DEPARTMENT: HOME AFFAIRS REPUBLIC OF …

1 Flat left thumb printof the person whosebirth is registeredCOMPLETE WITH BLACK BALLPOINT 017-0059BI-24/15 department : home AFFAIRSREPUBLIC OF south AFRICALATE REGISTRATION OF birth (15 YEARS AND OLDER)This application must be accompanied by a BI-288 and as many as possible of the following which should be marked with anA. CHILD SurnameForenames in fullDate of birthDate of birthPermanent Residence Permit NATURAL FATHER OF CHILD/PARENT section 5 of the Children s Status Act, 1987*SurnameIdentity numberForenames in fullForenames in fullPlace of birthCitizenshipDate of birthPermanent Residence Permit NATURAL MOTHER OF CHILD E.

2 INFORMANTI, (forenames in full and surname)..D. ACKNOWLEDGEMENT OF PATERNITY A CHILD BORN OUT OF WEDLOCKI hereby declare that I am the biological father of the above s permission to the acknowledgement of paternityPresent surnameIdentity numberIdentity numberIdentity numberSignatureContact addressArea codePostal codeRelationship to childSignatureInitials and surnameDateDatedeclare that the above information is namePlace of birthCitizenshipCountryPlace of birth : City/TownAre the parents of the childmarried to each other?Date of marriageIf YesNature of marriage:ReligiousCivilCustomaryGenderFl at left thumb printof the informantTelephone numberIdentity numberSignatureInitials and surnameDatexBI-288 BaptismalHospital/Clinic/Maternity : Social workerSchool * DELETE WHICHEVER IS NOT BE COMPLETED BY REGIONAL OR DISTRICT OFFICESF.

3 COUNTER CLERK I hereby declare that I have interviewed the applicant and that I am satisfied that he/sheis a south African citizen/not a south African following motivation serves to confirm my recommendation:..Application for late registration isrecommended/not recommended and the applicanthas been handed to a migration officer/senior TERMINAL OPERATORI hereby declare that I have verified/was not able to verifythe particulars of the father and the mother on the information is correct/not of officialPersal numberDateSignature of officialPersal numberDateH. OFFICER RESPONSIBLE FOR APPROVAL/DISAPPROVAL AT REGIONAL OR DISTRICT OFFICEI hereby certify that I am satisfied/not satisfied that the particulars as indicated on this late registration of birth are correct andthat the applicant is a south Afican citizen.

4 The application is hereby approved/not FOR HEAD OFFICE USEI hereby declare that I have compared the BI-9 with the late registration of birth and that the particulars are the of officialSignaturePersal numberDatePersal numberDateFlat left thumbprint of officerFlat left thumbprint of hereby declare that I have compared the BI-9 with the late registration of birth and that the particulars are the numberDateCoder STAMP