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Application To Insert Name [Section 15 (2)(A)] Into The Birth Certificate For Child Under Age 21 (Peninsular)

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  • Application To Insert Name [Section 15 (2)(A)] Into The Birth Certificate For Child Under Age 21 (Peninsular)
Reason For Application

Application to insert the name of a child aged one (1) year to less than 21 years who was registered without a name at birth.

Application Conditions

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

  1. Birth Certificate owner;
  2. Parent;
  3. Legal guardian
Application Procedure

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

Required Documents (Original and Copies)



  1. Forms JPN.LM21 and JPN.LM08 that are completed;
  2. Statutory declaration JPN.LM22
  3. Family information form BMK81
  4. MyKid form
  5. Birth Certificate (original and copy)
  6. Letter of guardianship from the Department of Social Welfare (if application is submitted by the child’s guardian) (original and copy)
  7. Passport or insurance documentation or bank book if the child has a passport or insurance or bank account (original and copy)




  1. Identity card or identification document or death certificates of parents (original and copy)
  2. Authorisation letter from the parents to the guardian to submit the application
  3. Marriage certificate or divorce (originals and copies)

Application fee: RM50.00

Applications Form

JPN.LM21 - Application for Insertion of Name/Correction of Errors in the Birth Register

JPN.LM22 - Declaration Letter for Application to Correct Errors in the Birth Register

BMK 81 - Family Information Form

jpnmykid - Application for MyKid

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.


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 
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