‫ﺍﻣﺎﺭﺕ ﺍﺳـــــﻼﻣﯽ ﺍﻓﻐﺎﻧﺳﺗـــــــــــــــﺎﻥ‬

‫ﺍﺩﺍﺭﻩ ﻣﻠـــــــــــــﯽ ﺍﺣﺻﺎﺋﻳﻪ ﻭ ﻣﻌﻠﻭﻣﺎﺕ‬

‫ﻓﻭﺭﻡ ﺷﻣﺎﺭﻩ )‪ ( 13‬ﺩﺭ ﺧﻭﺍﺳﺗﯽ ﮐﺎﺭﺕ ﺗﻭﻟـــﺩ ﺑﻪ ﮔﻭﻧﻪ ﺍﻧﻔﺭﺍﺩی‬

‫ﻣﻌﻠﻭﻣﺎﺕ ﻣﻭﺭﺩ ﻧﻳﺎﺯ ﺑﺭﺍی ﺍﺧﺫ ﮐﺎﺭﺕ ﺗﻭﻟﺩ‪.‬‬ ‫ﺷﻣﺎﺭﻩ‬

‫ﺍﺳﻡ ﻭﺗﺧﻠﺹ‬

‫ﺍﺳﻡ ﭘﺩﺭ‬

‫ﺷﻬﺭﺕ‬
‫ﻣﺣﻝ ﻓﻭﺗﻭی ﻣﺗﻘﺎﺿﯽ‬ ‫ﺍﺳﻡ ﭘﺩﺭﮐﻼﻥ‬ ‫‪1‬‬
‫ﺍﺳﻡ ﻣﺎﺩﺭ‬

‫ﻣﻭﻧﺙ‬ ‫ﻣﺫﮐﺭ‬ ‫ﺟﻧﺱ‬

‫ﺗﺎﺭﻳﺦ ﺗﻭﻟﺩ‬ ‫‪2‬‬

‫ﻣﺣﻝ ﺗﻭﻟﺩ‬ ‫‪3‬‬

‫ﻭﻻﻳﺕ‬

‫ﺳﮑﻭﻧﺕ ﺍﺻﻠﯽ ﺳﮑﻭﻧﺕ ﻓﻌﻠﯽ‬

‫ﻭﻟﺳﻭﺍﻟﯽ‬ ‫‪4‬‬
‫ﻗﺭﻳﻪ‪/‬ﮔﺫﺭ‬

‫ﻭﻻﻳﺕ‬

‫ﻭﻟﺳﻭﺍﻟﯽ‬ ‫‪5‬‬

‫ﻗﺭﻳﻪ‪/‬ﮔﺫﺭ‬

‫ﻣﻌﻠﻭﻣﺎﺕ ﻣﻧﺩﺭﺝ ﻓﻭﺭﻡ ﻫﺫﺍ ﮐﺎﻣﻼ ﺻﺣﺕ ﻣﻳﺑﺎﺷﺩ ﻭﺑﻧﺩﻩ ﺗﺎﺍﮐﻧﻭﻥ ﺍﺯ ﻫﻳﭻ ﻣﺭﺟﻊ ﮐﺎﺭﺕ ﺗﻭﻟﺩ‬
‫ﺍﻣﺿﺎء ﻭﺷﺻﺕ ﻣﺗﻘﺎﺿﯽ‬ ‫ﺍﺧﺫ ﻧﮑﺭﺩﻩ ﺍﻡ ﻭﺗﺎﺭﻳﺦ ﺗﻭﻟﺩ ﻣﻧﺩﺭﺝ ﻓﻭﺭﻣﻪ ﻫﺫﺍ ﻣﻁﺎﺑﻖ ﺳﻥ ﻭﺳﺎﻝ ﺗﺫﮐﺭﻩ ﺍﻡ ﻣﻳﺑﺎﺷﺩ‬
‫ﺩﺭ ﺻﻭﺭﺕ ﺧﻼﻑ ﺩﺭﺑﺭﺍﺑﺭ ﻣﺭﺍﺟﻊ ﻣﺭﺑﻭﻁ ﻣﺳﻭﻝ ﺧﻭﺍﻫﻡ ﺑﻭﺩ‬

‫ﻧﻭﺕ ‪ -1 :‬ﺍﺭﺍﻳﻪ ﺍﺻﻝ ﺗﺫﮐﺭﻩ ﻣﺗﻘﺎﺿﯽ ﺑﺎ ﻓﻭﺭﻣﻪ ﻫﺫﺍ ﺍﻟﺯﺍﻣﯽ ﻣﻳﺑﺎﺷﺩ‬

‫‪ -2‬ﮐﺎﭘﯽ ﺭﻧﮕﻪ ﺗﺫﮐﺭﻩ ﺿﻡ ﻓﻭﺭﻣﻪ ﻫﺫﺍ ﺍﺯﺟﺎﻧﺏ ﺍﺩﺍﺭﻩ ﺗﻭﺯﻳﻊ ﮐﻧﻧﺩﻩ ﮐﺎﺭﺕ ﺗﻭﻟﺩ ﺍﺧﺫ ﻭﺍﺟﺭﺍﺍﺕ ﺻﻭﺭﺕ ﻣﻳﮕﻳﺭﺩ‬
 Islamic Emirates of Afghanistan
National Statistic and Information Authority of Afghanistan
Birth Certificate Individual Application Form (13)
English Specification of Applicants
S.N
Specification of Applicants

Date of Birth
Name / Surname

Father/Name

1
Grand Father Name Place of birth

Mother Name

Gender Male Female