TRANSLATION OF FOREIGN BIRTH CERTIFICATE
ISSUING NATION
ISSUING STATE
ISSUING CITY / MUNICIPALITY
DATE OF REGISTRATION
CERTIFICATE NUMBER
ID / REGISTRATION CODE
= = = = = = = REGISTERED CHILD = = = = = = =
FIRST NAME
MIDDLE NAME
SURNAME (S)
DATE OF BIRTH
PLACE OF BIRTH
SEX
= = = = = = = CHILD’S PARENTS = = = = = = =
FATHER:
FIRST NAME
MIDDLE NAME
SURNAME (S)
MOTHER:
FIRST NAME
MIDDLE NAME
SURNAME (S)
= = = = = = = CIVIL REGISTRY OFFICIAL = = = = = = =
TITLE
FIRST NAME
SURNAME(S)
CERTIFICATION OF TRANSLATOR
I, TRANSLATOR’S NAME, declare under penalty of perjury that I understand the Spanish
language and the English language; and that, to the best of my knowledge and belief, the
statements in the English language in the attached translation have the same meaning as the
statements in the Spanish language in the document that I have examined.
Signature of Translator
________________
Date