REGISTRATION OF IDENTITY OF PERSONS ACT 1975
Registration of Identity of Persons Regulations 1975
Western Australia
Registration of Identity of Persons Regulations 1975
Contents
1.Citation1
2.Interpretation1
3.Application for entry of identity (Form 1) (Form 2)1
4.Application for entry of change of name (Form 3)2
5.Index of names of persons registered2
6.Fees2
1st Schedule
2nd Schedule
Notes
Compilation table11
Western Australia
REGISTRATION OF IDENTITY OF PERSONS ACT 1975
Registration of Identity of Persons Regulations 1975
These regulations may be cited as the Registration of Identity of Persons Regulations 1975.
In these regulations unless the contrary intention appears —
“Form” means a form in the Second Schedule;
“Schedule” means a schedule to these regulations;
“section” means a section of the Act;
“the Act” means the Registration of Identity of Persons Act 1975.
3.Application for entry of identity (Form 1) (Form 2)
An application to the Registrar General for the entry of a person’s identity in the Register pursuant to subsection (3) of section 4 shall —
(a)in the case of a person who has attained the age of eighteen years, be in the form of Form 1; and
(b)in the case of a person who has not attained the age of eighteen years, be in the form of Form 2.
4.Application for entry of change of name (Form 3)
An application to the Registrar General for the entry of a change of name in the Register pursuant to subsection (1) of section 11 shall be in the form of Form 3.
5.Index of names of persons registered
The names of the persons whose identities are entered in the Register shall be indexed in any index of names made for the purposes of the Registration of Births, Deaths and Marriages Act 1961.
The fees prescribed in the First Schedule are payable in respect of the several matters set forth in that Schedule.
|
$ |
Application for registration of identity |
4.00 |
Amendment of Register |
0.50 |
Search in the index — for each five years or part thereof |
0.50 |
Certified copy of a registration of identity |
2.00 |
Application for entry of change of name in the Register |
1.00 |
Form 1
APPLICATION FOR REGISTRATION OF IDENTITY
(For a person over the age of 18 years)
Present Name
(Block Letters)SurnameOther Names
Name Given at Birth
SurnameOther Names
Address:Post Code
Residential
Postal
Conjugal Status:
SingleMarriedWidowedDivorced
(Tick whichever applies)
Details of Marriage:
Date 19Place
TownCountry
Details of Birth:
Date 19Place
State precise place if known
e.g. Name of Hospital.
Name of Father
SurnameOther Names
Name of Mother
Surname at time of
above birth
Maiden Surname
Change of Name: If name has been changed since birth other than by marriage, state former name, also attach documentary evidence e.g. License, Deed Poll, etc. |
Former Name |
DECLARATION
I, (1)
of (2)
in the State of Western Australia,
(3) do solemnly and sincerely declare that: —
(a)I was born in the State of Western Australia.
(b)No trace can be found of the registration of my birth and I attach a certificate to this effect from the Registrar General of every State and Territory of the Commonwealth.
(c)Registration of my birth was refused by the Registrar General on application made for that purpose because
(d)The statements made in this application are true in every particular and the evidence of identity refers to me.
And I make this solemn declaration by virtue of section one hundred and six of the Evidence Act 1906.
Declared at thisday of 19, before me
Justice of the Peace. |
|
(4)
|
Note: — If a Justice of the Peace is not available, this declaration may be made before any of the following persons: —
Town Clerk, Shire Clerk, Electoral Registrar, Postmaster, Classified Officer in the State or Commonwealth Public Service, Classified State School Teacher or Member of the Police Force.
(1)First name or names and surname of declarant in full
(2)Address
(3)Occupation
(4)Ordinary signature of declarant
Reverse of Form 1
CERTIFICATE REGARDING APPLICANT
I,
Title or Profession
of
hereby declare that I have known personally the applicant
for a period of years.
Applicant’s Name
No fee has been charged for this Certificate.
Date 19 Signature
Form 2
APPLICATION FOR REGISTRATION OF IDENTITY
(For a person under the age of 18 years)
Present Name
(Block Letters)SurnameOther Names
Name Given at Birth
SurnameOther Names
Address:Post code
Residential
Details of Birth:
Date 19Place
State precise place if
known e.g. Name of Hospital
Name of Father
SurnameOther Names
Name of Mother
Surname at time ofOther Names
above birth
Maiden Surname
Are Mother and/or Father Still Living
If so state their present address
Change of Name:
If name has been changed since birth state former name, also attach documentary evidence e.g. License to Change Name. |
Former Name |
R.G. 522
DECLARATION
I, (1)
of (2)
in the State of Western Australia, (3)
do solemnly and sincerely declare that: —
(a)I am the of
(father, mother, guardian etc.)
(b)The said was born in the State of
Western Australia.
(c)No trace can be found of the registration of his/her birth and I attach a Certificate to this effect from the Registrar General of every State and Territory of the Commonwealth.
(d)Registration of the birth was refused by the Registrar General on application for that purpose made by me because
(e)The statements made in this application are true in every particular and the evidence of identity refers to the said
And I make this solemn declaration by virtue of section one hundred and six of the Evidence Act 1906.
Declared at thisday of 19, before me
Justice of the Peace. |
|
(4)
|
Note: — If a Justice of the Peace is not available, this declaration may be made before any of the following persons: — Town Clerk, Shire Clerk, Electoral Registrar, Postmaster, Classified Officer in the State or Commonwealth Public Service, Classified State School Teacher or Member of the Police Force.
(1)First name or names and surname of declarant in full
(2)Address
(3)Occupation
(4)Ordinary signature of declarant
Reverse of Form 2
CERTIFICATE REGARDING CHILD
I,
Title or Profession
of
hereby declare that I have known personally
Child’s Name
for a period of years. No fee has been charged for this
Certificate.
Date 19 Signature
Form 3
Western Australia
Registration of Identity of Persons Act 1975
APPLICATION RELATING TO
CHANGE OR ASSUMPTION OF NAME
(Address)
(Date)
The Registrar General,
22 St. George’s Terrace, Perth, W.A.
Sir,
Whereas
(Name in full prior to assumption of new name)
has lawfully assumed the name of
I now request that an entry referring to such change or assumption of name be made in the margin of the Registration of the identity of the said
who was born on
at
The fee of $1.00 is enclosed (see Note 2 in instructions above) together with the Deed Poll, Licence, Statutory Declaration. (cross out whichever is inapplicable).
Yours faithfully,
………………………………………………
(Signature of Applicant)
1.This is a compilation of the Registration of Identity of Persons Regulations 1975 and includes the amendments referred to in the following Table.
Citation |
Gazettal |
Commencement |
Registration of Identity of Persons Regulations 1975 |
15 Apr 1976 pp.1179‑82 |
15 Apr 1976 |
These regulations were repealed by the Acts Repeal and Amendment (Births, Deaths and Marriages Registration) Act 1998 s. 5(2) (No. 40 of 1998) as at 14 Apr 1999 (see s. 2 and Gazette 9 Apr 1999 p. 1433) |
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