No. 41970   41 STAATSKOERANT, 12 OKTOBER 2018 DHA-24 G.P.-S 09/18 B0000000001 NOTICE OF BIRTH AND AMENDMENT OF PERSONAL DETAILS (Birth and Death Registration Act, 51 of 1992) To be completed in full and submitted at the Department of Home Affairs’ office or to a South African embassy or consulate. The form to be completed in BLACK INK with BLOCK LETTERS. Please tick with þ the CORRECT box, where required. Write LEGIBLY . Applications that are not legible shall not be accepted. INSTRUCTIONS: 1. If the person whose particulars must be altered is 18 years of age or older, he / she must complete and sign the application form. 2. If the person concerned is under the age of 18 years, the parent or legal guardian must complete and sign the application form. 3. To verify, supplement or rectify any particulars, documentary proof of the correct particulars must be submitted together with the application form within seven days of issue of the particulars sought to be verified, supplemented or rectified. 4. The person concerned should apply for a new identity document at the nearest Regional or District Representative of the Department of Home Affairs. Birth Registration Within 30 days Application for Amendment ID number of person whose details are to be amended Applicable sections to be completed by client Departmental Official Front Office A1-A6 A7 and A8 A1, A2, A3, A6, B1 or B2 and F A7 and A8 H2 Re-registration A1, A2, A3, A6, C, F and H1 A7 and A8 H2 Application for: Birth Registration Assumption/Change of Surname Head Office Forename Change A1, A2, A3, A6, D, F and H1 A7 and A8 H2 Insertion of Natural Father’s details A1, A2, A3, A6, E and F A7 and A8 H2 False Registration A1, A2, A3, A6, F and H1 A7 and A8 H2 Date of Birth Rectification A1, A2, A3, A6, F and H1 A7 and A8 H2 A1, A2, A3, A6, F and H1 A7 and A8 H2 A1, A2, A3, A6 and F A7 and A8 H2 A1, A2, A3, A6, F and H1 A7 and A8 H2 Place of Birth Rectification A1, A2, A3, A6, F and H1 A7 and A8 H2 Rectification of Name/ Surname A1, A2, A3, A6, F and H1 A7 and A8 H2 Recording of Adoption A1, A2, A3, A6, and G A7 and A8 H1, H2 Amplification of Birth Registration A1, A2, A3, A6, and F A7 and A8 H2 Rectification of Sex Description Alteration of Sex Description and Sex Status (Act 49 of 2003) Rectification of Parents Particulars FOR OFFICE USE ONLY NOTICE OF BIRTH AND AMENDMENT OF PERSONAL DETAILS (only issue to acknowledge receipt if the birth certificate is not printed and for all amendment of personal details) DHA-25 User ID Signature OFFICE DATE STAMP B0000000001 ID number of child (newly generated) or person whose details are to be amended ID / Passport / PR/ Refugee / Asylum Seeker Permit No. of applicant Page 1 of 10 This gazette is also available free online at www.gpwonline.co.za