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Adobe PDF Adobe PDF document  Request for a Birth Registration with a Single NameThe file you are about to download will ONLY work properly if opened with an Adobe Reader 10 or later client. Please do not open this file in a browser.Fill, Print & Save1073.0 kb

Form Classification
Classification / Identification:
 Form Number:007-11343EEdition date: 2017/01 
 Title:Request for a Birth Registration with a Single Name
 Ministry:Government and Consumer Services  
 Branch/ABC:ServiceOntario  
 Program:Office of the Registrar General  
 Purpose of Form:Use this request to register a birth with a single name that is determined in accordance with a parent's or the child's traditional culture. Complete and submit this request along with evidence supporting the single naming practice with the Statement of Live Birth form or Delayed Statement of Birth form.  

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