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1. Form Header: Official title, form number, and relevant authority details
2. Declaration Statement: Opening statement declaring the truth of information provided under penalty of perjury
3. Child's Details: Full name, date of birth, place of birth, sex, and other vital statistics of the child
4. Parent/Guardian Details: Full names, dates of birth, and current contact information for parents or legal guardians
5. Birth Registration Details: Original birth registration number, registry office location, and registration date if known
6. Purpose of Declaration: Stated purpose for requiring the birth certificate and intended use
7. Supporting Documentation: List of documents provided to support the application
8. Declaration Signature: Space for declarant's signature, date, and contact details
9. Witness Details: Authorized witness information, signature, and qualification details
1. Indigenous Status Declaration: Optional section for declaring Aboriginal or Torres Strait Islander status, used when relevant for statistical or cultural purposes
2. Interpreter Declaration: Required when the form has been completed with the assistance of an interpreter
3. Previous Names: Section for listing any previous names of the child or parents, used when there have been legal name changes
4. Medical Practitioner Certification: Additional verification section required for late registrations or when original birth records are incomplete
5. Court Order Details: Section for recording relevant court orders affecting the birth registration or certificate application
1. Schedule A - Document Checklist: Comprehensive list of required and acceptable supporting documents
2. Schedule B - Proof of Identity Requirements: Detailed information about acceptable identity documents and certification requirements
3. Schedule C - Fee Schedule: Current fees for different types of certificates and processing options
4. Appendix 1 - Authorized Witnesses: List of persons authorized to witness the declaration
5. Appendix 2 - Privacy Statement: Detailed information about how the provided personal information will be used and protected
Authorized Witness
Birth Registration Number
Certified Copy
Declarant
Declaration
Legal Guardian
Next of Kin
Original Birth Record
Parent
Prescribed Person
Primary Source Document
Register
Registrar
Registry
Registry Office
Supporting Documentation
Statutory Declaration
Birth Registration Statement
Identity Document
Legal Name
Place of Birth
Previous Name
Proof of Identity
Registration Date
State/Territory Authority
Witness Qualification
False Declaration
Official Extract
Personal Representative
Privacy Notice
Identity Verification
Supporting Documentation
Witness Requirements
False Declaration Penalties
Processing Details
Fees and Charges
Document Collection
Personal Information
Parental Authority
Indigenous Status
Document Authenticity
Legal Authority
Information Access
Data Protection
Amendment Rights
Statutory Requirements
Official Use
Certification Requirements
Government Services
Healthcare
Legal Services
Education
Immigration
Social Services
Identity and Documentation Services
Registry Operations
Document Processing
Legal Administration
Vital Statistics
Customer Service
Records Management
Compliance and Verification
Data Entry
Quality Assurance
Registry Officer
Birth Registrar
Legal Administrator
Immigration Officer
Social Services Officer
Healthcare Administrator
Identity Verification Specialist
Documentation Officer
Compliance Officer
Civil Registration Officer
Records Management Officer
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