CONSULA T GENE RAL

DE LA REPUBLIQUE DU CAMEROUN
A PARIS - FRANCE

CONSULA TE GEN ERAL

OF THE REPUBLIC OF CAMEROON
IN PARIS - FRANCE

ACTE DE NAISSANCE

NO _________________________

Birth certificate
Nom de l'enfant - Name of the child ______________________________________________________________
Le - On the ___________________________________________________________________________________
Est. N(e) a - Was born at _______________________________________________________________________
Nom de l'enfant - Name of the child ______________________________________________________________
De sexe - Sex
De - Of
Ne a - Born at
Le - on the ___________
Domicilie a - resident at
Profession - occupation
Et de - And of _________________________________________________________________________________
Ne a - Born at ________________________________________________________________________________
Le - on the ____________________________________________________________________________________
Domiciliee a - resident at _______________________________________________________________________
Profession - occupation ________________________________________________________________________
Dresse le - Drawn up on the ____________________________________________________________________
Sur la declaration de In accordance with the declaration of
Lesquels ont certifie la sincerite de la presente declaration - Who attested the truth of this declaration
Par nous - By us ______________________________________________________________________________
Officier de l'Etat-civil du centre de ______________________________________________________
Civil status Registrar for the center of

Assiste de - In the presence of __________________________________________________________________

Secretaire d'Etat-civil - Civil status Registrar
Paris, le

Le Secretaire -

Secretary

Signature de l'Officier d'Etat-civil

Signature of Civil status Registrar

- Pour copie conforme

Adresse : 73 rue d'Auteuil - 75016 Paris / Tel. : 01 46 51 89 00 - Fax : 01 40 71 54 32