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1. Declarant Details: Personal information of the person making the declaration, including full name, date of birth, IRD number, and contact details
2. Dependent Information: Full details of the dependent person(s), including name, date of birth, relationship to declarant, and any relevant identification numbers
3. Nature of Dependency: Specific details about the dependency relationship, including type of support provided and extent of dependency
4. Living Arrangements: Information about shared residence, time spent living together, and any alternative living arrangements
5. Financial Support Details: Declaration of financial support provided, including frequency and nature of support
6. Other Support Arrangements: Information about any other persons providing support to the dependent
7. Declaration Statement: Formal declaration of truth and accuracy of the information provided, with reference to relevant legislation
8. Signature Block: Space for signature, date, and witness details if required
1. Immigration Status: Required when the form is being used for immigration purposes, including visa details and immigration status of both parties
2. Medical Dependency: Required when dependency is based on medical conditions, including details of medical conditions and care requirements
3. Education Details: Required for dependent students, including enrollment information and study details
4. Additional Caregiver Information: Required when there are multiple caregivers involved in supporting the dependent
5. Benefit Details: Required when the declaration relates to government benefits or assistance
1. Schedule A - Supporting Documentation Checklist: List of required supporting documents such as birth certificates, medical records, or financial evidence
2. Schedule B - Income and Expense Declaration: Detailed breakdown of financial support provided to the dependent
3. Schedule C - Care Schedule: Breakdown of care arrangements and time allocation if care is shared
4. Appendix 1 - Privacy Statement: Detailed information about how the provided personal information will be used and protected
5. Appendix 2 - Statutory Declarations Act Extract: Reference information regarding legal obligations when making a statutory declaration
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