FORM BDA 1

REPUBLIC OF KENYA
THE REGISTRATION OF BIRTHS AND DEATHS ACT(Cap. 149)
APPLICATION FOR REGISTRATION OF BIRTH OF A CITIZEN OF KENYA OCCURRING ABROAD
The following information concerning the birth must be supplied:1.

2.

4.

5.

6.

7.

8.

Baptismal or givenname(s)

FULL
NAME
OF
CHILD
DATE
OF
BIRTH

Date of Month:Month:FULL
NAME OFFATHER OF
CHILD

Baptismal or given
name(s)FULL
NAME OFMOTHER OF
CHILD

Baptismal or given
name(s)Middle or tribalname

Year:Surname or Tribal Name ofFather of Child

3.

SEX
OF
CHILDMiddle or tribal
nameMale1Female

2Surname or Tribal Nameof his Father

Son ofMiddle or tribal
nameMaiden Surname or Tribal
Name of her Father

Daughter ofEXACT
PLACE ANDCOUNTRY OF
BIRTHNORMALRESIDENCEIN KENYA
OF MOTHER
CERTIFICATES
A. - Informant
I certify that I am (state relationship to child or capacity in which information given).......................................................

................................................................................................................................................................................................
and that the above information is correct to the best of my knowledge.
Signature...................................................................... Full Name ................................................................................

Address ............................................................................................................ Date .......................................................
B. - By member of Kenya Mission abroad.
I am satisfied from evidence produced to me and inquiries which I have made that the above information is correct to thebest of my knowledge.
Signature..........................................................

Designation and Address: .................................................................
............................................................................................................
............................................................................................................

(P.T.O.)NOTES TO PERSON COMPLETING FORM
A Birth can be Registered only if the following conditions are met:
1. Application for Registration of the Birth outside of Kenya of a child who is a citizen of Kenya canbe made by any person having knowledge of the birth.
2. Documentary evidence should be produced in proof of the birth. A note of the kind of
documentary evidence needed is given below.
3. This form should be signed by the applicant and, where there is a Kenya Mission in the country
abroad, countersigned by a member of that mission.
Documentary Evidence (See 2 above)
The documentary evidence to be produced of the birth may be a certificate of birth issued by theappropriate authority in the country abroad, with an English translation of the certificate if it is not inEnglish; or, if certificates are not issued in the country abroad, a certificate of the birth given by the Doctor,
Midwife or other person who attended the birth.
Where a person is unable to produce satisfactory documentary evidence, the application may still becompleted and forwarded to the Registrar, who will advise what alternative evidence may be accepted.
When completed this application should be sent toTHE REGISTRAR-GENERAL,P.O. BOX 30031,
NAIROBI, KENYA.

FOR OFFICIAL USE

GPK 687-40m-4/86