Certificate of Birth Registration

After checking the household registration dated July 23, 2003, the inquired information is as follows:

(In case of foster parent, please specify)

Seal of Unit Issuing the Certificate

October 8, 2015

XXX Police Station of Jinniu District Branch of Chengdu Public Security Bureau (Seal)

XXXCommunity Neighborhood Committee of XXX Town Subdistrict, Jinniu District, Chengdu City (Seal)