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Colombian Birth Registration - Improved

The document is a birth registration form from the Republic of Colombia, detailing information required for registering a birth. It includes sections for the registrant's details, parents' information, witnesses, and the official responsible for the registration. The form captures essential data such as names, gender, place of birth, and identification numbers.

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348 views1 page

Colombian Birth Registration - Improved

The document is a birth registration form from the Republic of Colombia, detailing information required for registering a birth. It includes sections for the registrant's details, parents' information, witnesses, and the official responsible for the registration. The form captures essential data such as names, gender, place of birth, and identification numbers.

Uploaded by

info
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

REPUBLIC OF COLOMBIA

CIVIL REGISTRY
Directorate General of Registries and Notaries IDENTIFICATION No.
REGISTRATION OF BIRTH (1) Single birth (2) Multiple birth
XXXX
CIVIL (3) Class (Notary, Office of the Mayor, City, etc.) (4) Municipality or Department (5) Code
REGISTRY
OFFICE

REGISTRANT
(6) First surname (7) Second surname (8) Names

(9) Male or Female (10) BIRTH (11) Day (12) Month (13)Year
GENDER
Male  Female  DATE
PLACE OF (14) Country (15) Department (16) Municipality
BIRTH

(17) Clinic, hospital, home address, village, township, etc. where the birth occurred (18) Time
BIRTH
(19) Document presented - Background (medical (20) Name of the professional that (21) License No.
DATA
certificate or parochial certificate) certified the birth
FILED BY WITNESSES
(22) Surnames (maiden) (23) Names (24) Current age
MOTHER
(25) Identification (class and number) (26) Nationality (27) Profession
Id. No.
(28) Surnames (29) Names (30) Current age
FATHER
(31) Identification (class and number) (32) Nationality (33) Profession
Id. No.

(34) Identification (class and number) (35) Signature


Id. No. [Illegible signature]
CLAIMANT
(36) Postal address and municipality (37) Name:

(38) Identification (class and number) (39) Signature


Id. No. [Illegible signature]
WITNESS (40) Postal address and municipality
(41) Name:

(42) Identification (class and number) (43) Signature (autograph)


Id. No. [Illegible signature]
WITNESS (44) Postal address and municipality
(45) Name:

(DATE ON WHICH THIS REGISTRATION WAS MADE) [Signature]


ENTRY
DATE (46) Day (47) Month (48) Year (49) signature and stamp of the official who made the
registration
ORIGINAL FOR THE CIVIL REGISTRY Form DANE TP10-0 VI/77

(59) Signature of parent who makes the acknowledgement (60) Signature of the official before whom the acknowledgement is made
(61) NOTES

[Ink stamp which reads: BLANK SPACE”]

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