Application Form To Register A Birth In Hungary Page 2

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province, county, shire, canton, etc:
Country:
Date of birth
________ year _______________ month ________ day
boy
girl
Personal number:
3
place of origin:
III., Declarations
1.
I declare that I request (the appropriate text should be underlined)
a.
the same first name like in the original birth certificate
b.
the Hungarian version of the first name in the original birth certificate
c.
to register the requested 2 first names from the names registered in the original birth certificate.
4
2.
I request to register the name of my child in the following form
___________________________
I declare that my child also has the _____________ citizenship and we attach the document marked in the
attachments to prove his/her nationality. Based on this declaration we request to register his/her first/family
name(s) in Hungary as it appears in the original birth certificate.
Under 18:
In case of legal guardian:
If the applicant is above 18:
………………………………………………….
…………………………………………………….
…………………………………………………….
Mother
signature
signature
………………………………………………….
Father
3.
Personal data of parents:
Data
father
mother
family name at
birth:
first name (s):
place of birth:
settlement
in Hungarian
(if exists):
country:
Hungarian identity
number OR
date of birth
(year, month, day):
3
This is the same where the mother lived at the birth of the child. If it is unknown the place of birth of the child will be
registered.
4
Due to the Article 10 par. 2 of the Reg. 13 of 1979 on the civil law in the international relations

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