TRANSLATION OF FOREIGN BIRTH CERTIFICATE



TRANSLATION OF FOREIGN BIRTH CERTIFICATE

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|issuing nation |Issuing state |Issuing city / municipality |

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|Date of registration |Certificate number |Id / registration code |

= = = = = = = REGISTERED CHILD = = = = = = =

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|first name |middle name |surname (S) |

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|date of birth |place of birth |SEX |

= = = = = = = CHILD’S PARENTS = = = = = = =

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|FATHER: first name |middle name |surname (S) |

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|MOTHER: first name |middle name |surname (S) |

= = = = = = = CIVIL REGISTRY OFFICIAL = = = = = = =

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|TITLE |FIRST NAME |SURNAME(S) |

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|CERTIFICATION OF TRANSLATOR |

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|I, TRANSLATOR’S NAME, declare under penalty of perjury that I understand the Spanish language and the English language; and |

|that, to the best of my knowledge and belief, the statements in the English language in the attached translation have the same |

|meaning as the statements in the Spanish language in the document that I have examined. |

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|________________ |

|Signature of Translator Date |

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