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Masjidul-Mumineen Birth Registration
Child Information
Name
First Name
Middle Name
Last Name
 
Date of Birth
Day of week
Day
Month
Year
 
Time of Birth
Sex
Hour
Minutes
Period
              Male Female
 
Place of Birth
County
City/Town
State
 
Weight at Birth
 
Parent Information
Father
First Name
Middle Name
Last Name
 
Mother
First Name
Middle Name
Last Name
 
Day of Aqeeqah
 
 

8875 Benning Drive, Houston, Texas
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