Translation of birth certificate, Ukraine

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 /—/

—- № —

—