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CBC-GRHMLGJP-B4 Form

This document is an application for a birth certificate for a child named Tylon Paul Barongo, born on July 1, 2024, at Jumuiya Hospitals Limited in Nairobi. The application includes details of both parents, with the mother's name being Dennis Barongo Ogwori and her ID number provided. The application was submitted by Elfirah Gesare Nyarenchi on December 30, 2024, with a fee of 180 and a specified pick-up location.

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1 views

CBC-GRHMLGJP-B4 Form

This document is an application for a birth certificate for a child named Tylon Paul Barongo, born on July 1, 2024, at Jumuiya Hospitals Limited in Nairobi. The application includes details of both parents, with the mother's name being Dennis Barongo Ogwori and her ID number provided. The application was submitted by Elfirah Gesare Nyarenchi on December 30, 2024, with a fee of 180 and a specified pick-up location.

Uploaded by

extreme entertaiment
Copyright
© © All Rights Reserved
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-GRHMLGJP

FORM B4 FEE: 180 DATE: MON 30 DECEMBER 2024

TO BE COMPLETED IN CAPITAL LETTERS FOR OFFICIAL USE ONLY

TYPE OF APPLICATION NEW NOTIFICATION NUMBER 4005405

COUNTY OF BIRTH NAIROBI APPLICATION NUMBER

EXACT PLACE OF BIRTH JUMUIA HOSPITALS LIMITED - PRINT DATE


HURUMA
NAME OF REGISTERING OFFICER
NAME OF CHILD TYLON PAUL BARONGO
RECORD CHECK BY
CHILD ABOVE 18? NO
ASSESSED BY
DATE OF BIRTH 01-07-2024
APPROVED BY
SEX OF THE CHILD MALE

ENTRY OR NOTIFICATION NUMBER

DETAILS OF FATHER AVAILABLE? YES

NAME OF THE FATHER

ID NUMBER OF THE FATHER

DETAILS OF MOTHER AVAILABLE? YES

NAME OF THE MOTHER DENNIS BARONGO OGWORI

ID NUMBER OF THE MOTHER 29567324

NAME OF THE GUARDIAN

ID NUMBER OF THE GUARDIAN

ADDRESS OF THE APPLICANT UMOJA III

SIGNATURE

APPLICANTS NAME ELFIRAH GESARE NYARENCHI TELEPHONE NO +254792237907

DATE PRESENTED MON 30 DECEMBER 2024 PICK UP LOCATION ACK BISHOP

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