Birth Certificate Missing — Self Declaration
Declaration format when the original birth certificate is missing or delayed, for school admission or exam form submission. Fill the fields below, check the live preview, then download the PDF / DOC or copy the text. Everything stays in your browser.
Fill Your Details
Use your name exactly as per the application form.
As printed on your documents.
Your current postal address.
As recorded in school records.
Briefly explain the delay or loss.
Where this declaration will be submitted.
Use today's date or the date of issue.
Blank required fields will appear as ____________ in the letter.
Live Preview
SELF DECLARATION — BIRTH CERTIFICATE PENDING I, ____________, parent/guardian of ____________, resident of ____________, do hereby declare that: 1. The date of birth of my ward ____________ is ____________, as recorded in the school admission register. 2. The original birth certificate could not be submitted at this time because: ____________ 3. I undertake to submit the original birth certificate to ____________ as soon as it is available, and I understand that admission/candidature remains provisional until it is submitted. This declaration is made for submission to ____________, and the contents are true to the best of my knowledge. Place: ________________ Date: ____________ Signature: ________________ Name: ____________ (Parent/Guardian of ____________)
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Frequently Asked Questions
Is a provisional declaration commonly accepted?
Many schools and exam bodies accept this for a limited period (often 3–6 months) while the birth certificate is obtained from the municipal/gram panchayat office.