Birth Registration

Father's Details

Fill all inputs accurately

Father's Surname*

Father's First Name*

Father's Middle Name

State of Origin

LGA of Origin

Father's Village*

Mother's Details

Fill all inputs accurately

Mother's Surname*

Mother's First Name*

Mother's Middle Name (Maiden)

State of Origin

LGA of Origin

Mother's Village*

Child's Details

Fill all inputs accurately

Child's Surname*

Child's First Name*

Child's Middle Name

Birth Place State

LGA of Origin

Hospital*

Important: Please check all entries before submitting. Ensure that the names are spelled correctly and all required fields are filled out. This information will be used for the birth registration certificate.

All info are saved