CP No.
Birth Certificate Application of Adopted Child (Northern Ireland)
*
ALL SECTIONS OF THE FORM SHOULD BE FULLY COMPLETED.
INCOMPLETE APPLICATIONS WILL BE RETURNED.
*
This form should only be completed for persons whose adoption was registered in
Northern Ireland.
Office Use
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Please complete Sections 1, 2, 3 in CAPITAL letters and sign at Part 4.
CALL / POST
Mon / Tues / Wed / Thurs / Fri
Section 1 Applicant (Person Applying
)
(a)
Full name
Full postal address
Postcode:
Daytime telephone no.
Email address
(b)
Are you applying for your own certificate?
Yes
No
(c)
If No, please state your relationship to the person whom
the certificate relates
(d)
Please give reasons for wanting a certificate: i.e. passport, driving license etc.
Section 2 Details of the person whose Certificate is required (from January 1931 only)
Surname
Forename(s)
Date of Birth
(a)
Adopted person
Surname
Forename(s)
(b)
Name of Adopters
Adopter 1
Adopter 2
Name of Court which made the order
Date of Order
(c)
Adoption Order
Section 3 Number and Type of Certificate(s) required
FULL
SHORT
STATUTORY
Search Only letter
(additional copies of the same
entry will be charged at the
reduced fee)
(Proof from SSA/Education & Library
Board required)
(5 year inclusive period)
Section 4 Signature
(Must be completed)
Your signature
Date
Section 5 Payment (for postal applications only)
(a)
I enclose cheque / postal order/
credit/debit card details for
made payable to
REGISTRAR GENERAL
(For postal applications please
enclose the correct fee as
refunds cannot be made)
Please read our privacy notice to see how we use and protect your personal information at www.finance-ni.gov.uk/publications/nisra-privacy-notices
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PLEASE READ THE FOLLOWING NOTES TO HELP YOU
COMPLETE THE APPLICATION FORM
THE ATTACHED APPLICATION FORM SHOULD BE COMPLETED IN CAPITAL LETTERS.
THE INFORMATION PROVIDED SHOULD BE AS ACCURATE AS POSSIBLE.
ALL SECTIONS OF THE APPLICATION FORM SHOULD BE FULLY COMPLETED.
INCOMPLETE APPLICATIONS WILL BE RETURNED
Section 1
Applicant (Person Applying)
(Box a)
Insert the full name of the person applying for the certificate and the address to which the
certificate is to be forwarded. A daytime telephone number should be included, where you
can be contacted if necessary.
(Box b)
State if you are applying for your own certificate, if not, please go to Box c.
(Box c)
State your relationship to the person to whom the certificate relates.
(Box d)
Give the reasons the certificate is required i.e. passport, driving licence etc.
Section 2
Details of Person whose Certificate is Required
Failure to provide full information may prevent GRO from being able to issue information/certificate
you have requested.
(Box a)
Give details of the adopted person whose certificate is required. This information is
mandatory and should be filled in, if not, it could result in the return of the application
form.
(Box b)
Give details of the person’s adoptive parents.
(Box c)
Give the name of the Court which made the order and the date it was made if known
Section 3
Number and Type of Certificate(s) Required
Full Birth Certificate:
Short Birth Certificate:
Additional Copies:
Statutory Certificate:
Search Only:
Section 4 Signature
Section 5
Payment
(Box a)
State the number of full, short or statutory birth certificates required.
This shows adoptive name and surname, country of birth, adoptive parent’s names, address
and occupation, date of adoption order and description of court b
y which the order was
made.
This shows only the adoptive surname, name, date of birth and (in most cases) the district
of birth. Such a certificate is generally accepted for purposes for which evidence of age only
is required.
Where two or more certified copies of the same entry are applied for at the same time, the
first copy will be charged at the full rate and any additional copies at a reduced fee.
A letter issued by the Social Security Agency/Education and Library Board is required. NB.
These certificates may only be used for the purposes provided.
A search of the registers will be carried out within the 5 year period stated in this application
- No Certificate will be produced. However, you will receive a letter stating the outcome of
the search.
Please sign and date the form.
Indicate your method of payment - cash (if applying in person) cheque, postal order or
credit/debit card. Cheques or postal orders should be made payable to ‘The Registrar
General’. For postal applications please ensure the correct fee is enclosed as refunds cannot
be made. PLEASE DO NOT SEND CASH BY POST.
IF YOU HAVE FURTHER QUESTIONS OR REQUIRE HELP WITH THIS APPLICATION FORM.
PLEASE CONTACT THE GENERAL REGISTER OFFICE ON THE TELEPHONE NUMBER LISTED OVERLEAF,
OR EMAIL gro_nisra@finance-ni.gov.uk
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BIRTH CERTIFICATE APPLICATION FOR ADOPTED CHILDREN
NOTES FOR GUIDANCE
HOW DO I APPLY?
In Person :
By taking your application form to the General Register Office. The office is open
Monday to Friday 9.30am - 4.00pm (Closed Public, Bank and NI Government Holidays).
By Post :
By forwarding the application form and fee to :
The General Register Office
Colby House
Stranmillis Court
BELFAST BT9 5RR
By Telephone :
By telephoning 0300 200 7890 if calling from within the UK or on +44 300 200 7890 if
calling from outside the UK. If you have a credit or debit card. You should have your
card with you when you ring as we will require your card number and expiry date.
Online :
www.nidirect.gov.uk/articles/ordering-life-event-certificates
HOW LONG WILL IT TAKE?
All Applications:
Normally processed within FIVE working days of the application being received. This
may take longer during busy periods.
Priority Applications :
While You Wait Service:
Collection:
Priority applications attract an extra fee in addition to the cost of the certificate. Priority
applications will be issued as follows;
On the same working day if received by 12.00 noon. If received after 12.00 noon, the
certificate will be dispatched on the next working day.
GRO offer a While You Wait Service for priority applications. Waiting times will be
approximately 20 – 30 minutes.
Certificates may only be ordered for collection
in person
at our office. Non-priority
applications will be ready to collect on the third working day.
HOW DO I PAY?
In Person:
You can pay by cash, cheque, postal order or credit/debit card.
By Post:
You can pay by cheque or postal order made payable to ‘The Registrar General’ or by
credit card.
Payment from abroad may be made by cheque, international money order or
credit card. Cheque, money order and credit card orders should always be expressed in
STERLING. PLEASE DO NOT SEND CASH.
By Telephone/Online:
You can pay by using a valid Maestro, Visa or Mastercard.
FEES:
For the current fees, please visit www.nidirect.gov.uk/articles/ordering-life-event-
certificates
CAN I OBTAIN A REDUCED FEE CERTIFICATE?
Certificates for Education and Library Board / Social Security purposes can be produced at a reduced fee. A letter issued by the
Social Security Agency/Education and Library Board must be included with this application.
Searching by GRO Staff
If the search is likely to be too time consuming because of lack of information, we cannot undertake the task. The applicant should
conduct the search personally or arrange for someone else to search on their behalf, at The General Register Office,
Colby House, Stranmillis Court, Belfast BT9 5RR or in the GRO Section at the Public Records Office Northern Ireland, 2 Titanic
Boulevard, Belfast BT3 9HQ.
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Payment Mandate Form for Postal Applications
Contact details:
GENERAL REGISTER OFFICE
COLBY HOUSE
STRANMILLIS COURT
BELFAST BT9 5RR
Telephone: 0300 200 7890 (within UK) or +44 300 200 7890 (outside UK)
Website: www.nidirect.gov.uk/articles/ordering-life-event-certificates
Email: gro_nisra@finance-ni.gov.uk
Fees and payment methods
Details of fees payable are available on www.nidirect.gov.uk/articles/ordering-life-event-certificates ; or
By contacting us using the telephone number above.
Payment can be made by post with a cheque or postal order, made payable to “Registrar General”. Cash
should not be sent in the post. Should you wish to pay by credit/debit card please fill in the instruction below
and include it with your application.
ALL PAYMENTS BY POST SHOULD BE FORWARDED TO THE GENERAL REGISTER OFFICE AT
THE ABOVE ADDRESS
We can also accept payment by credit/debit card or cash at our office.
Please note: if you are completing your credit/debit card details, we recommend that you use a
secure form of posting. This payment mandate form will be destroyed once payment has been confirmed.
For security reasons we cannot accept payment details by e-mail and payments cannot be made online for
postal applications.
Payment should be made in pounds sterling.
Credit/debit card instruction
Applicants Name
Type of card
Mastercard Visa Switch/Maestro or Solo Visa Electron
Card Number
Security number (the last three numbers shown on your cards signature
strip)
Expiry date
Issue No.
(Switch/Maestro or Solo)
Valid from
date.
Total Fee £
.
Cardholders
signature:
Cardholders name:
(BLOCK CAPITALS)
Cardholders
Full Address
Telephone No. Email:
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