Form B.

2
: person who (1) Falsifies any of
e particulars on this certificate or (2) Uses a
fa sified certificate as true, knowing it to be false is
• liable to persecution.

ORIGINAL

FEDERAL REPUBLIC OF NIGERIA

TIONAL POPULATION COMMISSION

CERTIFICATE OF BIR.TH
_
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? 01~39 'i;
Issued under the Births a'Death~Etc. (Compul~ Regi~ation) Decree 69 of 1992

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Town! ViY'ge ;:J~

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L.G.A.

State _B~\e~ Il~Jh9J

Volume Year Entry No.

This is to certify that the birth, details of which are recorded herein, has been registered on
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Dav Month Mr at this Registration Centre

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1. Full 'Name:Y' LW~ (rO~B'P

I 2.

4 Place of Birth: ~_l..---":"'....I.::::==----";";::='

5.
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6. Full name of Mother:

Date: ~~ \ %. t, 4-