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Xg 04126
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(Fed. Cit. 43)
(Rcv. I0/60) EN?ffiY

CONSTITUTION OF THE FEDERATIONI OF MALAYA

ITIZENSHIP RULES, 1960

Rule 16-Fonra L

ff BrtifiwtB sil ptgixir rrtisn

nf s. Jmrnsr Ollilh
AS A CITIZEN OF THE FEDERATION OF MALAYA

S\erea * fr.{.4.(i f(Nr*!..... €.4{1 t l1 (.

of...r.?' -lrri'rL,4 .dnZ. /-* *rt r4*):r,y...fu
"i/" .::/^ .'4' .-tz*qlr,,
the,fatheri rne+hdeue{die8. of the minor child.. f/f.(.#. a.*..
45_
. t. ... . ..:. .. . .. ..has applied to the Federai Goverament
the registration of the said minor child as a citizen of the Federation of Malaya
alleging with respect to the said minor child the particulars set out herein and has
satisfied the Federal Governmdnt that the conditions laid dowa in Article 15 (2)
of the Constitution of the Federation of Malaya for the registiation of the said
minor child as a citizen of the Federation of Malaya are fulfilled:

a Registrar of Citizens of the Federation of Malaya, on behalf of the Federal

Government, grant to the saia..{/.{.(.{.?.7. (X. j.........:.. .

this Certiflcate of Registration and declare that from the date hereofld/she shall
be a citizen of the Federation of Malaya : t:'
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r';'"i-:-:--
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PARTICIILARS iTELATING TO THE MINOR'CHiflD.ii.iI: iI.. "

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National

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ao:
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M Foruvr trIareinal entriej
arnendrnents or'
FEDERATION OF MALAYA eorrections
:

CERTIFICATE OF BIRTH
The Births and Deathi Registrariort Ordinance, 1957
s t ? e-? -
lSections 32 (1) and 3-, (5); Rule lfl

legistration Area SEL:1I.IG0.*

suri.area //:^lr1 g//:**, ft::t*^ l:/v

'nll Name of Child
. S t Vn.7O7r?f | ,.' f.- *.J-
!'l:ere Born tVo ,l S . 9r^^; Q-u<:tr.u-e /o-*EJ. i $1.,"rrBorr, /4 ' to ' 'g#3
q-t 4'8-m' tY
Name fr - C- re LL tBfl -

! lc"",,r,otio" g !o^-/- 9r*4r^.** I]sual Plaee of Residence

f"*J*-; ,{"-d**-.-
Namo
^? -."ELLlgg

r:to of B,egistration t€ . / O. ,/ g .j s

,rme of Child if added after R,egistration of Birth

CER,TIFIED TO BE A TR,UE COPY OF THE E}ITI{Y IN THE BIR,TH REG]STER

;lB $2

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