Birth certificate English templateBIRTH CERTIFICATE Full name of baby Chen Zhengyu Male Date of birth 2053 25 Oct 1998 Place of birth Nantou Township Nanshan County District Shenzhen City Guangdong Pr

Note: This is a sample template and should not be used for official purposes. Please consult with your local government or hospital for the appropriate form.

BIRTH CERTIFICATE

Full name of baby: ___________________________ Male/Female

Date of birth: _________________________________ Time of birth: _______________________

Place of birth: _________________________________________________________

Gestation (week): _____________________________

Health status: _________________________________________________________

Weight: ___________________________ Height: ___________________________

Full name of mother: ______________________________ Age: _________________

Nationality: _______________________________ Identity card NO.: ___________________________

Full name of father: ________________________________ Age: _________________

Nationality: _______________________________ Identity card NO.: ___________________________

Type of Place: ____________________________

Name of facility: ____________________________

Birth No.: _________________________________

Date of Issue: _________________________________________________________

Ministry of Health of the People’s Republic of China (stamped)

Issuing organization (seal): ___________________________________________

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