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(DFA-OCA-CRD-05 / REV.01 / 24 APRIL 2018)

DATA ON THE CHILD AND HIS/HER BIRTH LAST NAME FIRST · PDF filerepublic of the philippines ... data on the child and his/her birth last name first name middle name ... affidavit of

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Page 1: DATA ON THE CHILD AND HIS/HER BIRTH LAST NAME FIRST · PDF filerepublic of the philippines ... data on the child and his/her birth last name first name middle name ... affidavit of

(DFA-OCA-CRD-05 / REV.01 / 24 APRIL 2018)

Surname Given name Patronymic Birth date Birth …Surname Given name Patronymic Birth date Birth place Place of residence AAB Valery Otto 1954 Zaporozhye reg., Ukr AAB Clara Otto 1925

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