Dedication of Children

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Dedication of children

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Afrikaanse Sertifikaat

English Certificate

Date of dedication / Datum van toewyding:

CHILD: Gender / Geslag:

Male / Manlik

Female / Vroulik

CHILD: Surname / van:

CHILD: Full names / Volle voorname:

CHILD: ID number / ID nommer:

CHILD: Date of birth / Geboortedatum:

FATHER: Full names & surname / Volle name & van:

FATHER: ID number / ID nommer:

FATHER: Contact number / Kontak nommer:

FATHER: E-mail address / E-pos adres:

MOTHER: Full names & surname / Volle name & van:

MOTHER: ID number / ID nommer:

MOTHER: Contact number / Kontak nommer:

MOTHER: E-mail address / E-pos adres:

I hereby declare that the information given above is true to the best of my knowledge and belief. / Ek verklaar hiermee dat die inligting hierbo gegee, na die beste van my wete en oortuiging waar is.

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