"REPUBLIC OF KENYA
CER'fIFICATE OF BIRTH G I '? 577227
t Birth in the.............-. ···-··JliKUE!l� - ........ ... . .. .. District in the .. -·· ............�T�-�············ ·-. . Province
Entry Where Name
No. a403oas3a Born Musalala l)er.ick Mugend.i
----
Date of Name and Surname
Birth 24/4/2003 Sex Male of Father George Mutet.i Kitele
Name and Maiden
Name of Mother Mary.- lllthanga Mutet:ii
Name and Description
of Informant L Sgd. Parent
Name of Date of
Registering officer I L. M. MALUVU Registration 30;41aoo3
L. M. MALUVU
..................... .......... .............................................. .............. ................................................-.......... District/Assistant
Registrar for ................. ....�.��u�.�� ........ ···- .._ ·-· ..... District, hereby certify that this · ficate is compiled from an
entry/return jn the Register of Births in the District.
MKH/CAMO. I2749. of aI/I/aOII
District/Assistant Registrar
Given under the Seal of the Principal Civil Registrar on the aI s t .. __ day of .... F.�:b.r.:ua..r.1,:...........................-. 20 ....�.�
This certificate is issued in pursuance of the Births and Deaths Registration Act (Cap. 149) which provide:, that a
certified copy of any entry in any register or return purporting to be scaled or stamped with the seal of the Principal
Registrar shall be received as e,idence of the dates and facts therein contained without any or other proof of such
entry.
Note: A Certificate of Birth is not Proof of Kenyan Citizembip.
GPK 5065---4m Bks.-�/2010
