Replacement Certificate Form for Lost/Stolen Foreign Birth Registration Certificate - Ireland

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Replacement Certificate for Lost/Stolen Foreign Birth Registration Certificate
The requirements for an applicant who is residing in the UK to have a replacement Foreign
Birth Registration Certificate are as follows:
1. Fully completed application form (attached)
2. Original long form birth certificate showing full details including parents details.
3. Copy of current passport.
4. Proof of address in the UK.
5. Fee £18.00 ( Bank Draft or Postal Order only) per replacement certificate.
6. A self addressed registered mail envelope must be included for the safe return of your
documents.
Please note: all requests for a replacement Foreign Birth Registration Certificate are
sent to the Department of Foreign Affairs & Trade in Dublin to be reissued. Once the
Certificate has been reissued it will be returned to this Embassy and posted to the
applicant in the envelope provided.
Please complete application form below and send to:
Embassy of Ireland
(Citizenship Section)
17 Grosvenor Place
London
SW1X 7HR
Replacement Certificate for Lost/Stolen Foreign Birth Registration Certificate
The requirements for an applicant who is residing in the UK to have a replacement Foreign
Birth Registration Certificate are as follows:
1. Fully completed application form (attached)
2. Original long form birth certificate showing full details including parents details.
3. Copy of current passport.
4. Proof of address in the UK.
5. Fee £18.00 ( Bank Draft or Postal Order only) per replacement certificate.
6. A self addressed registered mail envelope must be included for the safe return of your
documents.
Please note: all requests for a replacement Foreign Birth Registration Certificate are
sent to the Department of Foreign Affairs & Trade in Dublin to be reissued. Once the
Certificate has been reissued it will be returned to this Embassy and posted to the
applicant in the envelope provided.
Please complete application form below and send to:
Embassy of Ireland
(Citizenship Section)
17 Grosvenor Place
London
SW1X 7HR
APPLICATION FOR REPLACEMENT FOREIGN BIRTHS REGISTRATION CERTIFICATE
Full Name of Person Applying
(Birth Certificate Name)
Current Address
Date of Birth
Mobile Telephone Number
Landline Telephone Number
Place of Birth
Date of Entry in Register
Entry Number
Where did you gain FBR/E
Please state country/city:
Name of Parent through whom
citizenship was claimed
Date of Birth of Parent
Place of Birth of Parent
Name of Irish born Grandparent
(where relevant)
Date of Birth of Grandparent
County of Birth of Grandparent in
Ireland
Was the FBR/E Cert
Lost:
Destroyed:
Stolen:
Other:
If “Other” please give details
Where
and
when
was
it
Lost/Stolen?
I declare that the information given in this statement is correct in all respects. I undertake
also, to return my missing FBR/E certificate to the appropriate authority, if found.
Signature:____________________________________ Date: ____________________

Download Replacement Certificate Form for Lost/Stolen Foreign Birth Registration Certificate - Ireland

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