ROUMANIE ROM AN IA

C~2{qrg:IC9L~ 'D~ROMANIA

!7\L.9lSPE2{~JCERTIFICAT DE NAISSANCE/ BIRTHCERTlFICATE

Seria NJ Nr. 432404Sarie/Series No./Nmb.

DATE PRIVIND COPILULDates concernant /'enfant/Data concerning the child

Cod Numeric Personal _Code personnel/Personal number S

Numele de familieNom/SumamePrenumelePrenom/Firstname

SexulSexe/Sex

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DATEPRIVIND pARINTl1 / Dates concernant les parents / Data concerning the parentsNumele de familie

TATAL I Nom/SurnamePrenumelePrenom/iFirstname

Numele de familieNom/Surname

PrenumelePrenom/First na

Pere/Father

MAMAMere/Mother

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DEData

Date/Date~

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