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  • Affidavit For Delayed Registration of Birth

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    Dolly Apolinario
    154 visualizzazioni2 pagine
    This document is an affidavit for delayed registration of birth. It requires information such as the applicant's name and address, date and location of birth, attending medical professional, citizenship, parents' names and marital status, reason for delayed registration, purpose of the birth certificate, and a signature from the affiant swearing the information is true. The affiant can be the person applying if over 18 years old, or their father, mother, or guardian if applying on their behalf.

    Descrizione originale:

    Affidavit for Delayed Registration of Birth

    Titolo originale

    Affidavit for Delayed Registration of Birth

    Copyright

    © Attribution Non-Commercial (BY-NC)

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    This document is an affidavit for delayed registration of birth. It requires information such as the applicant's name and address, date and location of birth, attending medical professional, citizenship, parents' names and marital status, reason for delayed registration, purpose of the birth certificate, and a signature from the affiant swearing the information is true. The affiant can be the person applying if over 18 years old, or their father, mother, or guardian if applying on their behalf.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Scarica in formato RTF, PDF, TXT o leggi online su Scribd
    Segnala contenuti inappropriati
    154 visualizzazioni2 pagine

    Affidavit For Delayed Registration of Birth

    Caricato da

    Dolly Apolinario
    This document is an affidavit for delayed registration of birth. It requires information such as the applicant's name and address, date and location of birth, attending medical professional, citizenship, parents' names and marital status, reason for delayed registration, purpose of the birth certificate, and a signature from the affiant swearing the information is true. The affiant can be the person applying if over 18 years old, or their father, mother, or guardian if applying on their behalf.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Scarica in formato RTF, PDF, TXT o leggi online su Scribd
    Segnala contenuti inappropriati
    di 2

    (Not applicable for births before 27 February 1931)

    AFFIDAVIT FOR DELAYED REGISTRATION OF BIRTH


    (Either the person himself if 18 years old or over, or father/mother/guardian may accomplish this
    affidavit)

    I, ______________________________________________________ of legal age,


    singles/married,
    and
    with
    residence
    and
    postal
    address
    at
    _____________________
    _________________________________________________,
    after having been duly sworn to in accordance with law, do hereby depose
    and say:
    1. That I am the applicant for the delayed registration of my birth /
    or the birth of _________________________________________________.
    2. That I / he / she was born on ____________________________________
    at ____________________________________________________________;
    3. That
    I
    /
    he
    /
    she
    was
    attended
    at
    birth
    by
    _____________________________
    who
    resides
    at
    __________________________________________________;
    4. That
    I
    /
    he
    /
    she
    is
    a
    citizen
    of
    _________________________________________;
    5. That
    my
    /
    his
    /
    her
    parents
    were
    ________________________________________
    (
    )
    married
    on
    _____________________
    at
    _______________________________
    ( ) not married but was acknowledged by my / his / her father
    whose
    name
    is
    __________________________________________________________________
    ;
    6. That the reason for the delay in registering my / his / her birth
    was
    due
    to
    ______
    __________________________________________________________________
    ;
    7. That a copy of my / his / her birth certificate is needed for the
    purpose
    of
    ______
    __________________________________________________________________
    ;
    8. (
    ) (For the applicant only) That I am married to
    ___________________________.

    (Not applicable for births before 27 February 1931)

    (
    ) (For the father/mother/guardian)
    ______________________ of the said person.

    That

    am

    the

    ________________________________
    (Affiant signature over printed name)
    SUBSCRIBED AND SWORN to before me this _____________________
    day of ______________________, 20 __ in the City and County of Los
    Angeles, California, U.S.A.

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