Application for Georgia Birth Certificate - PDF

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Application for Georgia Birth Certificate - PDF Powered By Docstoc
					NOTE> One may also apply and pay online                      DIRECTOR PUBLIC REGISTRY
on website www.certifikati.gov.mt                                  197, Merchants Street,
                                                                      Valletta CMR 02,
 Type of Certificate Requested
                                                                           MALTA
 (Indicate the number of certificates)
                                                                    Tel> (356) 2122 5292
 Extract (Lm1 each)>                                                   (356) 2123 8210




                                                                                                     Seal, Sign and Time stamp
                                                              E-mail> pubreg.civilstatus@gov.mt
 Full (Lm4 each)>

    Name, Surname and Address of Applicant
                                                       Payment may be made by cheque or
Name and Surname> __________________________           money order payable to the Director
Address> ___________________________________
                                                       Public Registry or by unused stamps
______________________ Postcode> ____________
                                                       issued after 1998.
Tel. No. ____________________________________
                              APPLICATION FOR A BIRTH CERTIFICATE
Name and surname of child> _________________________________________________________________
Place of birth> ____________________________________________________________________________
Date of Birth> ____________________________________________________________________________
Name and surname of father> ________________________________________________________________
Name and maiden surname of mother> _________________________________________________________
I.D. card No. of child (if applicable)> __________________________________________________________

FOR OFFICE USE                  PR NO.

				
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posted:9/17/2010
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Description: Application for Georgia Birth Certificate document sample