In the Name of Allah the Most Gracious, the Most Merciful
Kingdom of Saudi Arabia Certificate No. ……
Ministry of Health Certificate Date: ……
Directorate of Health Affairs
Birth Place: .........
Saudi Birth Certificate
Baby Name: …… Surname: …… Sex: ……
Birth Place: …… Under: ……
Birth Date (A.H) in Numbers: Hour: …… Day: …… Month: …… Year: …… A. H.
Birth Date (A.H) in Letters: Hour: …… Day: …… Month: …… Year: …… A. H. Birth Date (A.D) in letters: Hour: …… Day: …… Month: …… Year: …… A. H. Father's Name: …… Grandfather’s Name: Surname: ……
Religion: …… Job: ……
Father's Nationality: …… Under ID No.: …… Date: …… from: ……
(For foreign) Under Passport No.: …… Date: …… from: ……
Mother's Name: …… Her father's Name: Ali Surname: ……
Religion: …… Job: ……
Mother's Nationality: …… Under ID No.: …… Date: …… from: ……
(For foreign) Under Passport No.: …… Date: …… from: ……
This certificate certifies under the system of births and deaths issued by the Royal Decree No. 2 in ………… A. H.
May Allah bless him / her
Registrar:
Name: ……
Signature: ……
Managing Director
Name: ……
Signature: ……