Request for a Birth Registration with a Single Name

Use this request to register a birth with a single name that is determined in accordance with a parent's or the child's traditional culture. Complete and submit this request along with evidence supporting the single naming practice with the Statement of Live Birth form or Delayed Statement of Birth form.

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Forms, Links, and Information

  • English - 007-11343e - Request for a Birth Registration with a Single NamePDF

    Use this request to register a birth with a single name that is determined in...

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  • French - 007-11343f - Request for a Birth Registration with a Single NamePDF

    Use this request to register a birth with a single name that is determined in...

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Additional Information

Form Number 007-11343
Title Request for a Birth Registration with a Single Name
Description Use this request to register a birth with a single name that is determined in accordance with a parent's or the child's traditional culture. Complete and submit this request along with evidence supporting the single naming practice with the Statement of Live Birth form or Delayed Statement of Birth form.