Do It Yourself Guide to Identification - page 9

Cert i f icates
9
Do It YourselfGuide to Identification
Manitoba
Purchase
Pay by
Inperson
Cash (in-persononly)
Bymail
Interact/Debit (in-persononly)
By fax
Cheque
CertifiedCheque
Money order
Visa
MasterCard
Cost:
$30.00 (Regular)
* for themost current cost please check
thewebsite
$25.00 (Long format)
$65.00 (Express/Priority Service)
Required Information
Surname
 (last name, givenmaiden name if
certificate is for amarriedwoman)
Placeof birth
 (city, town, village andprovince)
All given name(s)
Siblingorder
Gender:maleor female
Surname, and all givenname(s)
 of father, if applicable
Dateof birth
Surnameofmother (maiden name),
 and all given name(s) ofmother
Mother and father’s dateof birth
Mother and father’s placeof birth
Additional InformationRequested
Name, address and telephone number of applicantmust beprovided
Relationship topersonnamedoncertificateand reason for requestingacertificate
Methodof payment
Contact Information
Website:
Tel: (204) 945-3701
Fax: (204) 948-3128
MailingAddress: Vital Statistics
254PortageAvenue
Winnipeg,MBR3C0B6
BIRTH
i...,ii,1,2,3,4,5,6,7,8 10,11,12,13,14,15,16,17,18,19,...34
Powered by FlippingBook