اقرار بازدياد مولود (نموذج خاص بالأم)

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اقرار بازدياد مولود

سلام تام بوجود مولانا الامام، أما بعد:

أشهد انا الموقعة أسفله، السيدة : نجاة...........، المزدادة بتاريخ................... بـــــ: ..................... و الحاملة لبطاقة التعريف الوطنية رقم: ..................... الساكنة بـــ:...........................................

بمقتضى هذا الإقرار أصرح تصريحا تاما و لا رجعة فيه انه ازدادت عندي مولودة شرعية أنثى اسميتها: نهيلة............ ازدادت بتاريخ: .............................. على الساعة:.............................بــ:......................................، من زوجي الشرعي السيد: رشيد................ المزداد بتاريخ................... بـــــ: ..................... و الحامل لبطاقة التعريف الوطنية رقم: ..................... الساكن بـــ:...........................................

هذا ما اقر به وأمضي عليه بمحض إرادتي و بحسن نية.

حرر بــ........................ في:...................................

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