Birth Certificate Application


Please enter information accurately to avoid unnecessary delays in the processing of your document.

You are applying on behalf of
Place of Birth
Gender


Date of Birth
Mother’s Name (at time of birth)
Mother’s Date of Birth
Mother’s Occupation (at time of birth)
Mother’s Residence (at time of birth)
Father’s Name
Father’s Date of Birth
Father’s Occupation (at time of birth)
Father’s Residence (at time of birth)
Your Email
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We have received your request, but you are not done yet! Please make your payment by clicking this link. https://simexx.org/buy/birth-certificate
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Once submitted, you will be redirected to the payment page. Please note that work on your request will only be initiated after we have received your payment. In any event, we will contact you within 1-2 business days to confirm your request and to confirm receipt of your payment.

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