ALHAIMI BUREAU
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Avda See P1G:BotSa,ibe Sy, Yemen,
@(4-418877) 4 (777812412) E-mail: translator_haimi
REPUBLIC OF YEMEN FORMNO (1/6 A.M.)
ine ee, BIRTH CERTIFICATE — rormotne AM)
CIVIL STATUS AUTHORITY ). Photo
AND CIVIL REGISTRY
CIVIL REGISTRY SECRETARIAT
CIVIL STATUS DEPT: IBB DISTRICT: 1BB GOVERNORATE: IBB
‘REPUBLIC OF YEMEN MINISTRY OF HEALTH
"VACCINATION CARD oes
TYPE OF VACCINATING [1s posace | 2posace | s*posace _ | No.1posace SIGNATURE
BCG T a
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WHOOPING CO
POLIOMYELITIS | |
SMALLPOX |
MEASLES |
“VACCINATIONS PERFORMED BY APPLYING B. G. IN THE RIGHT TRIANGULAR SHOULDER MUSCLE
-VACCINATION AGAINST THE SMALLPOX IS PERFORMED IN THE LEFT TRIANGULAR SHOULDER MUSCLE
NEWBORN DATA
NEWBORN'S NAME | — FATHER’S NAME GRANDFATHER'S NAME &SURNAME SEX
EMAD [ AHMED ‘ALI ALRYASHI MALE
DATE OF BIRTH
Ao JANUARY ot 1996
PLACE OF BIRTH
VILLAGE / TOWN DISTRICT T PROVINCE / COUNTRY
BANI MANSOUR BADAN, 1BB
PARENTS DATA
EATHER MOTHER
FIRST NAME: AHMED FIRST NAME: SABAH
FATHER'S NAME: ALI FATHER'S NAME: MUSLEH
GRANDFATHER'S NAME: ALRYASHI GRANDFATHER'S NAME: ALI Z. ALAMARI
RELIGION: MUSLIM. RELIGION: MUSLIM
NATIONALITY: YEMENI NATIONALITY: YEMENI
OCCUPATION: LABORER OCCUPATION: HOUSEWIFE
PLACE OF RESIDENCE: IBB PLACE OF RESIDENCE: IBB
FAMILY REGISTRATION IN THE REGISTRY
SECRETARIAT NAME: NUMBER: DATE:
THE NEWBORNS DATA WERE RECORDED IN THE ACCOMPLISHED FACT OF THE BIRTH REGISTRY NO. (1) UNDER NO.: (2368) DATED
5104/2014, AT IBB CIVIL SECRETARIAT OFFICIAL RECORD BOOK, MAIN CENTER DISTRICT, IBB GOVERNORATE.
NAME OF REGISTRAR: NAME OF DIRECTOR OF CIVIL AFFAIRS:
YASSER ALSHAM! ‘COLONEL/ ABOULMOMEN AL-ERYANI “as
SIGNED! SIGNED & SEALED ena Byseoed
Registered at Civil Affairs & Civil Authority -Ibb Office, under number (2281) on 09/
Signed & Sealed
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