I, [your mother's name], ___ years of age, currently residing at [address], hereby solemnly affirm and declare on oath that:
- I am the deponent herein and a citizen of [country].
- I was born on [date] at [place of birth].
- I was married to [father's name] on [date] in [place of marriage].
- On [date], I gave birth to our first child on [date], at our house at [address].
- [Your name] was born on [date] in [place of birth]. I have the personal knowledge of his birth because I am his mother.
- [Your name] full name at the time of birth was given as [Your full name].
- [Your name] birth was registered later because it was not required at that time to register the birth of children.
I do hereby solemnly affirm that foregoing are true and correct statements.
[Notary Info and Seal]