Bi 1682 Form PDF Details

The BI-1682 form, issued by the Republic of South Africa's Department of Home Affairs, serves as an official application for the inclusion of a natural father's particulars in a child's birth register, as stipulated under Section 11 (4) and (5) of the Births and Deaths Registration Act, 1992. Tailored to accommodate the specific requirements of cataloging a natural father's identity linked to a child's official birth record, the form involves a detailed procedure that requires information from both parents and incorporates affidavits to verify the accuracy of the recorded details. The process delineated by the form is meticulously designed, beginning with sections A and B to be completed by the natural father, followed by section C for the natural mother. Additionally, affidavits D (by the natural father) and E (by the natural mother) necessitate solemn declarations to be made before an authorized officer of the Home Affairs department in the presence of both deponents, underscored by a certification process wielded by a Home Affairs Officer acting ex officio as a commissioner of oaths. This form manifests a legal instrument facilitating parental acknowledgment in official records, emphasizing transparency, consensual agreement between parents, and the meticulous affirmation of details surrounding the child's birth and lineage, all underpinned by the necessity of an oath or affirmation to ensure the integrity of the information provided.

QuestionAnswer
Form NameBi 1682 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform bi 1682, b1 1682, bi 57 form, what is form 1682 irs

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G.P.-S. 017-9033

BI-1682

REPUBLIC OF SOUTH AFRICA

DEPARTMENT OF HOME AFFAIRS

APPLICATION FOR INSERTION OF NATURAL FATHER’S PARTICULARS IN THE BIRTH REGISTER OF

CHILD [SECTION 11 (4) AND (5) OF THE BIRTHS AND DEATHS REGISTRATION ACT, 1992]

Instructions for completion

Use black ballpoint pen.

Part A and B: Natural father to complete.

Part C: Natural mother.

Affidavits D and E to be sworn to before authorised Home Affairs officer in presence of both deponents.

A. CHILD

Identity number

Surname

Forenames in full

B. NATURAL FATHER (Applicant)

Identity number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of birth

 

 

 

 

 

 

 

 

 

 

Surname

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Forenames in full

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Place of birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Citizenship

 

 

 

 

 

 

 

 

 

 

 

Permanent residence permit no.

 

 

 

 

 

 

 

 

 

 

 

C. NATURAL MOTHER

Identity number

Surname

Forenames in full

D. AFFIDAVIT BY NATURAL FATHER

I, the undersigned, hereby declare that:

I am the natural father whose particulars appear under B above and that the particulars furnished are true and correct;

I am the natural father of the child referred to in A above; and

I wish to be recorded as the natural father of the said child in his/her birth register.

Signed at

 

 

 

 

 

 

 

on this

 

 

day of

..........................................................................

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postal address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postal code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dialing code

 

 

 

 

BI-1682

E. AFFIDAVIT BY NATURAL MOTHER

I, the undersigned, hereby declare that:

I am the natural mother whose particulars appear under C overleaf and that the particulars furnished are true and correct;

I am the natural mother of the child referred to in A overleaf; and

I have no objection to the natural father referred to in B overleaf being recorded as the natural father in my child’s birth register.

Signed at..............................................on this..............................day of ......................................................

..........................................................................

Signature

Postal address

Postal code

Telephone No.

Dialing code

F. CERTIFICATE BY HOME AFFAIRS OFFICER (in capacity as commissioner of oaths ex officio)

I certify that before administering the oath/affirmation, I asked the deponents the following questions and wrote their answers in their presence: (Mark with X)

(a) Do you know and understand the contents of this declaration?

Answer: Father:

Yes

No

Mother:

Yes

No

(b) Do you have any objection to taking the prescribed oath?

Answer: Father:

Yes

No

Mother:

Yes

No

(c) Do you consider the prescribed oath to be binding on your conscience?

Answer: Father:

Yes

No

Mother:

Yes

No

I certify that the deponents have acknowledged that they know and understand the contents of this declaration which was sworn to/affirmed before me and the deponents’ signatures / thumb prints / marks were placed thereon in my presence and the presence of both the deponents.

Mother refused consent: Court order authorising inclusion of father’s particulars in the child’s birth register attached hereto.

Signature

Date

Surname:

Forenames:

Business address:

G. CERTIFICATE BY AUTHORISING OFFICER

Insertion of father’s particulars approved/not approved

 

Office stamp

 

 

Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Surname:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Initials:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rank:

 

 

 

 

 

 

 

 

Persal No.: