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before 3 August 1988/on or after 3 August 1908 S APMDAVIT GE ACKNOWLEDGMENTIADMISSION OF PATERNITY ep Se ee ne ioned in this Cerficate of Live Birth, do hereby solemnly sear that the ined her rd true and correct to the best of eirfny knowledge and bel. ye ——Naenn Hames Oe ane bia ‘Not applicable for bitha before 27 February 1931 Bi *\ AFFIDAVIT FOR DELAYED REGISTRATION [OF BIRTH ' Oa as Pn OR See ace fy tastatsn a, tone Nae age SO gee emp perp tn Bc ‘no aly Tom bi are is ly, that athe pliant: for” om anya fain’ tiny died/of he pron te That Tiig/she was bain on jab, HoAtua, Go. Cote ‘That [/he/she was attended at birth av rote residés at 2 I ‘That I/he/she is a citizen of = es meee as SS Ries igs tronetaeo,__Aabocs Sar \e ¥ \ Oo ‘not married but was: edge by my /nis/ber ft fea ey ee fase pea cali Sle bn pape ‘he applicant only) That Yam marred to {for he (eb mae fgardln) Tt | am \ \ \ \ la oe vi i tua, bar, ener es fritiarng Oro) <_____auwia_ a aaa) tare Pa WR eeeereccct ete ea Stee ees Le 01994-A1-702VUB-00016-B1002 2 . ‘BEST POSSIBLE NAGE HELE TTR ETT 98005-ae4vcor-s | CARMELITAN.ERICTA

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