| We
can assist you in obtaining a Birth, Death or Marriage certificate.
Fill in the details below and we will contact you shortly
with details. Please note that because of Privacy Laws, a
Letter of Authorization and proof of identification are required
by the Office of the Registrar General, if you are obtaining
any of the certificates on behalf of someone, other than yourself.
Part
A – Please Fill in
[We cannot proceed with request unless this
section is completed] |
| Name: |
|
| Contact
E-Mail Address: |
|
| Contact
Phone Number: |
|
| For
the remaining sections, only fill in part for the certificate
you require:
Part B – Marriage Certificate
Part C – Birth Certificate
Part D – Death Certificate
|
| Part
B – Marriage Certificate |
Name of Groom
(Last, First, Middle): |
|
Name of Bride
(Last, First, Middle): |
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Any Other Name Used by Bride: |
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Date of Marriage
(Month, Day, Year): |
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Place of Marriage: |
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How
many Copies of Each Type of Certificate do you Require?
• Certificate (Basic Information):
• Long Form (All registered info):
• Marriage Letter (Often required in some countries):
Please
also download the Marriage Certificate
Authorization Form
If you require Adobe Acrobat Reader, Please
click here: 
|
|
Part C – Birth Certificate:
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Name on Birth Certificate
(Last, First, Middle): |
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Date of Birth
(Month, Date, Year |
|
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Sex: |
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Place
of Birth
(City, Town or Village): |
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Father’s
Name
(Last, First, Middle): |
|
Mother’s
Name
(Last [Used at Birth], First, Middle): |
|
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Any Other Name Used by Mother: |
|
How
many Copies of Each Type of Certificate do you Require?
• Certificate (Basic Information):
• Long Form (All registered info):
• Letter (Letter confirming that birth is on file):
|
| Part
D – Death Certificate: |
Name on Deceased
(Last, First, Middle): |
|
Date of Death
(Month, Date, Year): |
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Place of Death
(City, Town or Village): |
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| Sex:
|
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| Age:
|
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Name
of Spouse or Partner
(Last, First, Middle): |
|
Father’s Name
(Last, First, Middle): |
|
Mother’s Name
(Last Name before Marriage, First, Middle): |
|
How
many Copies of Each Type of Certificate do you Require?
• Certificate (Basic Information):
• Long Form (All registered info):
|
|
|
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