I am the contact person, here is my name and address:
 
First name Last name
Street
City State
Zip Code Country
Telephone E-mail
 
I would like to register a birth
which took place in Germany between 1944 and 1989
Child's
First Birthname(s)		Child's
Last Birthname
Mother's
First Name(s)		Mother's
Last MAIDEN Name
Who is searching for who
Additional comments
Letters remaining 
The following data is for the online database:
 
Child's initials
 Child's gender
 girl  boy		 Mother's initials
 Day     Month     Year  
Childs's birthdate  . .
Birthplace in Germany