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BI-24 Form

OF SOUTH AFRICADEPARTMENT OF HOME AFFAIRSNOTICE OF BIRTH(PERSONS UNDER ONE YEAR)[Section 9 of Act of 1992: Regulation 5 (1)]r illilr lllll lllll lllll llll llll9999A. CHILDS urnameForenames in fullDate of birthPlace of birth: CityffownAre the parents of the childmarried to each other?Date of marriageCOMPLETE WITH BLACK BALLPOINT PENulmGenderCountryCivillf yesNature of marrigemmnCuslomary IReligiouslB. NATURAL FATHER OF CHILD/PARENT section 5 of the Children's Status Act, 1987xldentity numberDate of birthSurnameForenames in fullPlace of birthCitizenshipMTuImPermanent residence oermit NATURAL MOTHER OF CHILD ldentity numberDate of birthPresent surnameMaiden nameForenames in fullPlace of birthCitizenshipmTmmPermanent residence permit ACKNOWLEDGEMENT OF PATERNITY A CHILD BORN OUT OF WEDLOCKI hereby declare that I am the natural father of the above 's permission to the acknowledgement of and surnameSignaturelnitials and surnameSignatureldentity addressdeclare that the above information is numberArea codeDateF:nai!

Created Date: 3/22/2007 9:59:19 AM

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