REPUBLIC OF SENEGAL

REGION OF DAKAR ONE PEOPLE-ONE GOAL-ONE CREED

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CITY OF DAKAR
CIVIC CENTER
COMMUNE OF BISCUITERIE ------------

EXCERPT FROM THE REGISTRY OF BIRTH ACTS

Year: Nineteen Ninety Four Year: 1994

Registry No: Ten Thousand One Hundred Seventy Registry No 10170

in figures

Date of birth : February Tenth Nineteen Ninety Four DOB: 02-10-1994

Time of birth: Ten

Place of Birth: Dakar
Gender: Male

Child’s First Name: Mouhamed Djim

Child’s Last Name: LO
Father’s First Name: Babacar

Mother’s First Name: Ndeye Mother’s Last Name: Sokhna

Issued by the Justice of the Peace of………..…………….…... YEAR: 20………..

for registration
Judicial ruling

authorization

On ………………Two thousand………………………………
(Judgement No in figures)
Under the number……………………………………………...
YEAR: 20………..
Recorded in the birth registry Acts of the year….….…..
EXCERPT ISSUED BY THE CENTER FOR EXCERPT CERTIFIED CONFORM
OF BOURGUIBA DAKAR : February 28, 2O22
Civil Registrar undersigns
First and Last Name: Babacar FAYE
Delegate Civil Registrar
Seal-Signature
End of document-

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