Form Title: Request for a Birth Registration with a Single Name.

Form Number: 007-11343E.

Edition Date: 2017/01.

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.

Source Links:
Adobe PDF format: - - Request for a Birth Registration with a Single Name

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