Honor Cerｔificaｔe ｆor ｔhe Parents ｏf ａ Sinｇle Ｃhild
Ｔｈｅ Peoｐｌe’s Goveｒnmenｔ oｆ Province
TＡBＵLＡTION 1:
PHＯTO
Ｉｓｓue Ｕｎｉt
Seal of Family Planning Commitee
Population Plan Seal
Cｅrtｉficａtｅ Number
Ｉssue Daｔe:
TABＵLATIOＮ 2:
Name of Chiｌｄ
Seｘ
Datｅ oｆ Bｉrth
Aｄdrｅsｓ
FATHER
Namｅ
Ｗoｒk Ｐlａcｅ
Wheｎ ＆ Ｗhere ｔoｏk biｒth ｃｏntroｌ Measｕreｓ
MOTＨEＲ
Name
Wｏｒｋ Plａｃe
Ｗhｅn & Whｅre ｔｏok birth conｔｒol Measuｒes
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