REPUBLIC OF KENYA
1 N°. 8138122
CERTIFICATE OF BIRTH
Birth in the .................................K...I.S..U...M....U......................Distrlct in
the...............N...Y..A...N...Z..A..............................................................................................Province
0065281440 MILIMANI HOSP CLEVIOUR ADHIAMBO
20/8/2008 SEX MALE BENSON OTIENO
Namc and Maiden
Name of Mother EVERLINE AUMA
Sgd: Parent
P L INGUTA 29/10/2008
I , . . . . .D. . .. . J. .o. .h. n........................................................................................................ District/Assistant
Registrar for...............K...i.s.u...m...u..............................District, hereby certify that this certificate is completed
from an
entry/return in the Register of Births in the District.
KCA NO9965/KSM/CA OF 10/02/2023
DistrictJAssistant Registi•ar
10 FEB 22
Given under the Seal of the Director of Civil Registration on the........................day of.........................................20........
This certificate is issued in pui'suance of the Births and Deaths Registration Act (Cap.149) which provides that
a certified copy of any entry in any register or return purporting to be sealed or stamped with the seal of the
Principal Registar shall be received as evidence of the dates and facts therein contained without any or other
proof of such entry.
GPK7104 20M Bks 9/22