Translation from Russian language into English language

Перевод с русского языка на английский язык

(name of the body registering acts of civil status)

(surname, first name, patronymic of the father)

(surname, first name, patronymic of the mother)

STATEMENT
on registering the establishment of paternity
(joint statement of the father and mother of the child who are not married to each other)

I,
(surname, first, father's patronymic)
hereby recognize myself as the father of a child born on "______" _____________________ ________
in
(Place of Birth) /for an unborn child
(underline as appropriate)

I,
(surname, first name, patronymic of the mother of the child)

hereby confirm that

(surname, first name, patronymic of the mother of the child)

(surname, own name, father's patronymic)

is the father of my child.

Please register the establishment of paternity.

We provide the following information about ourselves:

Father Mother
1 Surname
2 First name
3 Patronymic name
4 Date of birth
5 Place of birth Republic Republic
(state) (state)

area (province) area (province)

district district
city (village) city (village)

6 Ethnic origin
 (specified at the request of the applicant)
7 Citizenship
8 Place of residence Republic Republic
(state) (state)

area (province) area (province)

district district
city (village) city (village)

borough borough

street street
house building house building
flat flat
9 Where and by whom does he work
(if it does not work,
indicate the source of existence);
place of study, course
10 Education Higher, secondary Higher, secondary
specialized, specialized,
vocational and technical, vocational and technical,
general average, general general average, general
basic, basic,
primary, has no primary primary, has no primary
(to be emphasized) (to be emphasized)

11 Document certifying personality

(title of the document) (title of the document)

Series No. Series No.

(name (code) of the state (name (code) of the state

body that issued the body that issued the
document, date of issue) document, date of issue)

12 Identification number.

When registering the establishment of paternity, please give the child the surname patronymic

(signature of father) (signature of mother)