Transcription of Birth Certificate Application form - BDM1
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Birth Certificate Application form - BDM1
As at 20/6/2018 Page 1 of 3 Birth Certificate Application form (Western Australia ONLY) Payment details over the page you MUST return pages 1 and 2 if applying via mail Identification and Certificate Access Requirements See page 2 or visit Processing Times for Mailed Certificate Applications Tax Invoice required Standard - Please allow up to 2 working days plus regular postal delivery time * Priority - Processed within 24 hours of receipt plus priority postal delivery time Birth DETAILS REQUIRED Please PRINT clearly ABN: 70 598 519 443 Surname (at Birth ) Given name(s) Date of Birth Day Month Year Present age Male Female / / Place of Birth in Western Australia Suburb / Town Parent s full name Given name(s) Surname Maiden Surname (if applicable) Parent s full name Given name(s) Surname Maiden Surname (if applicable) APPLICANT S DETAILS (please see next page for access conditions and identification requirements) Full name Postal address Suburb
As at 20/6/2018 Page 1 of 3 Registry of Births, Deaths and Marriages, Western Australia BIRTH CERTIFICATE APPLICATION FORM (Western Australia ONLY)
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