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UKRAINE BIRTH CERTIFICATE The citizen —- was born on — (the —). Place of birth: Town –, Region — Oblast — That was registered in the civilian registry book From —. Record # -.
Father: — nationality: Ukrainian Mother: — nationality: Ukrainian Place of registration: Town council of —– oblast Date of issue: —-
Round official seal Town council of—-
Signature of the Head of the Department of civilian registry office: signature /—/ —- № — — |