;OVINGE a
st Cite a REPUBLIC OF CAMEROON
— Peace — Work — Fatraiond
DEPARTEMENT
DIVISION
ARRONDISSEMENT
‘SUBDIVISION
CENTRE D’ETAT CIVIL =
CIVIL STATUS REGISTRATION CENTRE
“De - Of
ACTE DE_NAISSANCE
BIRTH CERTIFICATE yw 288/92
Hom 44 tat Kt Mpa Let Laas
te On ollual ail lac 2
Nom de enfant ta
Name of the ctid 7 rs
Be ance = So
pow of ——— Modem Charla
ia a ————— ;
emailer -
Resident at
Tee 3 ———Arinagitt —____
or weno 1 Cth medina Meh Balsa
In accordance with the declaration of
Gynetcleue AM 4. deo! fbie |
Lesquels ont certifié 2 sincérité de te présente déctarstion, _
Who attested to the truth of this dectara se a CE make
Par Hous, ; ete Offciee
de tat cit dv centre de i. Se
By Us. Civil Status Registrar for Centre
Assisté de — Coulis sth
In the presence of,