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
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tua, bar,
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01994-A1-702VUB-00016-B1002 2 .
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