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[Coat of Arms of the Dominican Republic]

01-4943944-1
[Bar code]
DOMINICAN REPUBLIC
FORM OC-11
[Holographic Seal reading: CENTRAL ELECTORAL BOARD Event No.
JCE] NATIONAL CIVIL STATUS REGISTRY 001-01-2009-01-00013103
EXTRACT OF BIRTH CERTIFICATE Mun. O.C. Year Reg. No.
(Art. 99 Law 659 of 7-17-1944)

WE CERTIFY: That there is on file with this Civil Status Office of the 1ST CIRCUMSCRIPTION NATIONAL
DISTRICT, a record which was entered on the eighth day in the month of July nineteen ninety two
(07/08/1992), in Register Book of BIRTHS No. 00659, TIMELY DECLARATION, Folio No. 0153, Act No.
02153, Year 1992 belonging to:

**** ARTURO JAVIER ****

Of the MASCULINE sex, born in CLINICA SAN RAFAEL on the nineteenth day of the month of June of the
year nineteen ninety two (06/19/1992).
FATHER: PEREZ EUREN, LUIS ANDRES, country of nationality Dominican Republic, identity card
No.039466-037
MOTHER: ROA MONTERO, MARCIA JOSELYNE, country of nationality Dominican Republic, identity
card No.327859-001

~.~.~.~.~.~.~.~.~.~.~.~.~.~.~ No further information is written underneath ~.~.~.~.~.~ ~.~.~.~.~.~.

[Round rubber-stamp seal reading


“CIVIL STATUS OFFICE, National District, D.R.
FIRST CIRCUMSCRIPTION ]
This document is issued at the request of the interested party in NATIONAL DISTRICT
Dominican Republic, on this the TWENTY FOURTH (24th) day of the month of MARCH
of the year TWO THOUSAND ELEVEN (2011)

[Signature]
CARMEN ANGELICA MOTA BRITO [Bar code]
Civil Status Officer

[On the reverse page:


Legalization by the Central Electoral Board reading as follows:
0149439441 Bar Code 2011-996-0125103. The signature affixed to this document has been certified by the Central Civil Status
Office. 03/25/2011 11:08:12 a.m.] [There is an illegible impression signature and an illegible handwritten signature.]

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