Request for Translation of Birth Certificate into English

People’s Democratic Republic of Algeria Ministry of Interior, Local Authorities and Regional Planning ..................................................... :Municipality Civil Status Office

Request for Translation of Birth Certificate into English

:I, the undersigned ..................................................... :Full name - ..................................................... Date and place of birth: ___ / ___ / 19___ in - ..................................................... :National ID number - ..................................................... :Full address - ..................................................... :Phone number - ..................................................... :Email address (if available) -

..................... :.Hereby request the translation of Birth Certificate No ___Issued on: ___ / ___ / 20 ..................................................... :By the Municipality of :Concerning Myself ☐ My son/daughter ☐ My spouse ☐ ..................................................... :Other ☐

:Purpose of the translation Academic file abroad ☐ Immigration or residency file ☐ Consular procedures ☐ ..................................................... :Other ☐

:Attached documents

Original or certified copy of the birth certificate ☑ Copy of national ID card ☑ Any supporting document (if available) ☑

I kindly request the competent services or certified translator to translate the document into English .and provide an official translated copy for administrative use

___Done at: ___________ on: ___ / ___ / 20 ..................................................... :Signature