The Birth Certificate Declaration Form is a crucial document in Malaysia's civil registration system, designed to capture and verify essential information about a child's birth. This form is required under the Births and Deaths Registration Act 1957 and related regulations, serving as the primary document for initiating the birth registration process. It must be completed within 60 days of birth, though provisions exist for late registration. The form collects comprehensive information including the child's birth details, parents' information, and circumstances of birth, supported by various documents such as medical records and identity cards. The declaration can be made by parents, legal guardians, or authorized persons, and in some cases requires verification by medical practitioners or witnesses. The completed form, when accepted by the National Registration Department, leads to the issuance of an official birth certificate, which is fundamental for establishing legal identity and citizenship rights in Malaysia.
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1. Declaration Header: Title of the document, reference number, and jurisdiction (Malaysia)
2. Declarant Details: Full name, IC number/passport, relationship to child, contact details and address of person making the declaration
3. Child's Details: Full name, date of birth, place of birth, gender, time of birth, and weight at birth
4. Parents' Information: Full names, IC numbers/passports, nationalities, ages, occupations, and addresses of both parents
5. Birth Event Details: Information about where the birth took place, attending medical professionals or witnesses
6. Supporting Documents List: Checklist of required documents being submitted with the declaration
7. Truth Declaration: Standard declaration of truth and awareness of legal consequences for false declarations
8. Signature Section: Space for declarant's signature, date, and witness details
1. Late Registration Justification: Required when registering birth after the statutory period, explaining reasons for delay
2. Traditional Birth Attendant Details: Used when birth occurred outside a medical facility with a traditional birth attendant
3. Adoption Information: Required when the declaration involves an adopted child
4. Translation Declaration: Required when any supporting documents are in languages other than Bahasa Malaysia or English
5. Non-Citizen Parents Details: Additional information required for parents who are not Malaysian citizens
1. Schedule A - Document Checklist: Detailed list of required supporting documents (e.g., parents' ICs, marriage certificate, medical birth record)
2. Schedule B - Witness Statement Form: Form for witnesses to verify birth details when required
3. Schedule C - Medical Verification Form: For completion by medical practitioner or hospital to verify birth details
4. Appendix 1 - Guidelines for Completion: Instructions on how to complete the form and requirements for different scenarios
5. Appendix 2 - Privacy Notice: Information about how the personal data will be used and protected
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