I could not use Google translate because its an image.
Your help will be appreciated.
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The sentence is as follow:
名(Crossed Out)姓氏有误，需更换新声明。 张
Which translated to:
There is no original copy of birth certificate, wrong
first name last name on the declaration statement, change of new statement is needed.
The 张 at the bottom right corner can be refer to:
One of the common Chinese last name - 张 - Zhāng
Measure word which translated to Piece (eg. Piece of paper)