The Consular Officer,

Embassy of India,
Riyadh
Subject

Registration of Birth

Dear Sir,
It is requested that the birth of my child whose particulars are given below, may kindly be
registered in the Indian Birth Register and a birth certificate issued to me. An entry may be made in
his/her fathers/mothers passport :
1.
Name of child
:
2.
Date of Birth of child :
3.
Place of Birth of child :
4.
Sex of child
:
Male ( )
Female ( )
5.
Fathers Particulars
:
Name
:
Nationality
:
Passport No.
:
Date of Issue
:
Place of Issue
:
6.
Mothers Particulars
:
Name
:
Nationality
:
Passport No.
:
Date of Issue
:
Place of Issue
:
The following documents are attached herewith :
(a)
Photocopy of fathers passport.
(b)
Mothers Passport in original and Photocopy.
(c)
Birth certificate (in original) issued by the Ministry of Health.
(d)
Photocopy of birth certificate and its authorized translation in English.
(e)
Photocopy of marriage certificate.
Date
:
Place
:
..
Signature of Applicant
Name..
Address..
...
Tel No. ..

CERTIFICATE OF ENTRY OF A BIRTH

OF AN INDIAN CITIZEN WITHIN THE
DISTRICT OF THE EMBASSY OF
INDIA, RIYADH

Embassy of India
Post Box No. 94387
Riyadh 11693 Saudi Arabia

NO. RIY/C/BR//200

Dated :

1.

Name of the child

2.

Date of Birth

3.

Place of Birth

4.

Sex

5.

Name of the father

6.

Name of the mother

7.

Claim of Father/Mother to Indian Citizenship by:

8.

Signature of Father

9.

Signature of Mother

10.

Permanent Address in

Birth/Descent

India

11.

Address in KSA

P.O. Box
Tel. No.

FOR OFFICIAL USE ONLY :

When registered

..

I, ., of the Embassy of India at Riyadh, Kingdom of Saudi Arabia do hereby certify

that this is a true copy of the entry of birth of . entered at serial No.
R/Y/C/BR/.../200 in the register of births kept in this Embassy.
Witness by hand and seal, this day of . 200

Signature of
Consular Officer