SUMMARY TRANSLATION OF A BIRTH CERTIFICATE 1. Name: (First) (Middle) 2. Sex: Male Female 3. Place of Birth: 4. Date of Birth: (City or Town) (State or Province) (Last) (Country) (Month) (Day) (Year) 5. Father’s Name: (First) (Middle) (Last) 6. Mother’s Name: (First) (Middle) (Last) 7. Date Issued: (Month) (Day) (Year) 8. Place Issued: (City) (State or Province) (Country) 9. Certificate No.: File, Volume, Page 10. Important Notes: CERTIFICATION OF TRANSLATOR’S COMPETENCE , hereby certify that the above is an accurate summary translation of the I, original birth certificate in Spanish. I am competent in both English and Spanish to render such translation. Date: (Month) (Day) (Year) (Signature) Sworn and subscribed before me this Witness my hand and official seal. day of , 20 , in Registration Number . . Notary Public My Commission Expires