FORM OC-11 10-06612338-1
DOMINICAN REPUBLIC
CENTRAL ELECTRAL BOARD
NATIONAL DIRECTORATE OF REGISTRATION OF THE CIVIL STATE
INEXTENSIVE BIRTH CERTIFICATE
(Act.99 Law No. 659, of 7/17/1944)
Event No.
001-10-2021-01-02004264
Mun. O.C year Reg. No.
WE CERTIFY that in the Civil Clerk Office of 10THCIRCUMSCRIPTION, SANTIAGO DE LOS
CABALLEROS. Is registered on the twenty four days of the month of May of the year two thousand
and twenty-one (05/24/2021), is registered in the Book No. 00049-V of TRANSCRIPTION folio
No. 0028, Certificate No.004828, year 2021, the certificate belongs to:
****EDWING GUILLERMO DE JESUS****
****Unique Identity Number: 402-5123900-6****
Gender MALE, born in The Venezuelan Red Cross, Municipality Heres, Cathedral Parish, Bolivar
State, Bolivarian Republic of Venezuela on the on the twenty-seven days of the month of September
of the year two thousand and ten (09/27/2010), at 11:05 AM.
FATHER: PEREZ DUGARTE, EDWING ENRIQUE.
MOTHER: NUÑEZ ORTEGA, GENISBETH DEL VALLE, citizen of Venezuela, place of birth
Bolivar State, of student occupation, domiciled in Andres Eloy Blanco, Av., C/c Sorocaina Qta.
Orozqueña, parish beautiful view of Bolivar city Bolivar State, foreign document No.17.381.800
ANNOTATIONS:
OBSERVATION: THIS ACT, INSTRUMENTED ABROAD, HAS BEEN TRANSCRIBED IN
ACCORDANCE WITH RESOLUTION NO.9-95, DATED 09/05/1995 AND RESOLUTION NO. 20-
2015, DATED 04/27/2015, BOTH ISSUED BY THE JCE, ARTICLES 33 AND 34 OF LAW 659-44 ON
CIVIL STATUS ACTS, BY VIRTUE OF THE FACT THAT MOTHER GENISBETH DEL VALLE
NUÑEZ ORTEGA, IS OF DOMINICAN NATIONALITY, IDENTITY AND ELECTORAL CARD NO.
402-5008396-7, ACCORDING TO ANNEX DOCUMENT MATRIX FILE AUTHORIZATION NO.
DNRCT-2021*5269 DATED 24/05/2021 AND OFFICE OF LEGAL CONSULTANCY NO. CJT-2021-
5177 DATED 18/05/2021CJT-2021-5177 DATED 18/05/2021.
NO MORE INFORMATION BELOW THIS LINE.
The present document is issued on petition by the interested party, in SANTO DOMINGO,
NATIONAL DISTRICT Dominican Republic, today is the EIGHTEEN (18) DAY OF AUGUST OF
TE YEAR TWO THOUSAND TWENTY ONE (2021).
Signed by MIRIAM TERESA SUAREZ CONTRERAS
Director of the Central Civil Registration Office
Bar code: 001-10-2021-01-02004264
06610-1248323181
I, LICDA. JESSICA HEREDIA ESPINAL, duly sworn, do hereby CERTIFY that I am
competent in both ENGLISH AND SPANISH to render the translation below, and that I have
personally examined a document written in SPANISH and have translated it to ENGLISH, which
according to the best of my judgment states the
following--------------------------------------------------------------------
__________________________________________________
LICDA. JESSICA HEREDIA ESPINAL
Competent Translator,
Santiago de los Caballeros, Dominican Republic
[email protected]