Western Australia ONLY BIRTH CERTIFICATE APPLICATION FORM Surname at irth Given names Date of birth Day Month Year Present age Male Female Place of bir th in Western Aus - Description

g self mother Daytime phone number Email address Reason required Passport Drivers icence Centrelink Bank equirements Lega arriage Lost Family istory Othe 5741257445574435745257441574585744157460574495745557454 574025737657376 574175737657444574455 ID: 4635 Download Pdf

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Western Australia ONLY BIRTH CERTIFICATE APPLICATION FORM Surname at irth Given names Date of birth Day Month Year Present age Male Female Place of bir th in Western Aus

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