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Extract Of Certificate Of Birth In Hejaz (Peninsular)

Reason For Application

Permohonan untuk mendapatkan salinan daftar kelahiran oleh pemohon yang berkelayakan dengan bayaran yang ditetapkan.
Cabutan sijil kelahiran boleh dibuat di Ibu Pejabat JPN Putrajaya dan JPN Negeri dan sahaja.

Eligible Applicants

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

  1. Birth Certificate owner who currently holds an identity card;
  2. Parent of Birth Certificate owner;
  3. Spouse of Birth Certificate owner;
  4. Child or legally adopted child of Birth Certificate owner;
  5. Sibling of Birth Certificate owner;
  6. Legal guardian of the child (birth certificate owner) has a letter of custody of children under the Child Protection Act 1991;
  7. Law firm;
  8. Statutory body;
  9. Government agency
Required Documents (Original and Copies)
CATEGORY 1: PERSON IN CATEGORIES 1 TO 6
  1. Form JPN.LMH3 that is completed;
  2. Identity card or identification document (original document and one (1) copy of the original)
 
CATEGORY 2: PERSON IN CATEGORY 7
  1. Form JPN.LMH3 that is completed;
  2. Official letter from a law firm requesting search or extract of the register;
  3. Letter of appointment from client (applicant);
  4. Identity card or identification document of client (applicant) (one (1) copy of original document);
  5. Power of attorney to oversee the application (if applicable)
 
CATEGORY 3: PERSON IN CATEGORIES 8 AND 9
  1. Form JPN.LMH3 that is completed;
  2. Official letter from a statutory body or government agency to apply for search or extract of the register;
  3. Power of attorney to oversee the application (if applicable)
Payment

Application fee is RM2.00. Government agencies are exempted from payment.

Applications Form

Form JPN.LMH3

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.

 

RECOGNITION AND CERTIFICATION


Ibu Pejabat Jabatan Pendaftaran Negara Putrajaya, 
No 20, Persiaran Perdana, Presint 2,
Pusat Pentadbiran Kerajaan Persekutuan,
62551 Wilayah Persekutuan Putrajaya. 

Telefon: 03-8000 8000 | Faks: 03-8880 8288 |
Emel(@jpn.gov.my): pro

(C) Hakcipta Terpelihara 2021 - Jabatan Pendaftaran Negara Malaysia

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