ENGLISH TRANSLATION OF BIRTH CERTIFICATE

NAME OF REGISTERED CHILD:

________________________________

DATE OF BIRTH:

________________________________

PLACE OF BIRTH:

________________________________

Father of Child:

________________________________

Age of Father:

________________________________

Nationality of Father:

________________________________

Mother of Child:

_______________________________

Age of Mother:

_______________________________

Nationality of Mother:

_______________________________

PLACE AND DATE OF REGISTERED:

_______________________________

Book, Volume, and Number:

_______________________________

I, ________________________________, ATTEST TO MY COMPETENCY TO

TRANSLATE FROM SPANISH TO ENGLISH, AND I CERTIFY THAT THIS IS
A CORRECT ENGLISH TRANSLATION OF ALL PERTINENT
INFORMATION FROM THE SPANISH ORIGINAL.
______________________________________

________________

Signature:

Date