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 7
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9C.
FOR OFFICIAL USE
(If more space is required, list on separate page)
31. Documents Presented - Please mark accordingly and provide date of document.
Child's Birth Certificate
(month)
(day)
(year)
(City)
(Province)
(Country)
Marriage Certificate
(year)
(year)
(month)
(day)
(month)
(day)
(State)
(City)
(File Date)
(Date of Issuance)
(Province)
(Country)
Divorce Decree(s)
(a)
(year)
(month)
(day)
(year)
(City)
(State)
(month)
(day)
(File Date)
(Date of Issuance)
(Province)
(Country)
(b)
(year)
(year)
(month)
(day)
(month)
(day)
(City)
(State)
(File Date)
(Date of Issuance)
(Province)
(Country)
(c)
(year)
(year)
(month)
(day)
(month)
(day)
(City)
(State)
(File Date)
(Date of Issuance)
(Province)
(Country)
Death Certificate(s)
(a)
(year)
(month)
(day)
(City)
(State)
(b)
(year)
(month)
(day)
(City)
(State)
Mother/Father/Parent's Passport
(Passport Number)
(month)
(day)
(year)
(Nationality)
(Date of Issuance)
Mother/Father/Parent's Passport
(Passport Number)
(year)
(month)
(day)
(Nationality)
(Date of Issuance)
Other Identity Document of
Mother/Father/Parent
(Name of the Citizenship Document)
(Document Number)
(year)
(month)
(day)
(e.g. Naturalization Certificate)
(Date of Issuance)
Other Identity Document of
Mother/Father/Parent
(e.g. Naturalization Certificate)
(Name of the Citizenship Document)
(Document Number)
(year)
(month)
(day)
(Date of Issuance)
Other Identity Document of
Mother/Father/Parent
(e.g. Driver's License)
(Name of the Identity Document)
(Document Number)
(year)
(month)
(day)
(Date of Issuance)
Other Identity Document of
Mother/Father/Parent
(e.g. Driver's License)
(Name of the Identity Document)
(Document Number)
(year)
(month)
(day)
(Date of Issuance)
Other
(Legal Guardianship; Power of
Attorney, etc.)
(Document Number)
(year)
(Name of the Document)
(month)
(day)
(Date of Issuance)
DS-2029
Page 5 of 7
04-2016
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