I certify that in the official office No. Book No. Book No.

Item No Folio No

Department Province

Location

With departure date: Day Month Year

The birth of

NAME AND SURNAME OF REGISTRANT

Place of birth
Department Province Locality

Date of birth Sex

Day Month Year Time

Father's first and last names

Mother's first and last names

Explanatory Note

HAS NO LEGAL VALUE THE PRESENT DOCUMENT IS PURELY ACADEMIC

I certify that in the official office No. Book No. Book No. Item No Folio No

Department Province

Location

With departure date: Day Month Year

The marriage of:

Spouse's first and last names

Nationality date of birth marital status prior to marriage

Spouse's first and last names

Nationality date of birth marital status prior to marriage

Explanatory Note

HAS NO LEGAL VALUE THE PRESENT DOCUMENT IS PURELY ACADEMIC