The Self Declaration Form For Address Proof is a crucial document in the Netherlands used when individuals need to formally declare their residential address for official purposes. This document becomes necessary in situations where standard proof of address (such as utility bills or rental agreements) may not be available or additional verification is required. The form is designed to comply with Dutch legal requirements, including the Wet Basisregistratie Personen (BRP) and GDPR, and typically includes personal information, current address details, duration of residence, and a formal declaration of truth. It serves as a legal document that can be used for various purposes including banking, education, healthcare registration, and other services where address verification is mandatory under Dutch regulations.
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1. Personal Information Header: Contains the declarant's full legal name, date of birth, and other identifying information as per BRP requirements
2. Current Address Declaration: The main declaration section stating the current residential address with all required details (street, number, postal code, city)
3. Period of Residence: Declaration of the period during which the person has resided at the stated address
4. Legal Statement: Formal statement confirming that the provided information is true and accurate
5. False Declaration Warning: Warning about the legal consequences of making false declarations under Dutch law
6. GDPR Notice: Brief statement about how the personal data will be processed and stored
7. Signature Block: Space for date, place, signature, and printed name of the declarant
1. Previous Address Details: Optional section for declaring previous address if required for specific purposes or if residence at current address is less than a certain period
2. Supporting Residents Declaration: Optional section where other residents at the same address can confirm the declaration (useful for situations where additional verification is needed)
3. Purpose of Declaration: Optional section specifying the purpose for which the declaration is being made (e.g., bank account opening, school registration)
4. Witness Statement: Optional section for witness verification, useful in cases where additional verification is required
5. Translation Block: Optional parallel translation in another language if the declarant isn't fluent in Dutch
1. Identity Document Details: Appendix for recording details of the identification document presented (passport/ID card number, issuing authority, validity)
2. Supporting Documents List: Schedule listing any additional documents provided to support the address declaration
3. Municipal Registration Extract: Optional appendix to attach an extract from the municipal registration (BRP) if available
4. Instructions Sheet: Appendix containing instructions on how to complete the form and what supporting documents may be required
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