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1. Title and Declaration: Formal title of the document and opening declaration stating this is an affidavit made under oath
2. Declarant Information: Full legal name, occupation, national ID number (NIK), and complete address of the person making the affidavit
3. Subject Matter: Clear identification of the item, property, trademark, or other subject matter that is not being used
4. Period of Non-Use: Specific timeframe during which the subject matter has not been used
5. Statement of Truth: Formal declaration that all statements made in the affidavit are true and accurate
6. Purpose: Explanation of why the affidavit is being made and its intended use
7. Attestation: Formal closing statement and signature block, including space for notary attestation
1. Supporting Facts: Additional facts or circumstances supporting the declaration of non-use, used when context is needed
2. Related Documents: References to any relevant documents or registrations, included when the non-use relates to registered rights
3. Witness Statement: Additional verification by witnesses, used when third-party confirmation is beneficial
4. Previous Usage History: Details of any prior use and when it ceased, included when historical context is relevant
1. Documentary Evidence: Copies of relevant documents supporting the non-use declaration
2. Photographic Evidence: If applicable, photographs demonstrating non-use of physical property or premises
3. Official Records: Copies of any official records or database entries relevant to the subject matter
4. Identity Documents: Copies of the declarant's identification documents as required by Indonesian law
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