Birth Record Form - InheritEstate.com - International Inheritances

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REQUESTING PARTY’S DATA

* Full Name:

Please fill out this field.

* ID Number:

Please fill out this field.

* Kinship:

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* Purpose:

* Specify Purpose:

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* E-Mail:

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* Mobile Number:

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Authorize InheritEstate to contact you for follow-up purposes.

The fields with (*) are mandatory.

CHILD’S DATA

Full Name:

Gender:

Date of Birth:

Month:

Day:

Year:

Place of Birth:

Father’s Full Name:

Mother’s Full Name:

BIRTH RECORD DATA

Issuing Civil Registry:

Full name and kinship of the person reporting the live birth:

Record Number:

Volume Number:

Folio Number:

ADDITIONAL SERVICES

Please attach a scanned copy of the birth record or any other kind of identification (if available):

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REQUESTING PARTY’S DATA

CHILD’S DATA

BIRTH RECORD DATA

ADDITIONAL SERVICES

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