ORIGINAL
FEDERAL REPUBLIC OF NIGERIA
NATIONAL POPULATIONS COMMISSION
Certificate of Birth
Issued under the Birth and Deaths Act (compulsory Registration) Decree 69 of 1992
BA
Registration Center
Town/village Certificate Number
L.G.A Volume Year Entry No.
State
This is to certify that the birth details of which are recorded herein has been registered on
Day Month Year at this registration Center
1. Full Name
2. Sex 3. Date of Birth:
Day Month Year
4. Place of Birth Town /village
5. Full Name of Father
(Surname First)
6. Full Name of Mother
(Surname First)
Place of Birth Name of Registrar
Date Signature of Registrar
NATIONAL REGISTRATION PROGRAM