TRANSLATION FROM THE ROMANIAN LANGUAGE
THE SOCIALIST REPUBLIC OF ROMANIA
Seal, rectangular: People’s Council of the town …..
Series N. no.
Last name: …., first and middle name: ….., sex: female.
Date of birth: Year 1969 – nineteen hundred sixty-nine, month August, day 16th – the sixteenth.
BIRTH PLACE OF THE CHILD: town …, district …
Last name of the father:
First name of the father:
Last name of the mother:
First name of the mother:
REGISTRATION PLACE: the town …, district …
The birth was entered into the register of the registry office, under no.: , year 1969, month August, day 18th.
Issued today, on November 18th, 1969, under no. .
Reverse: The Socialist Republic of Romania
Personal Identification Number: