EFTA Document EFTA01335795

Application Number12248191-1 CERTIFIED COPY OF AN ENTRY QBDAC 397343 NHS BIRTH I Ent" 225 Rumba/ Fil t V (4 'a' . :a. Z: I is '' Adaniseallve Mee P..644stralion district 'Um atp-o..O Sub•dwakt en ... a c%-r-I,Q.Q0 1rlf., \ -4 1. Data and plate of birth a Sex 2. Nemo and sumamo .. ti. S • am% tgems-ois.O A etra G - ->r 0,-04- 61 . 4. Name and macaws FATHER • c• ictert • ___ . b. Piece al WM 0. Occupation ...) 7. Name and sumame MOTHER C.1 ,3-.4 ‘....,. a C.N•