NIC

Birth Registration Details

Municipal Council*:

Please Select Municipal Council

Date of Birth *

Enter date of birth Enter Valid Date Format dd/MM/yyyy

Name of Child : * (Min 3 char)

Enter Child Name Enter atleast 3 characters Enter Valid Child Name

Gender : *

MaleFemale Gender cannot be left blank

Registration No. :

Name of Mother : (Min 3 char)

Minimum 3 characters required.

Enter The Above Code*:

Please enter the capture code Invalid. Please try again.

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