Apologies for posting this again but it may be helpful for some.
THE APPLICATION FORM (EU Citizens Registration) English translation.
Section 1
NIE PAS/NIF if you have an NIE show otherwise ignore
1st Surname (or only surname) 2nd surname (or blank if none)
First names H = male M = female
Date of birth Town of birth Country of birth
Fathers first name Mothers first name
Your nationality Status C married V widowed D Divorced SP Separated
Address in Spain: the Road, Number, Floor number (if in a block)
Town Post code Province
Telephone No. Email
Section 2
If your representative is doing it this is their section, otherwise ignore
Section 3
Where correspondence should be sent, so probably same as in section 1
Section 4
What are you applying for, tick box
Sign and then, in boxes below
box I is the place you are signing it so say, Fuengirola,
box 2 Date so maybe 1st
box 3 April,
box 4 2012
Last line say Fuengirola Prov. Malaga