A model or template for a declaration registering children born since the last scrutiny, addressed to Sarapion, royal scribe of the Koptite nome and the Theban district, by an unnamed resident of Diospolis the Great (Thebes). The names are left as placeholders, and the village scribe Spokes appears at the end.
In English machine translation
To Sarapion, royal scribe of the Koptite nome and the Peri Thebas district,
from So-and-so son of So-and-so, ⟦…⟧ of those from Diospolis the Great. I register for year 3 my children born after the scrutiny (epikrisis) of year 20, of whom So-and-so son of So-and-so, aged … years.
Spokes, village scribe.
The text uses placeholder names ("So-and-so"), showing it is a form or model rather than an actual declaration. Year 3 and year 20 probably refer to the reigns of Caligula and Tiberius.
Working translation of the DDbDP edition, made with Claude Opus 5.5 from the edition and the catalogue records shown below (catalogued as Formulaire de déclaration familiale). It has not been reviewed by a papyrologist: check the edition before citing. Restorations follow the edition; […] marks lost text and (?) an uncertain reading.