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Applying for a birth certificate

A standard birth certificate is an official certified copy of the


Online Birth Certificate
Application
You can complete this online at www.nsw.gov.au/bdm
registration data held by the Registry, and is commonly used to help
establish a person’s identity.
Lodging by post
This application form is for a birth that occurred in, or was registered in GPO Box 30 YOU CAN
NSW. If you are the person named on the certificate, or a parent of the SYDNEY NSW 2001 COMPLETE THIS
person named on the certificate, the birth certificate can be issued to you. APPLICATION
Lodging in person ONLINE AT:
If you DO meet the above criteria, you must provide: Service NSW service centres nsw.gov.au/bdm
• Three types of your own ID (see below). service.nsw.gov.au
If you DON’T meet the above criteria, you must provide:
Phone: 13 77 88
• A “Letter of Authority giving permission to apply” available
• Monday to Friday (7am-7pm)
on our website: www.nsw.gov.au/bdm
• Three types of ID from the person giving permission (see below). Amit Ci

Hearing/Speech impaired, phone:


tizen

• Three types of your own ID (see below).


Dat e of
Bir th:
16 Ma rch

• TTY 133 677


201 8
Pla ce of
Bir th: Arm Sex :
ida le
My Pa re Ma le

• NRS 1300 555 727


nt s

Your Right to Privacy


Giv en Nam
e(s) : Da wn My Pa re
Sur nam e: nt s
Cit ize Giv en Nam
Pla ce of n e(s)
Bir th: Ch : Da vid

When you apply, you consent to the release of information provided,


ipp en Sur nam e:
da le,
NS W Cit ize

Translating and Interpreting, phone:


Pla ce of n
Bir th: Ch
ipp en

to those agencies who may be able to validate it.


da le,
NS W

• TIS National 131 450 I hereby


certify that

Please read Your Right to Privacy Policy at www.nsw.gov.au/bdm


in a Reg
ister in the this is a true copy
Stat of
Common e of New South particulars
Dat e of wealth of Wales, in
iss ue: Australi the
21 Ma a.
rch 20 18

Identification (ID) Send information to a Passports office


Please provide at least three types of ID, one of each from categories Select this option to send your certificate if you have made
1, 2 and 3. If you are unable to provide ID from categories 1 and 2, prior arrangements with the Australian Passport office, consulate Issued by

you must still provide at least three types of ID. At least two of these
the
This Com Registry of Birt
merativ
e certifica hs Deaths and Mar

or embassy. This only applies to standard certificates, not


may not te does not con riages,
accept it tain secu New South Wal
as a pro rity feat
ures and es, Australia.

must be from category 3. All documents except foreign passports


of of iden
tity doc organisa
ument. tions

commemoratives. Fee applies, see www.nsw.gov.au/bdm


must be current.
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 makes an ideal gift perfect for framing!
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NSW Date of Birth
aths t conta

Date
Female nt.
Place of
Citizen Registr

ID card
Name
Sarah Female cume
Hunter Wren y of

• New Zealand birth certificate


June 2017 Parents: St George Private Sex:
try ica nti Bir ths
birth: 29 Sonia Anna Place of Birth Hospital, Kogarah
March 2018 Re gis rtif ide Deaths
Date of
Female Tom Given Names
Date of
Birth: 16 e ce
the tiv ofof & Ma
Given names:
d by emora
Sex:
Luke Steven pro rriages
as a
Wilson Lewis
Issue
Surname: le ts
Birth: Armida
Comm cept it
NSW
PARENTS Place of
birth: Sydney,
Surname Given Names

Lewis Place of My Paren NSW


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Samantha Blacktown,
NSW David ac
Given names:
not
Place of Birth Surname (s):
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Surname: NSW Blacktown, My Paren may
NSW
ges
birth: Sydney,
Citizen MEMBER

Jennife
Place of Birth
Place of Dawn NO. 614511

Marria
(s): Surname: NSW – JOINED

or particulars
recorded
in a
alth of Australia.
Given Name
Citizen Place of
Birth: Chippe
ndale,
r Edwina 1995

s&
Lenna
I hereby certify
Death
true copy in the Commonwe
this is a that this is a
certify that South Wales, Register in true copy or Surname: NSW
I hereby
Register
in the State
of New the State of
New South particulars
Wales, in the recorded in
Commonwealt a
h of Australia. Place of
Birth: Chippe
ndale,
01 Decem
Citizen of Births
gistry
NSW Date of issue: of particulars Date of ber 2015
3 August a true copy
Birth
Marriages
the
2017 that this is Wales, in Re
Deaths and Issued by the
of Births
I hereby certify of New South
NSW
Registry
New South Registry of Births Deaths Female
2017 Wales, and Marriages,
does not contain Australia.This Commemorative in the State
August in a Register ealth of Australia.
Australia.
issue: 3
Wales, may security Sex
New South not accept certificate
Date of it as proof or features and organisations Parents:
Deaths and
Marriages, features
and organisations
identity document. Commonw New Lambto

Category 2 Category 4
security may
the Registry
of Births
does not
contain Judith Amber
Issued by certificate Place of n Heights
This Commemorative or identity
document. Registry of
Births Deaths Given Names Rose Birth
it as proof and Marriages
NSW
not accept Citizen
Surname
Alex Lee
Blackto Given Names
wn
Place of
2018 Birth Citizen
March
issue: 21
Surname

Date of New Lambto


Place of
Birth n Heights
Date of Issu
Issue:
Date of
Issue ed by
I hereby
certify
in the Register that this
the Reg
in the Commonwe in the Stateis a true
copy of istry
alth of
of New particulars
Australia. South Wales,
of Birt
hs Dea
ths &
Mar
Registry riag
es, New

• Australian driver’s licence • Recent utility account with


of Births
Deaths
& Marriages
NSW South
Wal
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RegistryAustral
ia. This
does
not war Commem
rant orat
the accu ive cert
Wales, Australia. ifica
, New South ons racy
Marriages features and organisati of info te does
Deaths and

current residential address


not con
of Births contain security document. rma
does not tion

• Australian passport
the Registry tain
Issued by tive certificate it as a proof of
identity rela secu
ting
This Commera may not accept Issued
by the
Registry to club rity feat
of Births
Deaths
mem ures
& Marriages,
New South
bers and
Wales,
Australia.
The Registry This Commemorativ hip deta organisa
tion
does not
warrant e certificate
the accuracy ils. s
does
of information notcontain may
relating security
to club features
membership and organisations not acce
details. may not
accept pt it
as a

(issued within last three


it as a
proof
of identity
document.
proo
f of
iden

• Firearms licence
tity
docume
nt.

• Foreign passport months)


Ce
leb ra ting

Hunter Wren Citizen


100 YEARS
1918- 2018

• Proof of age card


Date of birth: 1 July 2016
Place of birth: Armidale
Sex: Female Snugglepot & Cuddlepie
Hunter Wren Citizen Parents Date of birth: November
Place of birth: Neutral
1918
Given names: Dawn Bay, NSW
Sex: Two little boys
Surname: Citizen
Place of birth: Chippendale, NSW Hunter Wren Citizen
Date of Birth: 1 July 2016 Parent
Place of Birth: Armidale
Given names: Dawn Given names: Cecilia
Sex: Female May

If your name has changed you may be asked to show proof


Surname: Citizen Surname: Gibbs Place of birth: Armidale
Parents
Place of birth: Sydenham, Date of birth: 1 July 2016
Place of birth: Chippendale, NSW Kent, England
Given Name(s): Dawn Sex: Female
Surname: Citizen
Given Name(s): David
I hereby certify that this is a true copy of particulars I hereby certify that
this is a true copy of Parents
Wales, particulars recorded
recorded in a Register in the State of New South State of New South in a Register in the Given names: Dawn
Surname: Citizen
Wales, in the Commonwealth
Place of Birth: Chippendale, NSW
of Australia. Given names: Dawn
in the Commonwealth of Australia. Surname: Citizen
Place of Birth: Chippendale, NSW
Surname: Citizen
Place of birth: Chippendale, NSW
Place of birth: Chippendale, NSW

(e.g. marriage certificate, change of name certificate or deed poll).


Date of issue: November recorded in a Register in the
Date of issue: 01 January 2013 2018 I hereby certify that this is a true copy of particulars
I hereby certify that Registry of Births Deaths and Marriages NSW Registry of Births Deaths of Australia.
in the Register in
this is a true copy
of particulars and Marriages NSW State of New South Wales, in the Commonwealth
Date of issue: 1 August 2016
the State of New South
in the Commonwealth Wales,
of Australia.

Issued by the Registry of Births, Deaths and Marriages,


Date of issue: 1 August 2016
certificate Registry of Births Deaths and Marriages NSW
New South Wales, Australia. This Commemorative
Registry of Births
Deaths and Marriages
NSW
does not contain security features and organisations Issued by the Registry
may not accept it as a proof of identity document. of
Marriages, New South Births Deaths and Issued by the Registry of Births, Deaths and Marriages,
This Commemorative Wales, Australia.
certificate
New South Wales, Australia. This Commemorative
certificate does not does not contain security features and organisations
contain security features
not accept it as a proof and organisations may
2003.
may not accept it as a proof of identity document.
of identity document.
Proudly supporting UK Ltd
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D Ltd/
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2016
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© The Northcott Society and Cerebral Palsy Alliance

Issued by the Registry


of Births Deaths
and 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.

Form 7 06/2020
Birth Certificate Application ABN 81 913 830 179
GPO Box 30 Sydney NSW 2001 Tel: 13 77 88

YOU CAN COMPLETE THIS APPLICATION ONLINE AT: www.nsw.gov.au/bdm


PRINT clearly in BLACK pen and complete all details.
Do you require Priority processing* of your application? Yes
*P
 riority processing and Passport options are only for standard
Do you require copy of the certificate* sent to an Australian passport office/DFAT office? Yes certifcates and not commemorative. See website for fees.
Passport/DFAT office name and the location: You must have already made arrangements with the Passport/DFAT office

What quantity of certificate/s do you require?


Standard birth certificate/s 1 (enter number) For NRL certificates you can add your Club membership number and year you joined the Club.

Commemorative certificate/s (enter number) Enter description e.g. 1 Fauna and 1 NRL Sharks (Member 123456 joined 1988) Commemorative

Reason certificate is required Your relationship to the registered person


(e.g. passport, school)
(e.g. self, parent, child)

APPLICANT’S DETAILS (person completing this form). Please provide copies of three forms of current identification with your application.

Family name

First given name Other given name/s

Company name Company reference number


(If applicable) (If applicable)

Current address Suburb/Town

State/Territory Postcode Country

Postal address Suburb/Town


(if different from above)

State/Territory Postcode Country

Phone number Email International Registered Post

I certify that I understand the provisions overpage


Signature
of applicant ✗
on Identification, Privacy & Disclosure and that
the information I have provided is true and correct.

DETAILS OF BIRTH CERTIFICATE REQUIRED (This person must have been born or adopted in NSW)

Date of birth* dd / mm / yyyy Present age Registration number


/
(If known)
*If date unknown, period to be searched: From dd / mm / yyyy
01/01/ To dd31/12/
/ mm / yyyy
(Note: Each extra 10 year search or part thereof incurs a cost)
Names of registered person
Family name Family name at birth

First given name Other given name/s

Place of birth
(Suburb/Town/City)

Parent 1 details
Family name Family name at birth
(Current)

First given name Other given name/s

Parent 2 details
Family name Family name at birth
(Current)
First given name Other given name/s

PAYMENT DETAILS (complete this section for mail applications only). Please refer to www.nsw.gov.au/bdm for fees.

Total Amount $ . Please debit my: AMEX Mastercard Visa OR Enclosed is a cheque*/money order
*Make cheques payable to NSW Department
Card number of Customer Service (non Priority only)

Name Expiry date mm / yy


of cardholder
A surcharge applies to credit card payments at the
Form 7 06/2020

Signature
of cardholder ✗
rate of 1.4% for AMEX and 0.4% for Mastercard or Visa.

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