Declaration Form for Child Name Inclusion in Birth Certificate

Sometimes you need to submit a declaration for the inclusion of your child’s name in the birth certificate. It has to be submitted to your respective municipal office/panchayat office.

What is the Declaration format for child name inclusion in birth certificate: Here the declaration form means confirmation from the parents of the child that all the information which they are providing like name of the child, parents details and address, date of birth and place of birth are correct.

The birth certificate issuing authorities ask this declaration form to add the name of the newly born child in the birth certificate. (Which was issued already without mentioning the name of the child)

Here is a sample declaration format to which you can use for requesting the inclusion of your child’s name in the birth certificate.

Birth Certificate Name Inclusion Application ( Format 1)

We Shri _____________________(father name) and Smt _________________(mother name) residing at _________________________________________________________________________________________________________ ( complete address) solemnly declare that we have given birth to a baby boy / baby girl  on ____________  in ____________(place of birth).

We have named our child as ___________________ ( name of the child). Here we are requesting you to kindly add our child name in birth certificate issued on _____________(date of issue of birth certificate)  with registration number ____________ by the _____________ municipal commission / Panchayat.

We hereby declare that the above-mentioned particulars are true to the best of our knowledge.

_________________________

Signature of Father of  Child

_________________________

Signature of Mother of child


Birth Certificate Name Inclusion Application ( Format 2)

We Shri ________________________ (father name) and Smt _______________ (mother name) residents of __________________________________________________________________________________________________(full address) affirm that we named our baby boy / baby girl as _______________ (name of the child). 

She/He was born on ____________(date of birth)  in  ____________(place birth). With due respect here we are requesting you to include our child name in the birth certificate.

_______________________

Signature of child’s father

________________________

Signature of child’s mother

Also read: Application format for adding the name in birth certificate.

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