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No:Reg/201

EmbassyofPakistan

Schaperstrasse,2910719Berlin

Tel.03021244229Fax.698678517

FORM S-I

Certificate of registration of birth in a country outside Pakistan of a child born to a citizen of Pakistan

Whereas Mr./Mrs.
Has reported to the birth of a child named ..
son/daughter of
alleging with respect to that child and himself the particulars set out below.

Now, therefore, in pursuance of rule 21 of the Pakistan Citizenship Rules, 1952 it is hereby certified
that the birth of the said child has been registered for the purpose of the Pakistan Citizenship Act and rules
made there under.
In witness whereof I have subscribed my name this day of .. 20..

SignedEmbassy of Pakistan, Berlin, GermanyParticulars relating to the child and applicant


Full name of the childFathers name and address in Pakistan and in the country outside Pakistan
Name with fathers name (in block letters)Address in PakistanAddress in the country outside PakistanDate and
place of birth of the childPlaceCountryDateName and address of childs mother in Pakistan and in the country
outside Pakistan
Name (in block letters)Address in PakistanAddress in the country outside PakistanName and address of the
applicant
Name (in block letters)Address in PakistanAddress in the country outside PakistanMarks of identification of
the child
Photograph

SignedEmbassy of Pakistan, Berlin, Germany