Birth Certificate Form

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CHILD'S DETAILS

First Name

Middle Name

Surname

Place of Birth

Date of Birth

Sex

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MOTHER'S DETAILS

First Name

Middle Name

Surname

Living

Educational Level

House Address

Occupation

Phone Number

Nationality

Type of ID

ID Number

Date of Issue

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FATHER'S DETAILS

First Name

Middle Name

Surname

Living

Educational Level

House Address

Occupation

Phone Number

Nationality

Type of ID

ID Number

Date of Issue

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