JavaScript moet ingeschakeld zijn om dit formulier te kunnen gebruiken. * is mandatory With this form you can request a copy (copy of the deed) or an extract (summary). For example of a birth, marriage, divorce or death. The event happened in Hilversum. Once we have received your application, we will send the copy/excerpt within 4 weeks. Personal data Personal data First name *(obligated) Last name Date of Birth *(obligated) Place of birth *(obligated) Address *(obligated) Postal Code *(obligated) City *(obligated) Country Email address *(obligated) Phone number Address To which address we will send you the copy or extract. You will also receive the bill at that address. PO Box As above Another address Address Zipcode city Country Type of deed There are different types of documents. You can choose a copy of the deed or an international version. For a registered partnership, you can only request a copy of the deed. Copy of deed or international extract *(obligated) copy deed International version Birth Birth certificate - None -1Multiple Quantity: Passing away Death certificate - None -1Multiple Quantity: Date of death Wedding Marriage certificate - None -1Multiple Quantity: Date of marriage Name partner Divorce divorce certificate - None -1Multiple Quantity: Date of divorce Name partner Registered partnership Registered partnership - None -1Multiple Quantity: Partnership date Name partner Date to end partnership Name partner Informative message We ask for a signature twice. We do this to be able to compare. 2 signature is on your ID. You put the 1nd signature on a sheet of paper. You scan this or you take a photo. You also add this file to this form. Add a copy of valid proof of identity plus signature *(obligated) upload Only one file.10MB limit.Allowed types: jpg, jpeg, png, pdf, doc, docx, . Signature? *(obligated) Put your signature on a separate sheet of paper. Scan or take a photo of your signature. Also add the scan or photo file to this form.Only one file.10MB limit.Allowed types: jpg, jpeg, png, bmp, pdf, . upload Send Leave this field empty