FORM-S

APPENDIX-XI

Application for registration of birth of a child of a Citizen of Pakistan's born in a country outside Pakistan

The Secretary,
Embassy of Pakistan,
Madrid

Sir,

The undersigned reports the birth of a male/female child: Mr. and Mrs. ............................ on ....................... at ............................. District........................(Spain).
The child has been named ...................................................... I am the father, guardian of the child and my full name and address is as following :

Name: ...................................................................
Father's name: .......................................................
Address in Pakistan: .............................................
Address outside Pakistan: ....................................

I/the child's father was/was not at the time of the child's birth a servant of the government in Pakistan ...................... or of an international organization of which Pakistan was at any time during that period a member. The full names and address of the child's parents are given below :

Father's name and address in Pakistan and in the country outside Pakistan	(Name with father's name in block letters (Address in Pakistan (Address in country outside Pakistan	............................. ............................. ............................. ............................ ............................ ...........................
Mother's name and address in Pakistan and in the country outside Pakistan	(Name with father's name in block letters (Address in Pakistan (Address in country outside Pakistan	............................. ............................. ............................. ............................ ............................ ...........................

I am attaching the following documents in proof of my citizenship of Pakistan, and of the child's birth as reported above:
Form 'C' (for endorsement on passport). Photocopy of child's birth certificate. Father's/mother's passport. Photocopy of I.D. card. Two photos of child. Religious affidavit. A fee of ...............
I do solemnly affirm that the above statement is true to the best of my knowledge and belief.

Signature ............................. Place................................... Date...................................