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Extract Of Birth Certificate (Peninsular)

Reason For Application

Application by an eligible applicant to obtain a copy of the birth register by paying a prescribed fee. Extract of a birth certificate may be made at any NRD office in Peninsular Malaysia..

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.LM12 that is completed;
  2. Identity card or identification document (original and copy)

CATEGORY 2: PERSON IN CATEGORY 7

  1. Form JPN.LM12 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 identity document of client (applicant) (original and copy);
  5. Power of attorney to oversee the application (if applicable)

CATEGORY 3: PERSON IN CATEGORIES 8 AND 9

  1. Form JPN.LM12 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)

 

CATEGORY 4: OTHER THAN PERSON IN CATEGORIES 1 TO 4

  1. Form JPN.LM12 that is completed;
  2. Identity card or identification document (Non Citizens);
  3. Official letter to apply for a search or extract of the register;
  4. Statutory Declaration (if applicable);
  5. Family Tree (if applicable);
  6. Power of attorney to oversee the application (if applicable);
  7. Any document or information that can be used as a basis for making a search on a birth register such as a school attendance letter and another siblings’ birth certificate (for a birth search application).
Payment

Application fee is RM5.00

Applications Form

JPN.LM12

Note : The online forms are to be used reference only.The may not be printed and used for transaction purposes.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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