Application for Birth, Death and Marriage Certificates

Applicant Information
Other Information
Certificate Information Requested





Mother's Particulars (Complete when requesting a birth or death certificate)
Father's Particulars (Complete when requesting a birth or death certificate)
Wedding Particulars (Complete this section when requesting a marriage certificate)
Number of Copies

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Contact Us

Address

 
Ground Floor
Government Headquarters
Kennedy Avenue
Roseau
Commonwealth of Dominica

Email

 
cscentre@dominica.gov.dm

Phone

 
+1 767 266 3000 / 3500

Fax

 
+1 767 448 5044