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Original

REPUBLIKA E SHQIPËRISË
MINISTRIA E BRENDSHME
DREJTORIA E PËRGJITHSHME E GJENDJES CIVILE
ZYRA E GJENDJES CIVILE DURRËS

CERTIFIKATË LINDJEJE

SHEMBULL — dokument fiktiv, vetëm për demonstrim

Numri i aktit0000

Numri personalA00000000A

EmriArta

MbiemriKola

AtësiaGjergj

AmësiaDrita

Datëlindja14.03.1992

VendlindjaDurrës

GjiniaF

ShtetësiaShqiptare

Kjo certifikatë lëshohet me kërkesë të shtetases për t'u paraqitur pranë autoriteteve përkatëse jashtë shtetit.

Lëshuar më02.09.2026

Nëpunësi i Gjendjes Civile

(nënshkrimi dhe vula)

Translation, draft

REPUBLIC OF ALBANIA
MINISTRY OF THE INTERIOR
GENERAL DIRECTORATE OF CIVIL REGISTRY
CIVIL REGISTRY OFFICE DURRËS

BIRTH CERTIFICATE

SAMPLE — fictitious document, for demonstration only

Record number0000

Personal ID numberA00000000A

First nameArta

SurnameKola

Father's nameGjergj

Mother's nameDrita

Date of birth14.03.1992 (March 14, 1992)

Place of birthDurrës

SexFemale

CitizenshipAlbanian

Issued on02.09.2026 (September 2, 2026)

Issuing officeCivil Registry Office Durrës

This certificate is issued at the request of the citizen for submission to the relevant authorities abroad.

Civil registry officer (signature and seal).

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Sample: a fictitious certificate. The translation was made by our system on 13 October 2026, unedited.

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