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CBC-PYHE7BY4-B4 Form

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0% found this document useful (0 votes)

15 views

CBC-PYHE7BY4-B4 Form

Uploaded by

alphacyber10

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as PDF, TXT or read online on Scribd

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OFFICE OF THE PRESIDENT

CIVIL REGISTRATION SERVICES

APPLICATION FOR A BIRTH CERTIFICATE
CBC-PYHE7BY4

FORM B4 FEE: 180 DATE: FRI 04 OCTOBER 2024

TO BE COMPLETED IN CAPITAL LETTERS FOR OFFICIAL USE ONLY

TYPE OF APPLICATION NEW NOTIFICATION NUMBER 3566863

COUNTY OF BIRTH NAIROBI APPLICATION NUMBER

EXACT PLACE OF BIRTH MAMA LUCY KIBAKI PRINT DATE

NAME OF CHILD SHARLEEN BOSIBORI GIKENYI NAME OF REGISTERING OFFICER

CHILD ABOVE 18? NO RECORD CHECK BY

DATE OF BIRTH 26-09-2023 ASSESSED BY

SEX OF THE CHILD FEMALE APPROVED BY

ENTRY OR NOTIFICATION NUMBER

DETAILS OF FATHER AVAILABLE? YES

NAME OF THE FATHER DENNIS GIKENYI SOSI

ID NUMBER OF THE FATHER

DETAILS OF MOTHER AVAILABLE? YES

NAME OF THE MOTHER VIOLET MORAA ISAAC

ID NUMBER OF THE MOTHER

NAME OF THE GUARDIAN

ID NUMBER OF THE GUARDIAN

ADDRESS OF THE APPLICANT NAIROBI

SIGNATURE

APPLICANTS NAME DENNIS GIKENYI SOSI TELEPHONE NO +254725863425

DATE PRESENTED FRI 04 OCTOBER 2024 PICK UP LOCATION ACK BISHOP

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CBC-PYHE7BY4-B4 Form

Uploaded by

CBC-PYHE7BY4-B4 Form

Uploaded by

OFFICE OF THE PRESIDENT

CIVIL REGISTRATION SERVICES

FORM B4 FEE: 180 DATE: FRI 04 OCTOBER 2024

TO BE COMPLETED IN CAPITAL LETTERS FOR OFFICIAL USE ONLY

TYPE OF APPLICATION NEW NOTIFICATION NUMBER 3566863

COUNTY OF BIRTH NAIROBI APPLICATION NUMBER

EXACT PLACE OF BIRTH MAMA LUCY KIBAKI PRINT DATE

NAME OF CHILD SHARLEEN BOSIBORI GIKENYI NAME OF REGISTERING OFFICER

CHILD ABOVE 18? NO RECORD CHECK BY

DATE OF BIRTH 26-09-2023 ASSESSED BY

SEX OF THE CHILD FEMALE APPROVED BY

ENTRY OR NOTIFICATION NUMBER

DETAILS OF FATHER AVAILABLE? YES

NAME OF THE FATHER DENNIS GIKENYI SOSI

ID NUMBER OF THE FATHER

DETAILS OF MOTHER AVAILABLE? YES

NAME OF THE MOTHER VIOLET MORAA ISAAC

ID NUMBER OF THE MOTHER

NAME OF THE GUARDIAN

ID NUMBER OF THE GUARDIAN

ADDRESS OF THE APPLICANT NAIROBI

APPLICANTS NAME DENNIS GIKENYI SOSI TELEPHONE NO +254725863425

DATE PRESENTED FRI 04 OCTOBER 2024 PICK UP LOCATION ACK BISHOP

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