Appendix 2 to

Annex B to

BGNSI 12.10

Dated 09 Jan 20

Head of Veteran Services

British Gurkhas Pokhara

BFPO 4

Telephone: 061 567280

Email: BGN-RecordsOfficeGroupMailbox@mod.gov.uk

REQUEST FOR CHILD(REN) REGISTRATION

Part 1 – To be completed by the Head of the Family/ Eligible children

I/ widow of *	Army No:	ENTER A/NO	Rank:	SELECT RANK

Name:	ENTER FULL NAME	Unit:	SELECT UNIT

Name of widow/son/daughter:	ENTER FULL NAME	wish to register the

following children/ siblings on my/ father/ husband’s Kindred Roll:

Name	Date of Birth	Gender	Place of Birth	Mother’s Name
FIRST NAME	type/sELECT	SELECT	ENTER PLACE	FIRST NAME
FIRST NAME	type/sELECT	SELECT	ENTER PLACE	FIRST NAME
FIRST NAME	type/sELECT	SELECT	ENTER PLACE	FIRST NAME
FIRST NAME	type/sELECT	SELECT	ENTER PLACE	FIRST NAME
FIRST NAME	type/sELECT	SELECT	ENTER PLACE	FIRST NAME
FIRST NAME	type/sELECT	SELECT	ENTER PLACE	FIRST NAME
FIRST NAME	type/sELECT	SELECT	ENTER PLACE	FIRST NAME
FIRST NAME	type/sELECT	SELECT	ENTER PLACE	FIRST NAME

I have enclosed 1 x passport size photograph (not to exceed 6 months) each of the above named individual(s).

My current address and contact telephone number(s) are as follows:

Village/House No:	ENTER VILLAGE	Ward No/Street:	WARD/STREET
GP/NP/Town:	ENTER GP/NP/TOWN	Post Office/Code:	ENTER CODE
Dist/County:	ENTER DISTRICT	Province/State:	ENTER ANCHAL
Tel:	ENTER TEL NUMBER	Email:	ENTER EMAIL

I confirm that the above details are correct and declare no other children remain unregistered/undeclared from today and onwards.

Signature:	Date:	SELECT DATE
Rank:	SELECT RANK	Name:	ENTER FULL NAME

Part 2 – To be completed by SAWO/A/AWO/HGW/BWO/GWA/EO-RECORDS/EO-GVAC/DVAC/VSO

5.	This is to confirm that I have read out and briefed the contents of the Annex B. The applicant has declared and signed the statement in my presence.

Applicant’s	AWC/ GWAC, UK/ GVAC/DVAC Stamp Applicant’s Spouse’s
Photo	Photo
(Name)	(Name)
Location	Location

(This is to confirm that Mr	Click here to enter text	is a genuine applicant).
Signature of SELECT :	Date:	SELECT DATE

Rank:	SELECT RANK	Name:	enter OFFICER’S NAME

__________________________________________________________________________________

Children’s Photographs

Photo	Photo	Photo	Photo
(Name)	(Name)	(Name)	(Name)
Location	Location	Location	Location

Note: Affixed Photo(s) is/ are to be signed across by the HGW/BWO/GWA/SAWO/A/AWO/EO-Records/GVAC/DVAC/VSO.

AWC/GVAC/ GWAC, UK/DVAC/ RO Stamp

Signature of SELECT :	______________________	Date:	SELECT DATE

Rank:	SELECT RANK	Name:	enter OFFICER’S NAME