Your First Name/Last Name
Address
Postal Code/City
Town Hall
Done in [your city], on [specify the date].
Subject : Request for birth certificate
Dear Sir or Madam,
Thank you for sending me a copy of my birth certificate.
I was born on [indicate your date of birth].
Please send it to me at the address on the header.
Thank you and best regards.
[Your signature]
Draw your signature