Translation from Ukrainian into English
UKRAINE
<State emblem of Ukraine>
BIRTH CERTIFICATE
Surname
Name
Varvara
was born on
patronymic
July 27, 2010
Patsenko
Stepanivna
date, month, year (in figures and in letters)
the twenty-seventh of July year two thousand ten
Ukraine
Place of birth
(country
Cherkasy oblast
oblast,
district,
city of Cherkasy
city, settlement (village)
In witness whereof a birth entry No. 867 was made on
03
date
August
Father
month 2010 year in Birth Record Book
PARENTS
Patsenko
(surname
Stepan Volodymyrovych
name and patronymic)
citizen of Ukraine
(citizenship)
Mother
Besarabova
(surname
Bohdana Viktorivna
name and patronymic)
citizen of Ukraine
(citizenship)
Registration place Civil Status Acts Registration Department for Sosnivskyi district
(name of the state
of the city of Cherkasy of Cherkasy City Directorate of Justice
registration of acts of civil status)
State registration authority that issued the certificate
Civil Status Acts Registration Department for Sosnivskyi district
(name of the state
of the city of Cherkasy of Cherkasy City Directorate of Justice
registration of acts of civil status)
Date of issue August 16, 2017
Head of the Civil Status Acts Registration Office
Round seal with state emblem: /Ministry of Justice of
Ukraine * Main Directorate of Justice fort Cherkasy /
Civil Status Acts Registration Department for
Sosnivskyi district of the city of Cherkasy of
Cherkasy City Directorate of Justice * Identification
code illegible/
/signature/ O.M. Dobrobolska
(signature)
(surname and initials)
Series I-CP No. 118568