MUNICIPALITY OF COLOTENANGO

HUEHUETENANGO, GUATEMALA, CENTRAL AMERICA

CIVIL REGISTRY
CERTIFICATION OF BIRTH

1 THE UNDERSIGNED CIVIL REGISTRAR OF COLOTENANGO, DEPARTMENT OF HUEHUETENANGO,

2 CERTIFIES: THAT ON CERTIFICATE # XXX FOLIO # XXX
3 BOOK # XX IS THE RECORD OF BIRTH FOR:
4 [First Paternal Maternal]
5 SON OF: [First Paternal Maternal]
6 AND OF: [First Paternal Maternal]
7 BORN ON THE DAY OF: [Month Day, Year]
8
9 TIME: X:XX xx IN THE COMMUNITY OF: [Community Name]
10 CERTIFICATE SIGNED BY: (PAGES) Fingerprint of the attending party. Registrar unreadable.
11 There is a stamp.
12 NOTES: THE MARGIN SAYS: NONE
13 …….
14 …….
15 …….
16 …….
17 …….
18 …….
19 AND BY REQUEST OF THE INTERESTED PARTY, THIS DOCUMENT IS ISSUED IN COLOTENANGO,
20 HUEHUETENANGO, ON THE X OF [Month]
21 IN THE YEAR XXXX. FEES: ACCORDING TO LAW. DECREE 111-96 OF THE NATIONAL CONGRESS.
23
24 [Name of Official]
25 CIVIL REGISTRAR
CIVIL REGISTRY OFFICIAL
MUNICIPALITY OF COLOTENANGO
HUEHUETENANGO

Certification by Translator

I, [translator’s name], certify that I am fluent in the English and Spanish languages, and that the
above document is a true, complete, and accurate translation of the attached original document
entitled “Certificacion de Nacimiento”.

[date]
[translator’s name]
[translator’s street address]