Uttar Pradesh (UP) Birth Certificate Form - Summary
Uttar Pradesh birth certificate form is the application form used to register a newborn and obtain a birth certificate from the local registrar under the Urban Development or Panchayati Raj Department, Government of Uttar Pradesh. In accordance with the Registration of Births and Deaths (Amendment) Act, 2023, the issued birth certificate serves as single document proof of date and place of birth for education admissions, voter registration, government employment, and passports.
This PDF includes the 1-page official birth registration form in English and Hindi, with designated sections for child information, parent details, permanent address, and institutional birth verification.
Documents to attach with Uttar Pradesh birth certificate form
Attach self-attested photocopies of these documents with the application:
- Institutional birth report or discharge slip issued by the hospital, nursing home, or primary health centre
- Aadhaar cards of both father and mother
- Proof of residence in Uttar Pradesh such as ration card, electricity bill, or voter ID
- Affidavit by parents if the birth took place at home or is registered after 21 days
How to fill and submit the form
STEP 1 – Write the newborn’s date of birth, gender, and name in capital letters.
STEP 2 – Enter the names, Aadhaar numbers, and residential address of the father and mother.
STEP 3 – Mention the place of birth along with hospital details or residential address.
STEP 4 – Submit the form at the nearest Nagar Nigam, Nagar Palika, or Gram Panchayat office within 21 days without any fee. You can also apply online through edistrict.up.gov.in or crsorgi.gov.in.
STEP 5 – For registrations between 21 and 30 days, pay the prescribed late fee. Beyond 30 days up to 1 year, obtain written permission from the Tehsildar or Sub-Divisional Magistrate.
