goo 1 Gyupfinw 1 Citizenship 1 1948 Gorm 18 Cd@ Eom) GOO saw God G qomsdss 60m Be coos Emo B69 gm Oo eac®oga 1948 Qe 18 gd Qods Qotimad Gguflows scrssHet dip Botinsse Camu Dabdss Upteuti usa Geuiugieron allestemtiuubd APPLICATION FOR REGISTRATION OF BIRTH OUTSIDE SRI LANKA under the CEYLON CITIZENSHIP ACT No. 18 OF 1948 Mo8D m HOOD meD dad e008. (eCcEoosS 2B) Ben Oras EdcHD EomeOs3 80 Cos AO 6883 Oita 268s 60 Cdexsina EmokcD ada ees 1948 gor 18 Edm GOTH omedd 5(2) Oo Bodied 528 9 ear ooo gcias nda G8 ee) BOB. oMD CaO quG Oclad aos OO, FOE Ad ome 068. GHagay, Gywseday si um Lom pout, MGwbmsiier Cut) abu sag! GpbOs Borinais Coustious Pairs Inoy car Q5510 SGussGagLe, opmau Upioy usasLuyon, 1948 Bor 18 ob Goss Gyuflenos oc ssei 5Q) 24d Uifleler Comasefier nerd, Sp msGurouid Goren prot oowiemiund GauislGnsh. aeitonned LBp GsiGscuC Geter ALIHESH UTA eoeourTETEDA slatayd sfuetons rood 2 qSwsAdAEpsh, To:- CONTROLLER GENERAL/ IMMIGRATION AND EMIGRATION [Tobe completed in BLOCK letters] |, the undersigned hereby report the birth outside Sri Lanka of my child a” se . (Name of the Child) and apply for registration thereofin accordance with the requirements of Section: sf) he Czeshintt No. 181948. | dectare thatthe particulars stated by me below are true and correct. geginived gone SSasioomiupsrsfiat ensGusntut Signature of Applicant.e - e€ginc SEE Scand OF - Setemiusmyt usu elugéiesi A- PARTICULARS RELATING TO THE APPLICANT |. e€gindred aBabar 09 Saxiomlugsnyfia apagts Guar FullName of Applicant RoB 608 GBaa eudiay wt sit apaseuth Postal Address in the Country of Domicile 3. 5 e8¢ 820 sesh paovth e-mail Address gondac - e€Bo GgrenevGudl - 2_singrG Telephone - Local BogBo Geuetiign® Overseas BGS: OD ESL GOS GB OBABDG 5 nnnnern alotaniuprt upd eybmséaonuleoren Opn iy Relationship of Applicant to Child (9GgBaxx, edrdved BarOs} 000s emeD |B, 088 g¢eGoo eSod adan0 ONSO corer Osig8 exda SOO GO) SatamiugTt Gpbmsular shane ovrog smi BdronvCwaiar, Gis Heomiugos swiss Hiss, Quorreniodsirer smyssang54 an G30 Cavesi(Bid) Ifthe applicant is neither the father nor the mother of the child, the reasons why the latter are unable to apply should be stated here.) Mm - EexO) B8Oe Edad & - Gebos Asrituren alugmisct B- PARTICULARS RELATING TO THE CHILD 6 edebhodd aBEbs a8 Gpboguie (po Guu: Full Name of Child 7. 88/gce mda ace 5) ure appt Guar Sex Male Female 8 ced Boo Rac a0 alee Ups dad: ‘pst wwrgsid aut Date of Birth Date Month Year 9 Cod dae (080, 2060) pbs BLb (oIB, pay) Place ofbirth (Street, Town) 60/51 /Country% - EOrhed eOO8ad 88OE Hind B - Gybesuler GupGprt upw aflugdiest C- PARTICULARS RELATING TO THE CHILD'S PARENTS 10. 6c@88a25 Bro g dona om Eoo GupGprt sans eur B.wo Dasuyd Place and date of parents’ marriage (c6c> CORD qOdoneBE ec8OSas gBOmn/eOsO ows ExioemeS Bed a8 OoxdOs a» Bordoo aBasidoas TAK ome ead DE GIS. Gyms Unseb sbsriUgSed CuNGori Howamd apgdargy / Libs Heros Sars dg CouPGirier sense (patemity) udsu so Huser gid) awiluIsged CovesiGe. It Parents are unmartied/separated/divorced when the child is bom, afidavits for the paternity should be submitted.) Baved Sad F - Gpbeguier shos uppu elugwiasi D- PARTICULARS RELATING TO THE CHILD’S FATHER 11. @) e8gbs o8 wed Guus Full Name (0) ces Boa Roo Unis Sap pret Date of Birth Date eQoute oug.tb Year iif ©) cos dao pbs BL. Place of bith (d) oc CORD POSER Bares Eadie! gdoBmda Gusos Inds Gung shmpsuleh Cosus Bomb / equsfonw His Nationality Citizenship status atthe time of the child's birth (¢) Gc» Ed8ome0s5 G eormeD oorBeasie, EmokO GeOs G ome! aoO-Beadd ¢? on &8o shang upbusjusen Borkinaussr, use) eprworen Boowensusyr sigs Whether the father isa citizen of SriLanka (Ceylon) by descent or by registration eo8edneO35 Baek G6e0d ustiusnusras By descent ugBay qpoouores By registration