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CBC v5h75vwr b4 Form

This document is an application for a birth certificate for a child named Yann Bidimba Mbedi, born on January 30, 2025, in Ruaraka Uhai Neema, Nairobi. The application was submitted by Charles Ochieng Ojendo on May 21, 2025, with a fee of 250.0, and includes details of both parents, Jonathan Muleke Bidimba and Rebecca Mokaju Mbambo.

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0% found this document useful (0 votes)

15 views1 page

CBC v5h75vwr b4 Form

Uploaded by

holyspirit.ministry001

We take content rights seriously. If you suspect this is your content, claim it here.

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Download as PDF, TXT or read online on Scribd

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OFFICE OF THE PRESIDENT

CIVIL REGISTRATION SERVICES

APPLICATION FOR A BIRTH CERTIFICATE
CBC-V5H75VWR

FORM B4 FEE: 250.0 DATE: WED 21 MAY 2025

TO BE COMPLETED IN CAPITAL LETTERS FOR OFFICIAL USE ONLY

TYPE OF APPLICATION NEW WITHOUT AMENDMENT NOTIFICATION NUMBER 5737783

COUNTY OF BIRTH NAIROBI APPLICATION NUMBER

EXACT PLACE OF BIRTH RUARAKA UHAI NEEMA PRINT DATE

NAME OF CHILD YANN BIDIMBA MBEDI NAME OF REGISTERING OFFICER

CHILD ABOVE 18? NO RECORD CHECK BY

DATE OF BIRTH 30-01-2025 ASSESSED BY

SEX OF THE CHILD MALE APPROVED BY

ENTRY OR NOTIFICATION NUMBER 5737783

DETAILS OF FATHER AVAILABLE? YES

NAME OF THE FATHER JONATHAN MULEKE BIDIMBA

ID NUMBER OF THE FATHER

DETAILS OF MOTHER AVAILABLE? YES

NAME OF THE MOTHER REBECCA MOKAJU MBAMBO

ID NUMBER OF THE MOTHER

ADDRESS OF THE APPLICANT NAIROBI

SIGNATURE

APPLICANTS NAME CHARLES OCHIENG OJENDO TELEPHONE NO +254759462973

DATE PRESENTED WED 21 MAY 2025 PICK UP LOCATION HUDUMA MAKADARA

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CBC v5h75vwr b4 Form

Uploaded by

CBC v5h75vwr b4 Form

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OFFICE OF THE PRESIDENT

CIVIL REGISTRATION SERVICES

FORM B4 FEE: 250.0 DATE: WED 21 MAY 2025

TO BE COMPLETED IN CAPITAL LETTERS FOR OFFICIAL USE ONLY

TYPE OF APPLICATION NEW WITHOUT AMENDMENT NOTIFICATION NUMBER 5737783

COUNTY OF BIRTH NAIROBI APPLICATION NUMBER

EXACT PLACE OF BIRTH RUARAKA UHAI NEEMA PRINT DATE

NAME OF CHILD YANN BIDIMBA MBEDI NAME OF REGISTERING OFFICER

CHILD ABOVE 18? NO RECORD CHECK BY

DATE OF BIRTH 30-01-2025 ASSESSED BY

SEX OF THE CHILD MALE APPROVED BY

ENTRY OR NOTIFICATION NUMBER 5737783

DETAILS OF FATHER AVAILABLE? YES

NAME OF THE FATHER JONATHAN MULEKE BIDIMBA

ID NUMBER OF THE FATHER

DETAILS OF MOTHER AVAILABLE? YES

NAME OF THE MOTHER REBECCA MOKAJU MBAMBO

ID NUMBER OF THE MOTHER

ADDRESS OF THE APPLICANT NAIROBI

APPLICANTS NAME CHARLES OCHIENG OJENDO TELEPHONE NO +254759462973

DATE PRESENTED WED 21 MAY 2025 PICK UP LOCATION HUDUMA MAKADARA

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