Full name: salma saleh mahmoud Surname: hasan

Date of Birth: Day: 11 Month: 02 Year: 2001

Place of Birth:   misrata       Locality:     libyan       City:   baniwaled       Gender:   FEMALE     Type of Birth:  Singular

Father's Name:    saleh        Surname:    hasan

Nationality:    Libyan        Profession:    saleh      
Religion:    Muslim        Marriage Date: //

Mother's Name:    amna        Surname:    ibrahim      
Nationality:    libyan        Profession: asaa

Date of notification: Day: 22        Month: 02        Year: 2010      

Name of informant (Individual or Entity): salem
Name of the competent employee: salem        Capacity: Employee      

(Notes)
Date of Registration: Day: 02        Month: 01        Year: 1999      
Seal and Signature of the Competent Employee: (sealed & signed)

write in documentation (birth informing or decree of non-registered committee as appropriate) Write in notes what relate to the baby child (such as: illegitimate child -- abnormal birth -- Less duration of pregnancy - died after giving birth, etc).