Fillable I am guardian of the child and my (National Asthma Council Australia)

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I am guardian of the child and my (National Asthma Council Australia)

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Country of origin: AUSTRALIA
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Government of Pakistan
Application for Registration of Birth of a Child of
Citizen of Pakistan Born in a Country Outside Pakistan
(Form-S, Value Rule 21)
Three photographs
of Child
The undersigned reports the birth of a child to Mr. and Mrs.
Name of the Child:
First:
Middle:
Last:
Sex:
Male Female
Place of Birth:
Date of Birth:
I am guardian of the child and my full name and addresses are as follows: (if reported by guardian other than parents)
Name of the Guardian:
First:
Middle:
Last:
Father’s Name:
First:
Middle:
Last:
I certify that the child’s father / guardian was / was not at the time of the child’s birth, servant of any Government
in Pakistan or of an international organization of which Pakistan was at any time during that period been a member.
Particulars of Child’s Father:
Name of Child’s Father:
Nationality of Child’s Father:
Name of Child’s Grandfather (Paternal):
Address in Pakistan:
Address in the Country Outside Pakistan
Particulars of Child’s Mother:
Name of Child’s Mother
Nationality of Child’s Mother:
Name of Child’s Grandfather (Maternal):
Address in Pakistan:
Address in the Country Outside Pakistan
I am attaching the following documents in proof of my citizenship of Pakistan, and of the child’s birth as reported
above:
A. Birth Certificate of the child (with copies attested by JP)
B. Child Parents Pakistan Passports and National ID Cards (with copies attested by JP)
C. ___________________________________________________________________.
I do solemnly affirm that the above statement is true and correct to the best of my knowledge and belief.
Place: ____________________________
Signature:
________________________
e-mail:
________________________
Contact No.
________________________
Child’s Father Pakistan Passport and National Identity Card particulars:
Pakistan Passport Number:
Date of Issue:
Place of Issue:
Pakistan National Identity Card Number
-
-
Child’s Mother Pakistan Passport and National Identity Card particulars:
Pakistan Passport Number:
Date of Issue:
Place of Issue:
Pakistan National Identity Card Number
-
-
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I am guardian of the child and my (National Asthma Council Australia)

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Completed 13 October 2021

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