Birth Registration

applicant information

Jina la kwanza / First Name Jina la kati / Middle Name Jina la Ukoo / SurName Jinsia / Gender

Mume / Male

Mke / Female

Tarehe ya kuzaliwa / Date of birth Hali ya ndoa / Marital Status Sehemu alipozaliwa / Place of birth Hospitali ya Kuzaliwa / Hospital of Birth Mkoa alipozaliwa / Region of birth Wilaya alipozaliwa/ District of birth

Shehia/Ward of birth

Nambari ya nyumba / House Number Kazi ya mwombaji / Applicant Occupation Wilaya ya makazi / District of Residence Shehia/Ward of Domicile

Sababu ya kuchelewa kwa maombi / Reason of late application: Sababu ya ombi la cheti / Reason of certificate Request:

mother's information

Aina ya kitambulisho / Type of id Nambari ya kitambulisho / Id Number Jina la kwanza / First Name Jina la kati / Middle Name Jina la Ukoo / SurName Cheti cha kuzaliwa / Birth certificate number ZanID Namba/ ZanID number Sehemu alipozaliwa / Place of birth Hospitali ya Kuzaliwa / Hospital of Birth Wilaya ya makazi / District of Residence Shehia/Ward of Domicile

Nambari ya nyumba / House Number Utaifa / Nationality Kabila / Tribe

father's information

Aina ya kitambulisho / Type of id Nambari ya kitambulisho / Id Number Jina la kwanza / First Name Jina la kati / Middle Name Jina la Ukoo / SurName Cheti cha kuzaliwa / Birth certificate number ZanID Namba/ ZanID number Sehemu alipozaliwa / Place of birth Hospitali ya Kuzaliwa / Hospital of Birth Wilaya ya makazi / District of Residence Shehia/Ward of Domicile

Nambari ya nyumba / House Number Utaifa / Nationality Kabila / Tribe

informant's information

Aina ya Mtoa Taarifa / Type of informant Aina ya kitambulisho cha mtoa taarifa / Informant ID type Nambari ya kitambulisho / ID Number Jina la kwanza / First Name Jina la kati / Middle Name Jina la Ukoo / SurName Jinsia / Gender

Mume / Male

Mke / Female

Cheti cha kuzaliwa / Birth certificate number Nambari ya simu / Phone number Sanduku la posta / P.O.Box Wilaya ya makazi / District of Residence Shehia/Ward of Domicile

Nambari ya nyumba/ House Number Utaifa / Nationality Namba ya ZanID / ZanID number

applicant information

Jina la kwanza / First Name Jina la kati / Middle Name Jina la Ukoo / SurName Jinsia / Gender

Mume / Male

Mke / Female

Tarehe ya kuzaliwa / Date of birth Hali ya ndoa / Marital Status Sehemu alipozaliwa / Place of birth Hospitali ya Kuzaliwa / Hospital of Birth Mkoa wa kuzaliwa / Region of birth Wilaya ya kuzaliwa / District of birth Shehia ya kuzaliwa / Shehia of Birth Namba ya nyumba / House Number Kazi ya mwombaji / Applicant Occupation Wilaya ya makazi / District of Residence Kata ya makazi / Ward of Residence

Sababu ya kuchelewa kwa maombi / Reason of late application Sababu ya ombi la cheti / Reason of certificate Request

mother's information

Aina ya kitambulisho / Type of id Nambari ya kitambulisho / Id Number Jina la kwanza / First Name Jina la kati / Middle Name Jina la Ukoo / SurName Cheti cha kuzaliwa / Birth certificate number ZanID Namba/ ZanID number Sehemu alipozaliwa / Place of birth Hospitali ya Kuzaliwa / Hospital of Birth Wilaya ya makazi / District of Residence Kata ya makazi / Ward of Residence Nambari ya nyumba / House Number Utaifa / Nationality Kabila / Tribe

father's infromation

Aina ya kitambulisho / Type of id Nambari ya kitambulisho / Id Number Jina la kwanza / First Name Jina la kati / Middle Name Jina la Ukoo / SurName Cheti cha kuzaliwa / Birth certificate number ZanID Namba/ ZanID number Sehemu alipozaliwa / Place of birth Hospitali ya kuzaliwa / Hospital of Birth Wilaya ya makazi / District of Residence Kata ya makazi / Ward of Residence Nambari ya nyumba / House Number Utaifa / Nationality Kabila / Tribe

informant's information

Aina ya Mtoa Taarifa / Type of informant Aina ya kitambulisho cha mtoa taarifa / Informant ID type Nambari ya kitambisho / ID Number Jina la kwanza / First Name Jina la kati / Middle Name Jina la Ukoo / SurName Jinsia / Gender

Mume / Male

Mke / Female

Nambari ya cheti cha kuzaliwa / Birth certificate number Nambari ya simu / Phone number Sanduku la posta / P.O.Box Wilaya ya makazi / District of Residence Kata ya makazi / Ward of Residence Nambari ya nyumba / House Number Utaifa / Nationality Namba ya ZanID / ZanID number