
3. Schedule C - Supporting Documents: Copies of relevant official documents, medical certificates, or other supporting documentation
4. Schedule D - Identity Verification Documents: Copies of current valid identification documents (passport, ID card, etc.)
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