Replacement Foreign Birth Registration (FBR) Application Form

Irish Citizen Parent

Details of the parent through whom Irish citizenship is said to be derived
Irish Citizen parent full name*
Irish citizen parent's date of birth*

DayMonthYear
Irish citizen parent's country of birth*
Irish citizen parent's place of birth*

Declaration and Authorisation
I, {q3_fullname1}, declare that the information provided in this form is true and correct to the best of my knowledge and belief.

I confirm that I have read and agree to the ÉirePassports Terms & Conditions and Privacy Policy.

I consent to ÉirePassports processing and securely handling my personal information for the purposes of providing passport support services in accordance with applicable privacy laws.
Marketing

I agree to receiving occasional marketing emails, newsletters, and promotional updates from ÉirePassports related to passport services and relevant offers. I understand I can unsubscribe at any time.
By signing below, I confirm that I have read and agree to the declaration above, and that the information I have provided is true and correct.

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Date

DayMonthYear

My Products

FBR Replacement Certificate

€100.00

Total

€0.00

Replacement of Foreign Birth Registration (FBR) Application Form