[Form-S, Value Rule 21]

Application for Registration of Birth of a Child of Citizen of Pakistan Born in a Country outside Pakistan

To
Pakistan High Commission

Sir,

The undersigned reports the birth of a child to Mr. and Mrs. …………………………….......................................

Name of Child

Sex

Place of Birth

Date of Birth

I am the father/ guardian of the child and my full name and address are as follows:

Name

Father’s Name

Address in country outside

Pakistan

Address in Pakistan

I, the child’s father was not at the time of the child’s birth servant of a Government in Pakistan or of an
international organization of which Pakistan was at any time during that period a member.

Father’s name and address in Pakistan and in the country outside Pakistan. (Nationality:
……………………….)
Name/ Father’s Name

Address in Pakistan

Address in country outside

Pakistan

Mother’s name and address in Pakistan and in the country outside Pakistan. (Nationality:
……………………)
Name/ Father’s Name

Address in Pakistan

Address in country outside

Pakistan

I do solemnly affirm that the above statement is true to the best of my knowledge and belief.

Signature ……………………………………………….
Place ………………………………………………
Date ………………………………………………
Contact No…………………Email…………………….

Child’s Father’s Pakistan Passport and National Identity Card particulars

Pakistan Passport Number

Place of Issue
Date of Issue

Pakistan National Identity Card Number

Child’s Mother’s Pakistan Passport and National Identity Card particulars

Pakistan Passport Number

Place of Issue
Date of Issue

Pakistan National Identity Card Number

Documents to be attached.

a. Original birth certificate of the child, alongwith one copy dully attested copy by a JP.
b. JP attested copies of both parent’s Pakistani passports and National Identity Cards.
c. 03 photographs of the child (child’s name written on the back).
d. JP attested copy of the parent’s marriage certificate.
e. Letter of consent from a parent (if one of them is a foreigner).

NOTE.

a. Application form for registration of birth should be submitted within 6 months of the birth of the child,
along with the following documents.
b. For prompt service, please ensure that the above requirements are completed. Failure to observe the
above may result in delay for which High Commission will not accept responsibility.