APPLICATION FOR COMPUTERIZED BIRTH CERTIFICATE
First Name
A person is entitled to only one (1) free Birth Certificate.
Notice: For Mail in applicants the free birth certificate will be delivered free of charge to a Trinidad and Tobago postal address only.
The person receiving the Certificate is required to produce their valid Trinidad and Tobago government issued ID.
Surname
ADDRESS
Mail In (home or office)
Walk In (home)
Telephone Number Between 8:00 am to 4:00 pm
Type of Service:
Are you applying for your own Birth Certificate? If not, please state your relationship to the person who owns the Birth Certificate.
Please Note :
If you are applying for a Birth Certificate which is NOT yours nor your child's you must submit a letter of
authorization from the owner of the Birth Certificate together with a copy of their valid government issued ID.
All Mail in applications must include a photocopy of a valid government issued ID.
Mail In applications are for the first free Birth Certificate only.
First Name
Middle Names
Date of Birth
Day Month Year
Place of Birth - Full address or Name of Hospital
Mother's First Name
Mother's Current Surname
Mother's Maiden Name
Father's First Name
Father's Surname
TO AVOID DELAY:
Date of Application
Signature of Person applying for Birth Certificate
(by signing this application you are certifying that you are
legally entitled to, or are authorized to apply for the Certificate)
FOR OFFICIAL USE ONLY
ALL INFORMATION MUST BE WRITTEN IN CAPITAL LETTERS
INSTRUCTIONS OVERLEAF
Registration No.
Certificate No.
Comments
Processed By
Yes
No
Sex
Male Female
REPUBLIC OF TRINIDAD AND TOBAGO
RGD 14A
Date Posted (DD/MM/YY)
ID
DP PP
PART II - BIRTH CERTIFICATE INFORMATION AS REGISTERED AT THE TIME OF BIRTH
Complete all sections clearly
Be sure you are authorized to make the request
Be sure your address and telephone number are correct
We may be unable to issue the birth certificate if the information provided is incomplete or inaccurate
Relationship:
NOT FOR SALE
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State the purpose for which the Certificate is required
MAIL IN
WALK IN
PART I - APPLICANT INFORMATION (TO BE COMPLETED BY THE PERSON REQUESTING THE BIRTH CERTIFICATE)
WALK IN APPLICANTS
Persons applying for their own Birth Certificate or
their child's must provide:
Their valid government issued ID (Driver's Permit, ID or Passport)
All applicants should provide a photocopy of their handwritten birth certificate
Applications must include a photocopy of the applicant's valid government issued ID; and must be placed in a sealed envelope
addressed to Registrar General's Department, Ministry of Legal Affairs, and sent in one of the following ways:
A) Posted To:
B) Deposited in drop-boxes located at Registrar General's Department Head Office in Port of Spain
or its sub-offices in Tobago, San Fernando and Arima
Sub Offices
Arima
#32 Pro Queen Street, Arima
San Fernando
#10 Leotaud Street, San Fernando
Tobago
Jerningham Street, Scarborough, Tobago
C) Given to a TTPost agent at any one of the 22 selected TTPost outlets listed below.
Selected TTPost Agents
Trinidad
North
St. Ann's
Carl Charles, Evergreen Green Grocers #13 St. Ann's Avenue
Maraval
Richard Dass, Ross Budget Drugs, Royal Palm Plaza, Maraval
Port-of-Spain TTPOST, 177 Tragarete Road, Port of Spain
South
San Fernando
Merle Marshall, Carlton Centre, San Fernando
Marabella
Trinpad Ltd., #225 Southern Main Road, Marabella
Point Fortin
Grace Sieunarine, c/o GGR Insurance Services, #29 Adventure Road, Point Fortin
Princes Town
Mohammed's Bookstore #22 High Street, Princes Town
Rio Claro
Avind Moonan, Moonan's Stationery Supplies, High Street, Rio Claro
Central
Chaguanas
Patricia Xavier, #9 St. Yves Street, Chaguanas
Couva
Feroz Khan Quality Cash & Carry, Railway Road, Couva
Caroni
Leo Seebaran, 146 Southern Main Road, Caroni
East
Arima
Vere Bhaggan's Drug Store, #48 Broadway, Arima
San Juan
Ramesh & Leela Supermarket, 48-50 Eastern Main Road, San Juan
Sangre Grande Sanjive Ramlogan, Auto Masters, LP# 914 Eastern Main Road, Sangre Grande
Toco
Anthony Mc Pherson, Crystal's One Stop Shop, LP #51, Cor. Pasea & Galera Raods, Toco
Valsayn
Tru Valu Supermarket, Valpark Shopping Plaza, Valsayn
Trincity
Sylvia Mayer-Charles, Trincity Mall, Trincity
West
Diego Martin
Prescott Singh, Payless Hardware, Diego Martin Main Road, Diego Martin
Tobago
Scarborough Lillis Jordon, Port Mall, Scarborough, Tobago
Charlotteville
Desery Moore, Bayview Shopping Mart, Spring Street, Charlotteville, Tobago
Plymouth Courtney Phillip's Grocery, Shelbourne Street, Plymouth, Tobago
Roxborough
Hollis Toppin, Ecomart, 198 Main Road, Roxborough, Tobago
INSTRUCTIONS
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ONLY THE FREE BIRTH CERTIFICATE WILL BE DELIVERED TO YOUR POSTAL ADDRESS FREE OF CHARGE.
THE PERSON RECEIVING THE CERTIFICATE MUST PRESENT A VALID FORM OF GOVERNMENT ISSUED ID.
Persons applying for a Birth Certificate that does
not belong to them must provide:
Their valid government issued ID; and
A letter of authorization from the owner of the Birth Certificate; and
A copy of the owner's valid government issued ID
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Registration House
72-74 South Quay
Port of Spain
Tel. 624-1660 ext. 3017
MAIL IN APPLICANTS