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Civil Registry of the People XXXXXXXXXXXX

[Logo of RENAP] VERIFIER: XXXXXXXXXXXX


Correlative Birth Certificate ID:XXXXXXXXXXXX
XXXXXXXXXXXXXXXXX

The undersigned Civil Registrar of the National Registry of the People of Santo Tomas La Union,
Suchitepequez Department,
CERTIFIES
That on the nineth day of July of year one thousand nine hundred eighty seven, in certificate XXX, folio XXX
and book X, of the Civil Registry of SANTA CATARINA IXTAHUACAN, SOLOLA Department is registered the
birth of:

- Xxxxxx, Xxxxxxx Xxxxx –


________________________________________________________________________________________
Name and surname of the registrant
Registrant’s data
Photo
XXXXXXXXXXXX___________________________________________________
Identification Document

June twenty fifth XXXX____ ______________________________________


Date of Birth

Guatemala, Solola, Santa Catarina Ixtahuacan____________________________


Place of birth

Male_____________________________________________________________
Sex

Mother’s data Father’s data


- Xxxxxxxx, Xxxxx Xxxxxxxx - No photo No photo __-Xxxx, Xxxxxxx Xxxxx-__
Name and surname of the mother Available Available Name and surname of the father

-- --
__________________________ __________________________
Date of Birth Date of Birth

Aldea Guineales____________ Aldea Guineales____________


Place of Origin Place of Origin

Scan
______________________________________________________________________________
CERTIFICATE OF TRANSLATION

I, ____________________, am competent to translate from Spanish into English and I certify that the attached document is an
exact and accurate English translation taken from a copy presented to me in Spanish language.

Date: 1/14/2020 __________________________

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