DECLARATION OF DATE OF BIRTH OF A CHILD FOR THE PURPOSE OF REGISTRATION IN THE MUNICIPAL RECORDS
Date: -
Place: -
I hereby declare that Master/Ms. ________________ was born on _____________(date) at _______________(place of birth) under the supervision of Dr. ____________(name of the doctor) _______________(time of birth).
I hereby declare that above said is true and unequivocally and undisputed.
Enclosures ____________
Thank you,
______________________
