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CBC-RLHLWVDP-B4 Form

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0% found this document useful (0 votes)

21 views

CBC-RLHLWVDP-B4 Form

Uploaded by

scoancybercafe

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-RLHLWVDP

FORM B4 FEE: 180 DATE: FRI 17 MAY 2024

TO BE COMPLETED IN CAPITAL LETTERS FOR OFFICIAL USE ONLY

TYPE OF APPLICATION NEW NOTIFICATION NUMBER 4281081

COUNTY OF BIRTH NAIROBI APPLICATION NUMBER

EXACT PLACE OF BIRTH JUMUIA HOSPITALS LIMITED - PRINT DATE

HURUMA
NAME OF REGISTERING OFFICER
NAME OF CHILD HAFIDH HASSAN ISAACK
RECORD CHECK BY
CHILD ABOVE 18? NO
ASSESSED BY
DATE OF BIRTH 21-04-2024
APPROVED BY
SEX OF THE CHILD MALE

ENTRY OR NOTIFICATION NUMBER

DETAILS OF FATHER AVAILABLE? YES

NAME OF THE FATHER HASSAN ISAACK IBRAHIM

ID NUMBER OF THE FATHER 32092344

DETAILS OF MOTHER AVAILABLE? YES

NAME OF THE MOTHER ZAINABU HUSSEIN AHMED

ID NUMBER OF THE MOTHER 34309718

NAME OF THE GUARDIAN

ID NUMBER OF THE GUARDIAN

ADDRESS OF THE APPLICANT KARIOBANGI NORTH

SIGNATURE

APPLICANTS NAME HASSAN ISAACK IBRAHIM TELEPHONE NO +254796756969

DATE PRESENTED FRI 17 MAY 2024 PICK UP LOCATION ACK BISHOP

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CBC-RLHLWVDP-B4 Form

Uploaded by

CBC-RLHLWVDP-B4 Form

Uploaded by

OFFICE OF THE PRESIDENT

CIVIL REGISTRATION SERVICES

FORM B4 FEE: 180 DATE: FRI 17 MAY 2024

TO BE COMPLETED IN CAPITAL LETTERS FOR OFFICIAL USE ONLY

TYPE OF APPLICATION NEW NOTIFICATION NUMBER 4281081

COUNTY OF BIRTH NAIROBI APPLICATION NUMBER

EXACT PLACE OF BIRTH JUMUIA HOSPITALS LIMITED - PRINT DATE

ENTRY OR NOTIFICATION NUMBER

DETAILS OF FATHER AVAILABLE? YES

NAME OF THE FATHER HASSAN ISAACK IBRAHIM

ID NUMBER OF THE FATHER 32092344

DETAILS OF MOTHER AVAILABLE? YES

NAME OF THE MOTHER ZAINABU HUSSEIN AHMED

ID NUMBER OF THE MOTHER 34309718

NAME OF THE GUARDIAN

ID NUMBER OF THE GUARDIAN

ADDRESS OF THE APPLICANT KARIOBANGI NORTH

APPLICANTS NAME HASSAN ISAACK IBRAHIM TELEPHONE NO +254796756969

DATE PRESENTED FRI 17 MAY 2024 PICK UP LOCATION ACK BISHOP

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