BIRTH CERTIFICATE REQUEST FOR ENGLAND & WALES

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Births Certificate - England & Wales - Standard - 10 Business Day Despatch

Year birth was registered *
Is the General Register Office Number Known? *	YES NO    (we can still process the order if you select no)
Surname *
Forename(s) *
Date of birth *	Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Month January February March April May June July August September October November December / Year 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 1899 1898 1897 1896 1895 1894 1893 1892 1891 1890 1889 1888 1887 1886 1885 1884 1883 1882 1881 1880 1879 1878 1877 1876 1875 1874 1873 1872 1871 1870 1869 1868 1867 1866 1865 1864 1863 1862 1861 1860 1859 1858 1857 1856 1855 1854 1853 1852 1851 1850 1849 1848 1847 1846 1845 1844 1843 1842 1841 1840 1839 1838 1837
Place of birth *
Father's surname
Father's forename(s)
Mother's maiden surname
Mother's Surname at time of birth
Mother's forename(s)
Select Delivery Service for this item	£0.00 UK Recorded Delivery £6.95 UK Special Delivery £7.95 International Special Delivery (untracked outside UK) £9.95 International Royal Mail Airsure (tracked to destination)

Before completing the Birth Certificate application process ensure the information you have provided is as accurate and complete as possible.

Whilst we will automatically undertake a basic verification search to confirm the birth details entered are correct, if insufficient or inaccurate information is provided this will inevitably lead to delays, the possibility of extra fees being incurred or the entry not being found.

Verification searches will be made in the year quoted along with the year either side. If we are faced with any discrepancies we will contact you promptly.

The fields marked with an asterisk are Required Fields and will need to be completed accordingly.

If the father’s details are not available, please enter “unknown” in the respective fields.

Call: 029 2067 8611
Email: info@ukcertificates.com
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