Professional Documents
Culture Documents
DE LA REPUBLIQUE DU CAMEROUN
A PARIS - FRANCE
N ____
/CGCP/SEC/
Paris, le
CENTRE D'ETAT-CIVIL
CIVIL STATUS REGISTRATION CENTER
DE OF
Le on the ___________________________________________________________________________________________
Est decede a Died at ________________________________________________________________________________
Age (e) de Aged _____________________________________________________________________________________
Ne (e) le Born on the ___________________________ a at ________________________________________________
Prefession Occupation _______________________________________________________________________________
Domicilie a resident at _______________________________________________________________________________
Fils ou fille de Son or daughter of _______________________________________________________________________
Demeu rant a resident at _____________________________________________________________________________
Et de and of
Demeu rant a resident at _____________________________________________________________________________
Dresse le Drawn up on the _____________________________________________________________________________
Sur la declaration de
In accordance with the declaration of
Le declarant
The Declarant
Signature of Registrar