Certificate showing re-registration of birth, produced to me this day...
(signed)
Officiating Minister
Officer in charge of diocesan record office or as the...
Diocesan Registrar
Part II Certificate of Baptism
I hereby certify from the records of the parish of...
(signed)
Rector, vicar, curate, minister of
or
Chief Officer of the diocesan record office of the Diocese...
or
Registrar of the Diocese of
The particulars to be inserted in the numbered spaces of...
(1) The name of the parish or other place of...
(2) The Christian names of the baptised person as recorded...