Request Letter for a Copy of Birth Certificate

If you required the birth certificate, you should follow procedure of the state in which you born. The website of Disease Control and Prevention of state, carrying all the detail regarding your birth. If you required, that you should follow some procedure of getting copy of your birth Certificate.

Government of India, made birth certificate mandatory for those who are born on or after 26/01/1989, if they are applying for the password.

Request for copy of your birth certificate

Name of Applicant
Address of Applicant
City, State, Zip Code

DATE
Town Clerk/Department of Vital Statistics/ Department of Health
Address ……………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………
Dear Registrar:
Please send me a certified copy of my birth certificate. As required, I have enclosed a check in the amount of $………………. and a stamped, self-addressed envelope.
Name on birth Certificate: ……………………………………………………………………………
Father’s Name: …………………………………………………………………………………………………
Mother’s maiden name: …………………………………………………………………………………
Date of birth: ……………………………………………………………………………
Sex: ………………………………………………………………………………
Hospital or other place of birth: …………………………………………………………………………
Location: ………………………………………………………………………………………………………………………………………..
Thank you.
Signature: ……………………………………………………………………………………………………………………………………..
Print Name: …………………………………………………………………………………………………………………………………..
Address: ……………………………………………………………………………………………………………………………………….

 

Request for copy of someone else’s birth certificate

Name of Applicant
Address of Applicant
City, State, Zip Code

Town Clerk/Department of Vital Statistics/ Department of Health
Address ……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………
Dear Registrar:
Please send me a certified copy of the following birth certificate. As required, I have enclosed a check in the amount of $……………………………………………….. and a stamped, self-addressed envelope.
Name on the birth certificate: …………………………………………………………………………………………………….
Father’s name: …………………………………………………………………………………………………………………………..
Mother’s maiden name: …………………………………………………………………………………………………………………

Date of birth: …………………………………………………………………………………………………………………………………..
Sex: ……………………………………………………………………………………………………………………
Hospital or other place of birth: ……………………………………………………………………………………………………..
Location: ………………………………………………………………………………………………………………………………………..
Thank you.
Signature: ………………………………………………………
Print name: ……………………………………………………
Address: …………………………………………………………………………………………………………………………………………..

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  1. Abhinav

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