Email of parent submitting the request
Confirm Email
Father’s name
Father’s surname
Mother’s name
Mother’s surname
Child’s name
Child’s surname
Child's date of birth
Day
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31
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec
2025
2024
Child's time of birth
Hour
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23
Minute
00
01
02
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44
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46
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48
49
50
51
52
53
54
55
56
57
58
59
Child’s height (in cm)
Child’s weight (in kg)
Child’s city of birth
Child's gender
Select your child's gender...
Male
Female
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