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Application for a birth certificate

Where you see * this means that you must fill in the information requested.

Introduction
This form can be used to request copies of a birth certificate for births registered in Islington or the City of London in the last 100 years.

This form should not be used if the birth has not previously been registered at Islington Register Office or London City Register Office. Completing this form will NOT register a birth.

If you have registered a birth by 'declaration' at a register office other than Islington Register Office or London City Register Office please allow one month before using this form to apply for a certificate.

You are required to state the precise date and place of birth and the full name and surname of the person whose certificate is sought, with (as exactly as possible) the names and surnames of the parents and the mother's maiden surname ('maiden name' is the surname or family name used by a woman before marriage).

Registration location *

Was the registration within the last 100 years *
Person applying for the certificate
Name
Title
First name *  
Middle name
Last name *  
Contact information
Telephone *
Email *
Address
Line 1 *  
Line 2
Line 3
Line 4
City
Postcode *  
Please enter N/A if you do not have telephone number or email address.
Purpose
Please state the purpose for which the certificate is required *
Relationship
Are you applying for your own certificate?
Details of certificate required
Full name at birth
Forename(s) *
Surname *

Date of Birth *

Place of birth * 


Father's full name
Please provide the father's name if known
Forename(s)
Surname

Mother's full name
Forename(s) *
Surname *
Maiden name *
Family name used prior to marriage (please enter N/A if not applicable)
Requirements

Standard certificates

A standard certificate is a full copy of the birth entry and includes parents details and particulars of the registration.

I require   standard birth certificate(s)

Short certificates

A short certificate shows only the name and surname, sex, date of birth and district of birth.

I require   short birth certificate(s)

Service options

Disclaimer
Once an item has been posted by the Register Office responsibility for safe delivery passes to the Post Office. In the event that an item is 'lost in the post' all replacement certificates must be paid for by the applicant. Reimbursement for lost items may be sought from your local Post Office™, or by calling your customer service centre on 08457 740740. If you are deaf or hard of hearing, contact the Post Office on 08456 000606 (Textphone).
 
Fair processing notice

Please note: Any personal information you give us is held securely and will be used only for council purposes. Information that was collected for one purpose may be used for another council purpose, unless there are legal restrictions preventing this. Islington may share this information where necessary with other organisations’, including (but not limited to) where it is appropriate to protect public funds and/or prevent fraud in line with the National Fraud Initiative guidelines. The use of data by the Audit Commission in a data matching exercise is carried out with statutory authority under its powers in Part 2A of the Audit Commission Act 1998. Please see www.islington.gov.uk/dataprotection for more information.