Notary For Birth Certificate

I, [YOUR NAME], hereby certify that this is a true and correct copy of the birth certificate of [Name of Signatory] issued by [Issuing Authority] on [Date of Issuance].

1. Details of Birth Certificate

Full Name of Signatory: [Full Name]
Date of Birth: [Date of Birth]
Place of Birth: [Place of Birth]
Father's Name: [Father's Name]
Mother's Name (including maiden name): [Mother's Name]

2. Certification by Notary

I certify that I have verified the authenticity of the attached birth certificate against the original document in the presence of the signatory, who is personally known to me or has provided satisfactory evidence of identity.

3. Notary Details

Notary Public Name: [Name of Notary]
Notary Public Commission Number: [Commission Number]
Date of Notarization: [Date of Notarization]
State/County of Notarization: [State/County]

4. Notary Seal/Stamp

[Official Notary Seal or Stamp]

5. Jurisdictional Note

This notarized birth certificate is provided to apply for a passport. The issuing authority and the undersigned Notary Public are duly authorized under the laws of the State of [State Name] to certify and authenticate such documents for passport applications.

Witness my hand and official seal this [Day] day of [Month], [Year].

[NOTARY PUBLIC'S NAME]
Notary Public, [State/County]
My Commission Expires: [Expiry Date of Commission]

Instructions for Use: This notarized birth certificate should be submitted to the relevant jurisdictional office as required for obtaining a marriage license. Please ensure that the original or certified copy of this document is presented as per the regulations of the issuing authority.