<% name = doop["/page/about_you/your_name/_summary"] address = doop["/page/about_you/your_address/_summary"] %>

I, <%=name%> of <%=address%>, am applying for child benefit for:

<% list "/page/children/child__(\\d+)" do |path, index| child = doop["#{path}/name/_summary"] dob = doop["#{path}/dob/_summary"] %>

<%=child%>, born <%=dob%>

<% end %>

I declare that the information I have provided is correct and complete. If I give information which I know is not correct or complete, you may take action against me.

I will send the birth certificate(s) or other documents that you need with this form. If you don't send the documents we need with this application, a decision on your claim will be delayed. Do not send photocopies