最新 出生医学证明 MEDICAL CERTIFICATE OF BIRTH 翻译模板

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MEDICAL CERTIFICATE OF BIRTH

Neonatal Name Gender Time of Birth Year Month Day Hour Minute Gestational Age Week Birth Weight g Birth Length cm

Birth Place Province City County Medical Institutions

Mother’s Name Age Nationality Ethnic Group Address

Valid Identification Identity Card ☑ Passport ☐ Others Valid Identification No.

Father’s Name Age Nationality Ethnic Group Address

Valid Identification Identity Card ☑ Passport ☐ Others Valid Identification No.

Issued Authority (Stamp)

Date Issued Year Month Day No.

It is an accurate translation of the original document. Signature:

Confirmed by the Translator:

Contact: +86 153XXXXXXXX Date of Translation: