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REPUBLIC OF HONDURAS

NATIONAL REGISTRY OF INDIVIDUALS


MUNICIPAL CIVIL REGISTRY N 000000000

CERTIFIED RECORD OF BIRTH

The undersigned GENERAL DIRECTOR OF THE NATIONAL REGISTRY OF INDIVIDUALS, based on the Decree
No. 150 Chapter IV, Article 15, letter O, and Chapter VIII, Article 90 of the National Congress dated November 17 th of
1982. CERTIFIES that in the files of this institution is found the birth certificate number: | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
located on page 000 volume 000000 Identification Number

from the Year 1981 and that belongs to:

a) FIRST LAST NAME b) SECOND LAST NAME .


First Last Name Second Last Name

c) NAME SEX F M
Name

and whose information is the following:

1.) Place, date and order of birth

a) VALLE DE ANGELES b) FRANCISCO MORAZAN c) HONDURAS


Municipality Department Country

d) SIXTH e) OCTOBER f) 1979


Day Month Year

2.) Father's last names, name and nationality:

a) FIRST LAST NAME b) SECOND LAST NAME .


First Last Name Second Last Name
c) NAME d) HONDURAN .
Name Nationality

3.) Mother's last names, name and nationality:

a) FIRST LAST NAME b) SECOND LAST NAME .


First Last Name Second Last Name
c) NAME d) HONDURAN .
Name Nationality

4.) Additional notes authorized:

Issued in CENTRAL DISTRICT FRANCISCO MORAZAN


Municipality Department
on the TWENTY SIXTH day of the month of AUGUST

TWO THOUSAND FOURTEEN

[ Signature and seal]


Signature and Seal of the General Director

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