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Format of Form C for Receipt

Birth Certificate Affidavit FormatIN THE COURT OF _______

______   Versus   ______


Received a form “C” for ______/- (______) from this ______ court in the above mentioned case as compensation.


Dated: ______

______ son of ______ resident of ______, ______

I, personally know ______
son of ______ resident of ______
Who has signed this receipt and has received a
Form “C” for ______/- in my presence.

Through counsel
______ Advocate, ______

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