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

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

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


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

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

    Application fee: RM50.00
    Birth Certificate extract fee: RM5.00

    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

    BMK81 – 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.

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