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Extract Of Death Certificate (Peninsular)


Reason For Application

Application by an eligible applicant to obtain a copy of the death register by paying a prescribed fee. Application for extract of Death Certificate may be made at any NRD office in Peninsular Malaysia.

Application Conditions

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

  1. Parent of the deceased;
  2. Spouse of the deceased;
  3. Child or legally adopted child of the deceased;
  4. Sibling of the deceased;
  5. Law firm;
  6. Statutory body;
  7. Government agency
Required Documents

CATEGORY 1: PERSON IN CATEGORIES 1 TO 4

  1. Form JPN.LM13 that is completed;
  2. Identity card or identification document of the applicant (original and copy);
  3. Copy of Death Certificate (if any)
  4. marriage certificate (original and copied)

 

CATEGORY 2: PERSON IN CATEGORY 5

  1. Form JPN.LM13 that is completed;
  2. Official letter from a law firm requesting search or extract of the register;
  3. Letter of appointment from the client (applicant);
  4. Identity card or identification document of the client (applicant) (original and copy);
  5. Power of attorney to oversee the application (if applicable)

 

CATEGORY 3: PERSON IN CATEGORIES 6 AND 7

  1. Form JPN.LM13 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 6

  1. Form JPN.LM13 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.LM13 

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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