Template:Birth Registration

Translation Birth Registration (Doop Registratie):

In the year one thousand eight hundred (YEAR) , the(DATE) of (MONTH), before us, (name, function, clerk of the Municipality of (Municipallity), Arrondisement of (Name). Province of (name), has appeared, name father , (AGE) years old, occupation (), living in (PLACE), who declared, that on the (DATE), in the year (YEAR), at (TIME) o'clock in the (AM?PM), in (PlACE) a child was born of ((fe)male_ sex, which will be given the first name, (NAME). The child's mother is (NAME MOTHER) and the father, the declarant himself being the husband, in the house signed number () in ().

And this declaration is made in the presence of (WITNESS), (AGE) years old, (OCCUPATION), living in (PLACE) and (NAME), (AGE) years old (OCCUPATION) living in (PLACE), as chosen witnesses by the interested party.

This Certificate is drafted and registered in the Double Birth Registration of this Municipality and is this Certicificate, after read aloud to the declarant and the witnesses. signed by them and us

SIGNATURES