(Translation)

“The Medical Certificate of Birth” is formulated according to “The law of the People’s Republic ofChinaon Maternal and Infant Health Care”.  It is a legal medical certificate of people born in the People’s Republic ofChina.  It is taken care of by the Newborn baby’s father and mother or guardian, can not be sold, lent or altered in private.  And it is referred to upon civil registration.

MINISTRY OF HEALTH OF THE PEOPLE’S REPUBLIC OFCHINA

(Seal)

Full name of baby: XXXX

Sex: XXXX

Date of Birth: XXXX

Place of birth: XXXX

Gestation: XXXX weeks

Health Status: Well   

Weight: XXXX g                      Height: XXXX cm

Full name of mother: XXXX             Age: XXXX

Nationality: XXXX

Nationality: XXXX             Identity Card No.: XXXX

Full name of father: XXXX               Age: XXXX

Nationality: XXXX

Nationality: XXXX             Identity Card No.: XXXX

Type of Place: XXXX

Name of facility: XXXX

Birth No.: XXXX Date of issue: XXXX

 Issuing organization:

XXXX