(***) *** Zheng Zi, No.***
Applicant: ***, female, born on ***, citizen’s identity card No.: ***, living at No.**, ***Road, *** Town, *** County, *** Province.
Relative: ***, male, born on ***, citizen’s identity card No.: ***, living at No.***, *** Village, *** Town, *** County, *** Province.
Issue under notarization: kinship
This is to certify that *** is the father of ***; *** is the mother of ***.
Notary Public Office, *** County, *** Province
The People’s Republic of China
Notary Public: ***
***
