ImmiGov Services » Australia » Birth Certificate » NT NT Birth Certificate – Application Form Step 1 of 8 12% Did the birth occur in the Northern Territory?Please confirm the birth occurred in the Northern Territory(Required) Yes, In the Northern Territory No, Interstate or Overseas This Registry only records events that occurred in Northern Territory. Please contact the relevant interstate or overseas Registry to obtain your certificate.Disclosure of informationWhen you make this application, understand that you have consented to the release of information provided by you, to those Agencies which may be able to validate that information in support of your application. It is extremely important that all your identity documents are accurate and reflect your correct identity information. When you complete this application, documents provided as proof of identity may have their authenticity verified through the Online National Document Verification Service (DVS). Documents issued by this office may also be verified by other organisations using the DVS.(Required) Please confirm you have read the disclosure of information How to verify your identityYou will need to upload scanned or photographed images of your identification documents. At least one of your documents must be a current Australian passport, Australian driver's licence or a Centrelink concession card. At least one of your uploaded identification documents must show a photo, current name and your signature.(Required) Please confirm one of your documents is a current Australian Passport, Driver's Licence or Centrelink Concession Card Birth Certificate detailsSurname (at birth)(Required)Full Given Names(Required)Date Of Birth(Required) Day Month Year Place of Birth(Required)Select place of birthAcacia Hills, Northern TerritoryAdelaide River, Northern TerritoryAherrenge, Northern TerritoryAlawa, Northern TerritoryAli Curung, Northern TerritoryAlice Springs, Northern TerritoryAlyangula, Northern TerritoryAmata, Northern TerritoryAmoonguna, Northern TerritoryAngurugu, Northern TerritoryAnnie River, Northern TerritoryAntewenegerrde, Northern TerritoryAnula, Northern TerritoryArcher, Northern TerritoryAreyonga, Northern TerritoryAtitjere, Northern TerritoryAvon Downs, Northern TerritoryAyers Rock, Northern TerritoryBagot, Northern TerritoryBakewell, Northern TerritoryBarrow Creek, Northern TerritoryBarunga, Northern TerritoryBatchelor, Northern TerritoryBathurst Island, Northern TerritoryBayview, Northern TerritoryBees Creek, Northern TerritoryBellamack, Northern TerritoryBerrimah, Northern TerritoryBerry Springs, Northern TerritoryBeswick, Northern TerritoryBorder Store, Northern TerritoryBorroloola, Northern TerritoryBrinkin, Northern TerritoryBrunchilly, Northern TerritoryCanteen Creek, Northern TerritoryCasuarina, Northern TerritoryCoconut Grove, Northern TerritoryCox Peninsula, Northern TerritoryCresswell Downs, Northern TerritoryCroker Island, Northern TerritoryCullen Bay, Northern TerritoryDaly River, Northern TerritoryDaly Waters, Northern TerritoryDarwin River, Northern TerritoryDarwin, Northern TerritoryDelissaville, Northern TerritoryDocker River, Northern TerritoryDriver, Northern TerritoryDundee Beach, Northern TerritoryDundee Downs, Northern TerritoryDundee Forest, Northern TerritoryDunmarra, Northern TerritoryDurack, Northern TerritoryEast Point, Northern TerritoryEdith River, Northern TerritoryElliott, Northern TerritoryElsey Station, Northern TerritoryErldunda, Northern TerritoryFannie Bay, Northern TerritoryFinke, Northern TerritoryFly Creek, Northern TerritoryGaliwinku, Northern TerritoryGapuwiyak, Northern TerritoryGoulbourn Island, Northern TerritoryGove, Northern TerritoryGray, Northern TerritoryGroote Eylandt, Northern TerritoryGunn Point, Northern TerritoryGunn, Northern TerritoryHaasts Bluff, Northern TerritoryHayes Creek, Northern TerritoryHelen Springs, Northern TerritoryHerbert, Northern TerritoryHermannsburg, Northern TerritoryHmas Coonawarra, Northern TerritoryHoward Springs, Northern TerritoryHumpty Doo, Northern TerritoryImampa, Northern TerritoryJabiru, Northern TerritoryJay Creek, Northern TerritoryJingili, Northern TerritoryKalkaringi, Northern TerritoryKaltukatjara, Northern TerritoryKarama, Northern TerritoryKatherine, Northern TerritoryKing Ash Bay, Northern TerritoryKings Canyon, Northern TerritoryKintore, Northern TerritoryKiwirrkurra, Northern TerritoryKnuckeys Lagoon, Northern TerritoryKulgera, Northern TerritoryLajamanu, Northern TerritoryLake Bennett, Northern TerritoryLambells Lagoon, Northern TerritoryLarrakeyah, Northern TerritoryLarrimah, Northern TerritoryLeanyer, Northern TerritoryLee Point, Northern TerritoryLivingstone, Northern TerritoryLudmilla, Northern TerritoryMalak, Northern TerritoryManbulloo, Northern TerritoryManingrida, Northern TerritoryMaranboy, Northern TerritoryMarlow Lagoon, Northern TerritoryMataranka, Northern TerritoryMcminns Lagoon, Northern TerritoryMiddle Point, Northern TerritoryMilingimbi, Northern TerritoryMillner, Northern TerritoryMillwood, Northern TerritoryMimili, Northern TerritoryMinjilang, Northern TerritoryMitchell, Northern TerritoryMoil, Northern TerritoryMoulden, Northern TerritoryMount Liebig, Northern TerritoryMuckaty Station, Northern TerritoryMulga Bore, Northern TerritoryMurputja Homelands, Northern TerritoryNakara, Northern TerritoryNewcastle Waters, Northern TerritoryNguiu, Northern TerritoryNgukurr, Northern TerritoryNhulunbuy, Northern TerritoryNightcliff, Northern TerritoryNoonamah, Northern TerritoryNorthlakes, Northern TerritoryNt University, Northern TerritoryNumbulwar, Northern TerritoryNyapari, Northern TerritoryOenpelli, Northern TerritoryPalmerston, Northern TerritoryPapunya, Northern TerritoryParap, Northern TerritoryPatjarr, Northern TerritoryPhillip Creek Station, Northern TerritoryPine Creek, Northern TerritoryPitjantjatjara Homelands, Northern TerritoryPoint Stephens, Northern TerritoryPularumpi, Northern TerritoryPulumpa, Northern TerritoryRamingining, Northern TerritoryRapid Creek, Northern TerritoryRenner Springs, Northern TerritoryRosebery Heights, Northern TerritoryRosebery, Northern TerritorySanderson, Northern TerritorySanta Teresa, Northern TerritoryShoal Bay, Northern TerritorySouthport, Northern TerritoryStuart Park, Northern TerritoryTennant Creek, Northern TerritoryThangkenharenge, Northern TerritoryThe Gardens, Northern TerritoryThe Narrows, Northern TerritoryThree Ways, Northern TerritoryTi Tree, Northern TerritoryTimber Creek, Northern TerritoryTindal Raaf, Northern TerritoryTiwi, Northern TerritoryTjirrkarli, Northern TerritoryTjukurla, Northern TerritoryTortilla Flats, Northern TerritoryUluru, Northern TerritoryUmbakumba, Northern TerritoryUmpangara, Northern TerritoryUrapuntja, Northern TerritoryVictoria River Downs, Northern TerritoryVirginia, Northern TerritoryWadeye, Northern TerritoryWagait Beach, Northern TerritoryWagaman, Northern TerritoryWallace Rockhole, Northern TerritoryWanarn, Northern TerritoryWanguri, Northern TerritoryWarakurna, Northern TerritoryWarrego, Northern TerritoryWave Hill, Northern TerritoryWeddell, Northern TerritoryWillowra, Northern TerritoryWilora, Northern TerritoryWingellina, Northern TerritoryWinnellie, Northern TerritoryWollogorang Station, Northern TerritoryWoodleigh Gardens, Northern TerritoryWoodroffe, Northern TerritoryWoolaning, Northern TerritoryWoolner, Northern TerritoryWulagi, Northern TerritoryWycliffe Well, Northern TerritoryYarrawonga, Northern TerritoryYirrkala, Northern TerritoryYuelamu, Northern TerritoryYuendumu, Northern TerritoryYulara, Northern TerritoryReason For The Certificate(Required)Please select a reasonAlcohol Reform PolicyBank AccountCentrelinkChange Of NameChange Of Sex/GenderChild WelfareCourt PurposesDivorceDrivers LicenceEmploymentEstateEstate AdministrationFamily HistoryFamily RecordsHistorical ResearchHousing CommissionIdentificationImmigration PurposesInsurance PurposesLegal PurposesMarriageMarriage NotificationMedicareMotor Vehicle RegistrationNew Birth ApplicationsOriginal DamagedOriginal LostPassportProbateSchoolSocial SecuritySportVisaRelation (I am the...)(Required)Please select a relationRegistered Person (Self)Mother (of a child under 18 years old)Father (of a child under 18 years old)Guardian (of a child under 18 years old)Child (of a deceased parent)Parent (of a deceased adult child)Authorised AgentOther (for births older than 100 years)FAILED ACCESS POLICY Parents or legal guardians only have access to the child's birth certificate until they are 18 years old.FAILED ACCESS POLICY All birth records are available for anyone to access once they reach 100 years old. AuthorisationDid the person pass away in Northern Territory?(Required) Yes No Please upload the interstate or overseas death certificate(Required)Max. file size: 3 MB. AuthorisationAs an authorised agent, you are required to upload documents proving your authority to apply for this certificate.Upload a copy of a written signed authority document from a person authorised to access this certificate(Required)Max. file size: 3 MB. A copy of identification of the subject of this certificate. You can upload ONE form of photo identification or TWO forms of non-photo identification(Required) Drop files here or Select files Max. file size: 6 MB. Applicant Details - information about youPlease ensure your details match those on your identity documentsTitleSurname(Required)Given Names(Required)Date Of Birth(Required) Day Month Year Address(Required) Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Enter Email Confirm Email Phone(Required) Proof of Identity DocumentsPlease upload two different types of identity documents. Make sure to select a different option in each of the two upload sections to help us verify your identity.Choose document 1(Required)Please selectAviation Id CardDriver's Licence (Aust)Health Concession CardMedicarePassport (Aust)Pension Concession CardSeniors Health Concession CardCard Number(Required)State of issue(Required)SAACTNSWNTQLDTASVICWALicence Number(Required)Expiry Date(Required) Day Month Year Reference No (IRN)(Required)Card Colour(Required) Green Blue Yellow Passport Number(Required)Upload document 1(Required)Max. file size: 3 MB. Upload document 1(Required) Drop files here or Select files Max. file size: 3 MB. When uploading your ID card, please ensure you include both the front and rear sidesChoose document 2(Required)Please select18 Plus CardAboriginal Community CardAustralian Citizenship CertificateAviation Id CardBaptism CertificateChange of Name CertificateDefence IdentificationDriver's Licence (Aust)Firearm LicenceHealth Concession CardLarrakia Nation ID CardMarriage CertificateMedicarePapulu Aparr-Kari Photo CardPassport (Aust)Pension CardPension Concession CardSchool ID with PhotoSecurity Guard LicenceSeniors Health Concession CardStudent CardTangentyere ID cardCard Number(Required)State of issue(Required)SAACTNSWNTQLDTASVICWALicence Number(Required)Expirity date(Required) Day Month Year Reference No (IRN)(Required)Card Colour(Required) Green Blue Yellow Passport Number(Required)Upload document 2(Required)Max. file size: 3 MB. Upload document 2(Required) Drop files here or Select files Max. file size: 3 MB. When uploading your ID card, please ensure you include both the front and rear sides(Required) Please confirm one of your documents CLEARLY shows your signature NT Birth Certificate assistance, management and processing service.Credit or Debit CardConfiguration Required: To use the Stripe field, please configure your Stripe Settings. Certificate type: Birth Certificate Delivery time: 1–2 weeks (approx.) Total AUD 129.00 This price includes application management, processing and assistance costs, government fees and taxes. The certificate will be issued and sent directly by the Registry of Births, Deaths and Marriages, which forms part of the Attorney‑General and Justice Department, to the address provided in your application. ⓘ Delivery times may vary depending on government processing and postal services. (Required) I agree to the privacy policy
