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CERTIFICATE OF BIRTH

Registration Office: Tambon Ban-Klang 1. The New Born 1.1 Name : NATMUDIN 1.4 Date of Birth Day/Month/Year 7 MAY 1981 Form Thor.Ror.19 Part 1 No.52/24

2. Mother

3. Father 4. Person Notifying Birth

Surname : 1.2 Sex : 1.3 Nationality : SAMAE [/ ] Male [ ] Female THAI At : Corresponding to : Thursday Month : Year : 09.30 [/ ] Waxing moon 6 RAKA hrs. [ ] Waning moon 1.5 Place of birth: House No., Village No., Alley, Road, Sub-District, District, Province Country : 8 M.7, BAN-KLANG, PANARE, PATTANI THAILAND 2.1 Name : Maiden name : 2.2 Age: 24 2.3 Nationality : THAI ROMALOH SANI Years 2.4 Residing at the same House No., Village No., Alley, Road, Sub-District, District, Province place as the new born : [/] 3.1 Name : Surname : 3.2 Age : 26 3.3 Nationality : THAI RUDING SAMAE Years 4.1 Name : Surname : 4.2 Residence: House No., Village No., Alley, Road, Sub-District, District Mr. MA SANI Province 8 M.7, BAN-KLANG, PANARE, PATTANI 4.3 Relationship : 4.4 Signature of notifying [/]Head of Household, [ ]Father, [ ]Mother, [ ]Officer, [ ]Midwife, [ ]Other person : [-SIGNATURE-] 6. Date of notifying name changed : Day / Month / Year 8. Signature of Registrar acknowledging name changed : .. () Registrar ... Certified Correct Translation () Mr. LATEH RIRA DIRECTOR of WATNATHAM ISLAM SCHOOL

5. Date of notification : Day / Month / Year 15 MAY 1981 7. Signature of Registrar : - signed ( ----SIGNATURE---- ) (Official seal affixed)

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