Do It Yourself Guide to Identification - page 19

Cert i f icates
BIRTH
19
Do It YourselfGuide to Identification
Nunavut
Purchase
Pay by
Inperson
Cash (in-persononly)
Bymail
Interact (in-persononly)
By fax
Cheque
Money order
Cost:
$10.00 (Regular)
* for themost current cost please check
thewebsite
$10.00 (Long format)
Required Information
Surname
 (last name, givenmaiden name if
certificate is for amarriedwoman)
Placeof birth
(city, town, village andprovince)
All given name(s)
Surname, and all givenname(s)
 of father, if applicable
Gender:maleor female
Surnameofmother (maiden name),
 and all given name(s) ofmother
Dateof birth
Additional InformationRequested
Name, address and telephone number of applicantmust beprovided
Relationship topersonnamedoncertificateand reason for requestingacertificate
Methodof payment
Contact Information
Website:
Tel: (867) 645-8001
Fax: (867) 645-8092
MailingAddress: Nunavut Vital Statistics
Department of Health
Box 889
Rankin Inlet, NUX0C 0G0
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