Birth Notification sample ENG.xlsx
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ABCDEFGHIJKLMNO
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BELOW SAMPLE CAN BE ADAPTED ACCORDING TO THE OPERATIONAL CONTEXT
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BIRTH NOTIFICATION
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The International Rescue Committee certifies by this document that
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NAME
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SEX
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DATE and TIME OF BIRTH
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SON /DAUGHTER OF
AND
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RATION CARD #
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ProGres #
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Was born in our Facilities
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Was born in the community under the supervision of a TBA
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Was born unattended in the community
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Reproductive Health Program Manager
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Yida Refugee Camp, South Sudan, the _________ of ____________ of 20____
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BIRTH NOTIFICATION
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\
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The International Rescue Committee certifies by this document that
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NAME
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SEX
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DATE and TIME OF BIRTH
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SON/DAUGHTER OF
AND
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RATION CARD #
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ProGres #
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Was born in our Facilities
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Was born in the community under the supervision of a TBA
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Was born unattended in the community
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Reproductive Health Program Manager
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Yida Refugee Camp, South Sudan, the _________ of ____________ of 20____
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