Application by an eligible applicant to obtain a copy of the death register by paying a prescribed fee. Application for extract of the Death Certificate can be made only at the State NRD Office and Putrajaya NRD.

Application for extract of Death Certificate may be submitted by the following persons or entities:

1. Parent of the deceased;
2. Spouse of the deceased;
3. Child or legally adopted child of the owner of the Death Certificate;
4. Sibling of the owner of the Death Certificate;
5. Law firm;
6. Statutory body;
7. Government agency

CATEGORY 1: PERSON IN CATEGORIES 1 TO 4

1. Form X1 that is completed;
2. Identity card or identification document of the applicant (original and copy);
3. Copy of Death Certificate of the deceased (if any)

CATEGORY 2: PERSON IN CATEGORY 5

1. Form X1 that is completed;
2. Official letter from a law firm requesting search or extract of the register;
3. Letter of appointment from the client (applicant);
4. Identity card or identification document of the client (applicant) (copy);
5. Power of attorney to oversee the application (if applicable)

CATEGORY 3: PERSON IN CATEGORIES 6 AND 7

1. Form X1 that is completed;
2. Official letter from a statutory body or government agency to apply for a search or extract of the register;
3. Power of attorney to oversee the application (if applicable)

Application fee is RM5.00. Government agencies are exempted from payment.

Form XI 

Note : The online forms are to be used reference only.The may not be printed and used for transaction purpose.For transactions,please use the original forms.