rectification heure de naissance

Birth Time rectification

A fee of 75€ applies
My Name*

First NameFamily Name
E-mail*
Confirmation E-mail*
Date of birth*

DayMonthYear
Supposed time of birth (if any)
Hours : Minutes + AM or PM
If Time in unknown, indicate morning, afternoon, evening, night, etc.
Origin of the above information (mother, birth certificate, other source)*
Place of birth*
Town, country and all relevent information
Was your birth assisted (cesaerian, forcepts or else)*
Be as specific as possible
Were there an important personal events (family, health, or other) during the first year of your life?*
No historical events please
Are you married?*
Yes/No
Are you divorced?*
Yes/No
Is your partner deceased?*
Yes/No
If Yes, when did it happen and how?
Accident, illness, etc.
Are your parents divorced or separated?*
Yes/no
How is/was your parents' relationship?*
Explain how you feel about them
How was/is your relationship with your mother?*
If no relationship, explain why
How was/is your relationship with your father?*
If no relationship, explain why
Do you leave far from place of birth?*
Yes/no
Tell us about an important event, with date and place if known*
Illness, accident, loto win, any type of important event
Any accident (car or other type)?*
YEs/No
Describe the event/s and provide date/s and place/s*
Circumstances and consequences
Any surgery?*
Yes/No
Describe and explain the outcome*
Consequences
Any chronic health problems?*
Describe and explain (since when, why, etc.)
Any major illness?*
Describe and explain
What is/was your profession?*
Describe
What profession would you have liked to do instead of the above answer?*
Describe and explain why you haven't succeeded
Other events or important information that may help work out your time of birth*
Dates + descriptions
Please note that a fee of 75€ applies for this service. Thank you
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Birth Time rectification