Demande d'acte - Ville de Gordes

Application for birth or death certificate

TITLE

Name (preferred name for married women)**

First name*

Adress*

ZIP code*

City*

Country

Telephone

E-mail*

You are

Which civil-status documents do you wish to obtain?

Type of document

Number of copies

The following information is required to obtain an official copy with filial relationship or a full copy:

Father's name *

First names *

Mother's maiden name *

First names *

Type of certificate

Date of certificate (birth, marriage or death) *

Certificate reference (number)

Location of registration (birth, marriage or death certificate) *

Birth name of the document rights holder *

First names *

Specify the reason for the request

Comments

Certificate request