01.07.

2015
From
xxxxxxxxx
xxxxxxxxx
xxxxxxxxx
To
The Chairman
______Municipality
xxxxxx
xxxxx

Dear Sir,
I,
xxxxxxx
was
born
07/07/1991 to Mrs. yyyyy and Mr. zzzzzz.

in

___________hospital,

on

I intend to apply for passport to pursue my higher education in abroad, for which a birth certificate is
mandatory.
As per government regulations a Birth Certificate was issued in my name by your office on xx/yy/zzzz.
I would like to bring to your notice that my mother's name has been inadvertently misspelt in the said
document.
My mother's correct name is xxxxx, and not xxxxxx as mentioned in my birth certificate.
Also, I request to furnish my name and my fathers name in full form as below.
My full name is xxxxxx, and not xxxxxxx
My fathers full name is xxxxxx and not xxxxxx
I humbly request you to amend the discrepancy in above details in your records and issue me a fresh
birth certificate or a marginal entry in original certificate with the correct spelling as enclosed in the
attached documents.
Yours sincerely,

xxxxxxxxxxxxxxxxxxxxx

Enclosures:

Copy of Birth Certificate

Copy of Hospital discharge slip

Copy of parent's marriage invitation

Copy of fathers name proof