Birth Certificate Correction Application

Your name*

Your address*

Registrar office*

Original birth registration number*

Description of the error*

Correct details to be recorded*

Date of application*

Format:

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To, [authority_name] Subject: Application for correction of Birth Certificate, Registration No. [registration_number] I, [applicant_name], residing at [applicant_address], request correction of the following error in the birth certificate bearing Registration No. [registration_number]. ERROR [error_description] CORRECT DETAILS [correct_details] I enclose supporting documents evidencing the correct details. I request that the correction be made and a corrected certificate issued at the earliest. [applicant_name] Date: [application_date]

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Birth Certificate Correction Application

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