COLOMBIA REPUBLIC

ELECTORAL ORGANIZATION

National registry of civil status

national civil registry office

NUIP 1042246051 NATIONAL BIRTH REGISTRATIONS SERIAL #39413288

Office Information /type of office

Register Office Notary Number Cconsulate town Police Station Cod 2CM

Notary 5th BARRANQUILLA COLOMBIA ATLANTICO BARRANQUILLA**********************

Data of registered

Fisrt Last name Second Last Name

GUERRA***********************************SOBRINO******************************

JORGE MIGUEL********************************************************************

Year 2005 month sept Day 01 Sex Male Blood Type ***** RH Factor****

Place of birth( Country, Province, town, pólice office)

COLOMBIA ATLANTICO BARRANQUILLA *********************************************

Type of background document or witness statement Certificate number born alive

MEDICAL CERTIFICATE OR BORN ALIVE********** A6446055

Mother information

Last Name and full first name

SOBRINO MOLINA MARLIS EDITH************************************************************

IDENTIFICATION NUMBER(type and number) Citizen

Citizen card 0032787660 Colombia
FATHER INFORMATION
Last Name and full first name
GUERRA HERAZO JORGE ELIECER ********************************************************
IDENTIFICATION NUMBER(type and number) Citizen
Citizen card # 0072209858 **********************************************Colombia
DECLARANT DETAILS
GUERRA HERAZO JORGE ELIECER************************************************
Citizen card # 0072209858*************************************************************

INFORMATION 1ST WITNESS

INFORMATION 2nd WITNESS

Inscription date name and sign Notary

Year 2005 month Sep Day 08

Paternal recognition Name and sign of the official before whom the recognition is made

Sign name and sign

Space for notes
NOTARY 5TH BARRANQUILLA

CERTIFY

The present birth certificate is true and authentic copy of the original, that appears registered in
the files of this notary. Issued to prove relationship ,this certificate don’t expire Art 2nd decree 2189,
1983.Except for Marriage

Barranquilla, May 16 2022….. Notary 5Th Barranquilla.

I, DARIELA MARIA GALVIS PABON, WITH ID 1129568043, AND PROFESSIONAL LAWYER CARD # 191470 DEL
c.s de Justice, DECLARE THAT I UNDERSTAND SPANISH AND THE ENGLISH LANGUAGE, THAT I HOLD FROM THE
COLLEGE. I PUT MY BEST KNOWLEDGE AND BELIEF, IN THE ENGLISH LANGUAGE IN THE ATTACHED
TRANSLATION, WICH IM SIGNING. THE DOCUMENT HAVE THE SAME MEANINGS AS THE SOURCE IN SPANISH,
WICH I HAVE SIGNED.

THIS DOCUMENT HAS NOT BEEN TRASLATED BY A FAMILY MEMBER, OR THE APPLICANT

________________________________

DARIELA MARIA GALVIS PABON

ID 1129568043, AND PROFESSIONAL LAWYER CARD # 191470 DEL c.s de Justice