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The document ceased to be valid since  April 9, 2015 according to the Order of the Government of the Republic of Kazakhstan on March 27, 2015 No. 161

ORDER OF THE GOVERNMENT OF THE REPUBLIC OF KAZAKHSTAN

of April 19, 2012 No. 498

About approval of forms of assembly books of state registration of acts of civil status and forms of the certificates granted based on entries in these books

According to article 181 of the Code of the Republic of Kazakhstan of December 26, 2011 "About scrap (matrimony) and family" the Government of the Republic of Kazakhstan DECIDES:

1. Approve enclosed:

1) forms of assembly books of state registration of the acts of civil status which are drawn up based on assembly records: about the birth;

about paternity proof;

about marriage (matrimony);

about annulment of marriage (matrimony);

about adoption;

about change of name, middle name, surname;

about death;

2) forms of the certificates granted based on entries in assembly books of state registration of acts of civil status: about the birth;

about paternity proof;

about marriage (matrimony);

about annulment of marriage (matrimony);

about adoption;

about change of name, middle name, surname;

about death.

2. Recognize invalid some decisions of the Government of the Republic of Kazakhstan according to appendix to this resolution.

3. This resolution becomes effective after ten calendar days after the first official publication.

 

Prime Minister of the Republic of Kazakhstan K. Masimov

Approved by the order of the Government of the Republic of Kazakhstan of April 19, 2012 No. 498

The form of the assembly book constituted based on state registration of the birth record

№ _________

"___" ________________ years

 

Individual identification number _________

 

Information about the child

 

1. _________________________                   2 surname. Name ______________________

3. Middle name (at will) _____________                  4. Floor ______________________

5. Birth date "____" _______________ 20 _____ years

6. Birthplace: Republic ____________________________________

__________________________________________ area

city (settlement) ___________________________________

area ____________________________________________

7. The number of the been born children: __________________________________

8. Mark about live birth or about the birth of the dead child _________

9. Data on the document confirming the fact of the birth of the child

__________________________________________________________________

10. Legal address: Republic __________________________________

_________________________________________ area

city (settlement) __________________________________

район___________________________________________

 

Information about the father

11. Surname ____________________________

12.        Name ____________________________

13. Middle name (in case of its availability) ___________

14. Birth date "___" ________   ___.

15. Age:                     __________________

Information about mother

______________________________

______________________________

______________________________

"____" __________ ___.

______________________________

 

16. Permanent residence:

Republic _______________________________

__________________________________ area

city (settlement) ___________________________

area ___________________________________

street ___________________________________

house _____________________________________

apartment _________________________________

Republic _______________________________

__________________________________ area

city (settlement) ___________________________

area ___________________________________

street ___________________________________

house _____________________________________

apartment _________________________________

 

17. Legal address:

Republic _______________________________

__________________________________ area

city (settlement) ___________________________

area ___________________________________

street ___________________________________

house _____________________________________

apartment _________________________________

Republic _______________________________

__________________________________ area

city (settlement) ___________________________

area ___________________________________

street ___________________________________

house _____________________________________

apartment _________________________________

 

18. Nationality of ___________________             _______________________

19. Income source

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