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[Bar code] 01567407

[Logotype] RENIEC - NATIONAL REGISTRY OF IDENTIFICATION AND CIVIL STATUS

[Coat of arms] REPUBLIC OF PERU

REPUBLIC OF PERU

Lima Province

MUNICIPALITY OF JESUS MARIA

CIVIL REGISTRAR

BIRTH SECTION

YEAR 1989

[Seal] District Council of Jesus María – Civil Registrar

BIRTH CERTIFICATE № 8298

Full name: Yesenia Lizet Cuya Alegría

Birthplace: Edgardo Rebagliati Martins Hospital

Date of birth: November 30th, 1989 at 15:54 hours.

Sex: Female

FATHER’S INFORMATION

Full name: Andrés Rubén Cuya Carrillo

Age: 27

Occupation: Businessman

Birthplace: Lima

Nationality: Peruvian

Address: Felipe Bargona 844 – San Luis

MOTHER’S INFORMATION

Full name: María Elena Alegría de Cuya

Age: 28

Occupation: Teacher

Birthplace: Lima

Nationality: Peruvian

Address: Felipe Bargona 844 – San Luis


THE INFORMANT’S INFORMATION

Full name: Andrés Rubén Cuya Carrillo

Age: -

Occupation: -

Birthplace: -

Nationality: -

Address: -

This birth certificate is issued in Jesus María, on December 29th, 1989

[Signature] Registrar

[Signature] Informant

[Blank space] Authorized Officer

____________________

BORN IN THE HOSPITAL

____________________

MARGINAL NOTE

№ 8298

Full name of the newborn: Yesenia Lizet Cuya Alegría

Date of birth: November 30th, 1989

The informant’s ID Card №: (L.E. 09305232)

№ 01567407
_______________________________

[ON THE BACK OF THE DOCUMENT]

[Coat of arms] Republic of Peru

REPUBLIC OF PERU

[Logotype] RENIEC - NATIONAL REGISTRY OF IDENTIFICATION AND CIVIL STATUS

[Seal] RENIEC
It is hereby certified that this is a true copy of the original document which is filed in RENIEC’s
records.

Lima, August 28th, 2017

[Signature]

Elizabeth Karina Aguilar Mori

RENIEC REGISTRAR

FOR THE VALIDATION CODE: (VISIT: HTTP://WWW.RENIEC.GOB.PE)

02297903 1002439679 08/28/2017 13:37:00

[Seal ISO 9001] Civil registry proceeds – RENIEC

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