Form Ds-2029 - Application For Consular Report Of Birth Abroad Of A Citizen Of The United States Of America - U.s. Department Of State Page 6
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THIS SECTION TO BE COMPLETED BEFORE/BY CONSULAR OFFICER, NOTARY PUBLIC, OR OTHER
PERSON QUALIFIED TO ADMINISTER OATHS
29. Affirmation:
I SOLEMNLY SWEAR (OR AFFIRM) THAT THE STATEMENTS MADE ON THIS APPLICATION ARE TRUE TO THE
BEST OF MY KNOWLEDGE AND BELIEF.
Relationship to the Child
Name of Person(s) Providing Information
(Parent, Legal Guardian, Other (Specify))
Signature of Person(s) Providing Information
Type Name and Title of Official
Signature of Official
City
Date
(year)
(month)
(day)
(SEAL)
Subscribed to:
30. Approval of Consular Report of Birth
(Printed Name of Consular Officer)
(Signature of Consular Officer)
(year)
(month)
(day)
(Approving Post)
(Registration Number)
(Date of Approval)
DS-2029
Page 4 of 7
04-2016
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