UNITED

STATES OF MEXICO
CIVIL REGISTRY

SEAL

IN THE NAME OF THE FREE AND SOVEREIGN STATE OF , AND AS DIRECTOR- GENERAL
OF THE CIVIL REGISTRY OF THE STATE, I CERTIFY THAT IN BOOK NO. X VOLUME X OF
THE GENERAL ARCHIVE OF THE CIVIL REGISTRY ON PAGE NO.X, A RECORD READING NO.
X ARTICLE DATED X BROUGHT FORTH BY CIVIL REGISTRY CLERK X C. X, RESIDENT OF X,
X, UNITED STATES OF MEXICO.
BIRTH CERTIFICATE
BOOK CERTIFICATE TOWN
DATE OF REGISTRY

OFFICE

MUNICIPALITY

STATE

CRIP:
NAME

REGISTRANTS INFORMATION
CURP:

NAME

FIRST LAST NAME

SECOND LAST NAME

DATE OF BIRTH

SEX

PLACE OF BIRTH

TOWN

MUNICIPALITY

STATE

COUNTRY

BORN

ALIVE

PRESENT

BOTH

PARENTS INFORMATION
FATHER

NAME

FIRST LAST NAME

SECOND LAST NAME

NATIONALITY

AGE

YEARS

AGE

YEARS

MOTHER

NAME

FIRST LAST NAME

SECOND LAST NAME

NATIONALITY

NAME

NAME

PERSON OTHER THAN PARENTS PRESENTING CHILD
RELATIONSHIP
FIRST LAST NAME
SECOND LAST NAME

NATIONALITY

AGE

YEARS


THIS CERTIFICATION HAS BEEN ISSUED IN COMPLIANCE WITH ARTICLE 46 OF THE CURRENT STATE CIVIL CODE IN THE CITY OF [CITY] CAPITAL OF
THE STATE OF [STATE] ON THE ## DAY OF THE MONTH OF [MONTH, YEAR].

SEAL

DIRECTOR OF CIVIL REGITRY OF

THE STATE OF SINALOA
SEAL
PROFR.

NAME AND SIGNATURE