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ALHAIMI BUREAU A a> FOR TRANSLATION & INTERNATIONAL SERVICES RASTA Malgal aloailly daapll cosa eS 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 btn 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 oe Yerieo ae a a ne nines ae Sa ics ine oe Bea eam ee SET on ork site nanan AO Rec Ty Fh [othry Cima oem | pire 4 we | nr 19 weer Kes AN CeCe wee ees imey rr re ry NPR ITACE AR £eo ovkty ARE IRA wrtety 2G 7, ~ \ Bong MGS are Shed > mmaTD AND ITRE eT FETT KE ine |e m9 STIRS MEP ie te fiend a irene oe) oP re ett aa 3 Aaa ie se FD Me? AI lias a 6 Toeslint esse ue 2) 5 RP

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