A-512 Application for Certificate Download Form PDF Application for Certificate Please check the one you are applying for: Birth Marriage Death BIRTH Certificate Restricted Photocopy Applicant Information Name of Applicant Gender Female Male Date of Birth Place of Birth (City, Town or Village) Father (Parent) Name Mother (Parent) Name (prior to marriage) MARRIAGE Wallet Size Paper Size Restricted Photocopy Spouse Name prior to marriage Spouse Name Prior to Marriage Date of Marriage Place of Marriage (City, Town or Village) DEATH - Paper Size Only Name of Deceased Age Gender Female Male Date of Death Place of Death (City, Town or Village) Permanent Residence of Deceased Prior to Death Marital Status If married, spouse surname prior to marriage Name of Parent (father) of Deceased Maiden Name of Parent (mother) of Deceased Steps Current Application for Certificate Reason(s) for Requesting Certificate Information Preview Complete Is this page useful? yes no Provide comments Email address Provide a comment Thank you for contacting the Government of Nunavut. Please do not send sensitive or personal information, including (but not limited to): social insurance numbers, birthdates, information of other people, or health information. Please only send a brief description of your issue or concern and how we can contact you. We will make sure the correct person contacts you if they need more information or if they can answer your question or concern.