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Application For Re-Registration Of Birth (Lost Or Damaged) Section 4A (Peninsular)

Reason For Application

 Application for re-registration of birth registration is made when the register or record of birth cannot be traced due to loss or damage. Applications may be submitted at any NRD office in Peninsular Malaysia, supported by evidence that the birth was registered.

Application Conditions

Re-registration of birth may be submitted by the following persons:

  1. Parent;
  2. Birth Certificate owner who has an identity card
Application Procedure

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

Required Documents (Original and Copies)
  1. Form JPN.LM01
  2. Birth Certificate (original document and one (1) copy of the original) – if any
  3. Family information form – BMK81
  4. Extract of school register (original document and one (1) copy of the original);
  5. Identity card of the Birth Certificate owner (original document and one (1) copy of the original) if any;
  6. Available documents with record of the Birth Certificate number (original document and one (1) copy of the original)
Payment

No charge

Applications Form

JPN.LM01 - Registration of Birth

BMK 81 - Family Information Form

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