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APP

Application No

Form 208

ACT GOVERNMENT

Births, Deaths and Marriages Registration Act 1997

Registrar-General’s Office

APPLICATION FOR A CERTIFICATE

PRIVACY COLLECTION STATEMENT (PRIVACY ACT 1988 (C’WLTH))

PART A – DETAILS OF APPLICANT

Surname

Given names

Current residential address

Postal address if different from residential

Postcode

Daytime contact telephone number

E-mail address

Reason certificate needed

Relationship to person named on certificate

Signature

PROOF OF IDENTITY REQUIREMENTS – ALL PHOTOCOPIES OF IDENTIFICATION MUST BE CERTIFIED AS

TRUE COPIES OF THE ORIGINALS BY EITHER A POLICE OFFICER OR JUSTICE OF THE PEACE

If you are applying for a birth, death, marriage, change of name certificate, single status or parentage search, there are particular

identification requirements necessary for you to either apply for your own certificate or that of another person.

Your own certificate

You will require 3 forms of identification as described in table A.

A certificate for your child who is under 18

You will require 3 forms of identification as described in table A.

The Privacy Commissioner has advised that a parent does not have an automatic right

of access to their child’s birth certificate, once the child has turned 18. As a result the

Registrar-General will only permit access to the certificate where the child consents in

A certificate for your child who is over 18

writing. You will require 3 forms of identification as described in table A for you as the

applicant, 3 forms of identification as described in table A for the child upon whose

behalf you are requesting the certificate, and a letter from the child giving consent that

you may apply for the certificate on their behalf.

You will require 3 forms of identification as described in table A for you as the

applicant, 3 forms of identification as described in table A for the person named on the

A certificate for another person

certificate, and a signed letter from the person named on the certificate giving consent

that you may apply for the certificate on their behalf.

You will require 3 forms of identification as described in table A for you as the applicant

A certificate for another person where there

and evidence of authority to obtain the certificate which may include the following:

is a legal requirement – solicitor, under

•

Registered Power of Attorney;

power of attorney, welfare group, legal

•

Court Order; or,

guardian

•

Guardianship Order.

TABLE A – IDENTIFICATION REQUIRED TO BE PROVIDED UPON APPLICATION (OFFICE USE ONLY)

3 forms of current identification must be provided upon application. At least 1 form of identification from list 1 and 2 other forms of

identification from list 1 or 2. In cases where a person is unable to provide enough forms of indentification please contact this office.

LIST 1

SIGHTED

NUMBER

LIST 2

SIGHTED

NUMBER

Australian Driver’s Licence

Medicare Card

Australian Passport

Credit Card or Store Account Card

Firearms Licence

Centrelink Card

Foreign Passport

Department of Veteran’s Affairs Card

Security Guard Licence

Tertiary Education Institution Identification

Authorised by the ACT Parliamentary Counsel—also accessible at

App Form 208 - Application For A Certificate - Births, Deaths And Marriages Registration Act 1997 Page 2

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