This register was recompiled on ** ******* **** based on a recreation provided in.
Paragraph 1 of Article 2 of a supplementary provision to Ordinance No. 51 of the Ministry
of Justice in 1994 and was closed on ** ******* ****.
Issuing number of this certified copy: ********
Issuing authority: Mayor of ****** City, ***** Prefecture
Country of issue: Japan
Place of issue: ****** City, ***** Prefecture
Date of issue: ** ******* ****
Legal domicile of the family: *****, ******, ********* Ward, ****** City, ***** Prefecture, Japan
Head of the household: ******* *******
Items regarding change of family name
Date of change: ** ******* ****
Reason of change: Notification in accordance with Article 77-2 of the
Family Register Law
Family register after change: *****, ******, ********* Ward, ****** City, ***** Prefecture, Japan
Family name after change: ********
Registrant of this register [Spousal status: Wife]
(Removed due to the registant's marriage)
Items regarding birth
Given name: *****
Family name: *******
Date of birth: ** ******* ****
Place of birth: ****** City, ******* Prefecture, Japan
Father’s full name: ******* *******
Mother’s full name: ******* *******
Relationship: First daughter
Items regarding marriage
Date of marriage: ** ******* ****
Spouse's full name: ******* *******
Spouse's nationality: Australian
Spouse's date of birth: ** ******* ****
Registrant of this register
(Removed due to the registrant's entry into mother's family register)
Items regarding birth
Given name: *****
Family name: *******
Date of birth: ** ******* ****
Place of birth: ****** Ward, Tokyo, Japan
Father’s full name: ******* *******
Mother’s full name: ******* *******
Relationship: First son
Items regarding custody
Date of custody determination: ** ******* ****
Custodial parent: Mother
Notifiers of custody: Parents
Items regarding change of family name
Date of change: ** ******* ****
Changed matter: Mother's full name
Reason of change: Change of the mother's family name
Previous record: **** *******
Items regarding entry into mother's family register
Date of notification: ** ******* ****
Notifier of entry: Mother(Custodial parent)
Family register after entry: **** ******** of *****, *****, ******** Ward,
****** City, ***** Prefecture, Japan
I hereby attest that this is a true copy of all the items recorded in the original closed family register.
** ******* ****
******** ********, Mayor of ****** City, ***** Prefecture (Official Seal)
This is to certify that the above text consisting of *** page(s) is an accurate translation into the English language from the document in the Japanese language headed with the words "CERTIFIED COPY OF CLOSED FAMILY REGISTER" and relating to a certificate of birth and marriage for *********** completed by the under-named professional translator accredited by the National Accreditation Authority for Translators and Interpreters (NAATI).
Name of translator: ******* ******* ********
NAATI No.: *****