Birth Notification sample ENG.xlsx

Still loading...

	A	E	F	O
1	BELOW SAMPLE CAN BE ADAPTED ACCORDING TO THE OPERATIONAL CONTEXT
2	BIRTH NOTIFICATION
3
4
5
6	The International Rescue Committee certifies by this document that
7
8	NAME
9	SEX
10	DATE and TIME OF BIRTH
11	SON /DAUGHTER OF	AND
12	RATION CARD #
13	ProGres #
14	Was born in our Facilities
15	Was born in the community under the supervision of a TBA
16	Was born unattended in the community
17
18
19			Reproductive Health Program Manager
20
21
22
23	Yida Refugee Camp, South Sudan, the _________ of ____________ of 20____
24
25
26	BIRTH NOTIFICATION
27				\
28
29
30	The International Rescue Committee certifies by this document that
31
32	NAME
33	SEX
34	DATE and TIME OF BIRTH
35	SON/DAUGHTER OF	AND
36	RATION CARD #
37	ProGres #
38	Was born in our Facilities
39	Was born in the community under the supervision of a TBA
40	Was born unattended in the community
41
42
43			Reproductive Health Program Manager
44
45
46
47	Yida Refugee Camp, South Sudan, the _________ of ____________ of 20____
48