Application To Insert Name [Section 15(2)(B)] Into The Birth Certificate For Child Aged 21 And Above (Peninsular)

Application to insert the name of a child aged more than 21 years who was registered without a name at birth.

Application to insert the name for a child over age 21 may be submitted by the following persons:

1. Owner of Birth Certificate.
2. Biological mother or father.
3. Legal guardian (attached with child custody authorization letter from JKM).

The applicant is required to go to any National Registration Department counter in Peninsular Malaysia with the necessary documents.

1. JPN.LM21 Form (original).
2. Individual Birth Certificate (original).
3. Identity Card of parents (original and copy).
4. Declaration Form (AM80) of parents (original).
5. Family Information Form (BMK81) (original).
6. Marriage Document of parents – if any.

Application fee RM 50.00

1. JPN.LM21 – Application for Name Entry/Correction of Information.
2. AM 80 – Declaration Form
3. BMK 81-Family Information Form

Notice: The form in this portal is for guidance only. Please use the original form when submitting your application