Birth Certificate Application Form
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Applying for a birth certificate A standard birth certificate is an official certified copy of the Online registration data held by the Registry, and is commonly used to help You can complete this online at www.nsw.gov.au/bdm establish a person’s identity. Birth Certificate This application form is for a birth that occurred in, or was registered in Lodging by post NSW. If you are the person named on the certificate, or a parent of the GPO Box 30 Application person named on the certificate, the birth certificate can be issued to you. SYDNEY NSW 2001 YOU CAN COMPLETE THIS If you DO meet the above criteria, you must provide: Lodging in person • Three types of your own ID (see below). Service NSW service centres APPLICATION ONLINE AT: , you must provide: service.nsw.gov.au If you DON’T meet the above criteria nsw.gov.au/bdm • A “ Letter of Authority giving permission to apply” available on our website: www.nsw. Phone: 13 77 88 gov.au/bdm • Monday to Friday (7am-7pm) • T hree types of ID from the person giving permission (see below). • T hree types of your own ID (see below). Hearing/Speech impaired, phone: Amit Citizen Your Right to Privacy • TTY 133 677 Date of Birth: 16 March 2018 Place of Birth: • NRS 1300 555 727 Armidale Sex: My Parents Male When you apply, you consent to the release of information provided, Given Name s ( ): Dawn Surname: My Parents Citizen to those agencies who may be able to validate it. Place of Birth: Given Name s Chippendale, NSW ( ): David Translating and Interpreting, phone: Surname: Please read Your Right to Privacy Policy at Citizen www.nsw.gov.au/bdm Place of Birth: • TIS National 131 450 Chippendale, NSW I hereby certify that this is a true copy of particulars in a Register in the State of New South Wales, in the Identification (ID) Date of issue: Commonwealth of Australia. 21 March 2018 Please provide at least three types of ID, one of each from categories Send information to a Passports office 1, 2 and 3. If you are unable to provide ID from categories 1 and 2, Select this option to send your certificate if you have made you must still provide at least three types of ID. At least two of these prior arrangements with the Australian Passport office, consulate must be from category 3. All documents except foreign passports or embassy. This only applies to standard certificates, not Issued by the Registry of Births Deaths and Marriages, New South Wales, Australia. must be current. This Commerative certificate does not contain security features and organisations commemoratives. Fee applies, see www.nsw.gov.au/bdm may not accept it as a proof of identity document. Commemorative birth certificates Category 1 Category 3 Did you know? You can buy a Commemorative on its own, and it If born in Australia: • Medicare card • An Australian birth certificate makes an ideal gift perfect for framing! • Credit or debit card Record of immigration • Centrelink or Department of Commemorative certificates do not contain security features and Jennifer EdwinaMEMBER NO. 614511 Lenna – JOINED 1995 Citizen status: organisations may not accept them as proof of identity documents. Siesta Private Hospital, Croydon Park 01 December 2015 Veterans Affairs card BIRTH CERTIFICATE Date of Birth • Citizenship certificate Place of birth: • Security guard/Crowd control Clifford Wade Parents: Judith Amber Rose Female Jonathan Robert Smith Done Given Names Sex 29 June 2015 Given names: • New Zealand citizenship Citizen New Lambton Heights Wolverhampton, Staffordshire, England Surname licence Male Surname: Place of Birth Date of birth: Blacktown Place of birth: Place of Birth Sex: certificate I hereby certify that this is a true copy Alex Lee Lillian Maureen Given Names PARENTS of particulars recorded in the Register • Tertiary education institution Birth Certificate Citizen Done in the State of New South Wales, in the Hazel Nicola Lewis Surname Given names: Commonwealth of Australia. Date of Issue: Date of Issue Sydney, NSW 05 April 2016 Place of birth: Salisbury, Wiltshire, England New Lambton Heights • Sarah Name Wilson Date of Birth Surname: I hereby certify that this is a true copy of particulars New Zealand birth certificate Place of Birth Female 29 June 2017 Date of birth: in the Register in the State of New South Wales, Female Parents: ID card Sex: St George Private Hospital, Kogarah Tom Sonia Anna in the Commonwealth of Australia. Given names: Place of Birth Hunter Wren Citizen Female Place of birth: Wilson Given Names Sex: PARENTS Surname: Samantha Sydney, NSW Lewis Luke Steven 16 March 2018 Given names: Place of birth: Surname Date of Birth: 29 June 2015 O’Brian Given Names Surname: Blacktown, NSW Lewis Sydney, NSW Place of Birth Armidale Place of birth: Surname Place of Birth: My Parents Blacktown, NSW (s): David Place of Birth My Parents Given Name Date of issue: I hereby certify that this is a true copy or particulars recorded in a Registry of Births Deaths & Marriages NSW (s): Dawn Citizen Register in the State of New South Wales, in the Commonwealth of Australia. I hereby certify that this is a true copy or particulars recorded in a Given Name Surname: Register in the State of New South Wales, in the Commonwealth of Australia. MEMBER NO. 614511 – JOINED 1995 Issued by the Registry of Births Deaths & Marriages, New South Wales, Australia. Citizen Chippendale, NSW Surname: Place of Birth: Jennifer Edwina Lenna Citizen Date of issue: This Commemorative certificate does not contain security features and organisations Registry of Births Deaths and Marriages NSW 3 August 2017 Chippendale, NSW Issued by the Registry of Births Deaths and Marriages, Place of Birth: may not accept it as a proof of identity document. Date of issue: 3 August 2017 New South Wales, Australia.This Commemorative certificate does not contain security features and organisations may Issued by the Registry of Births Deaths and Marriages, New South Wales, Australia. not accept it as proof or identity document. 01 December 2015 This Commemorative certificate does not contain security features and organisations may Date of Birth not accept it as proof or identity document. I hereby certify that this is a true copy of particulars Category 2 Registry of Births Deaths and Marriages NSW in a Register in the State of New South Wales, in the Commonwealth of Australia. Female Parents: Sex Judith Amber Rose New Lambton Heights Category 4 Given Names Place of Birth Citizen Surname NSW Registry of Births Deaths & Marriages Blacktown Alex Lee 21 March 2018 Place of Birth Given Names Date of issue: Citizen Surname New Lambton Heights Place of Birth Date of Issue: Date of Issue I hereby certify that this is a true copy of particulars • Australian driver’s licence in the Register in the State of New South Wales, in the Commonwealth of Australia. • Recent utility account with Registry of Births Deaths & Marriages NSW Issued by the Registry of Births Deaths & Marriages, New South Wales, Australia. This Commemorative certificate does not contain security features and organisations may not accept it as a proof of identity document. • Australian passport current residential address Issued by the Registry of Births Deaths and Marriages, New South Wales, Australia. This Commerative certificate does not contain security features and organisations may not accept it as a proof of identity document. Issued by the Registry of Births Deaths & Marriages, New South Wales, Australia. This Commemorative certificate does not contain security features and organisations may not accept it as a proof of identity document. The Registry does not warrant the accuracy of information relating to club membership details. • Firearms licence (issued within last three The Registry does not warrant the accuracy of information relating to club membership details. • Foreign passport months) Ce lebrating Hunter Wren Citizen • Proof of age card 10 0 Hunter Wren Citizen Date of birth: 1 July 2016 YEARS 1918-2018 Place of birth: Armidale Place of birth: Armidale Date of birth: 1 July 2016 Sex: Female Sex: Female Hunter Wren Citizen Snugglepot & Cuddlepie Parents Parents Given names: Dawn Given names: Dawn Date of birth: Given names: Dawn November 1918 Surname: Citizen Date of Birth: Surname: Citizen Place of birth: Surname: Citizen 1 July 2016 Neutral Bay, NSW : Chippendale, NSW Place of birth: Chippendale, NSW : Chippendale, NSW Place of birth Place of Birth: Sex: Place of birth If your name has changed you may be asked to show proof Sex: Female Armidale Two little boys Given names: Dawn rded in a Register in the Parents Parent I hereby certify that this is a true copy of particulars reco Surname: Citizen Given Name(s): Given names: he Commonwealth of Australia. Dawn Cecilia May State of New South Wales, in t Place of birth: Chippendale, NSW Surname: Surname: Citizen Given Name(s): Gibbs David Place of birth: Place of Birth: Sydenham, Kent, England Chippendale, NSW Surname: Citizen I hereby certify that this is a true copy of par ticulars Date of issue: 1 August 2016 Place of Birth: Marriages NSW Chippendale, NSW recorded in a Register in the State of New South Wales, I hereby certify that this is a true copy of particulars recorded in a Register in the Registry of Births Deaths and (e.g. marriage certificate, change of name certificate or deed poll). in the Commonwealth of Australia. State of New South Wales, in the Commonwealth of Australia. Issued by the Registry of Births, Deaths and Marriages , New South Wales, Australia. This Commemorative certificate Date of issue: 01 January 2013 does no t contain security features and organisation s I hereby certify that this is a true copy of particulars may not accept it as a proof of identity document.