Khai sinh - Form BTPHT-2006-KS

Khai sinh - Form BTPHT-2006-KS

 

PEOPLE’S COMMITTEE Commune/Ward: District: Province/City:

Form: BTP/HT-2006-KS.1.a No. Book No:

       SOCIALIST REPUBLIC OF VIET NAM

 

      Independence – Freedom – Happiness

 

COPY

 

 

 

 

   CERTIFICATE OF BIRTH

(DUPLICATE)

Full name:			Sex:
03/2009 ( Decision No :01/2006/QD-BTP) XBTP Date of birth:
(In words):
Place of birth:
Ethnic Group:	Kinh		Nationality:	Vietnamese
Native place:
Full name father:
Ethnic Group:	Kinh		Nationality:	Vietnamese
Full name of mother:
Ethnic Group:	Kinh		Nationality:	Vietnamese
Declarant’s full name:         Luu Thai Hiep
Relationship with the child:           Father
Registered on
Registrar (Signed)		ON BEHALF OF PEOPLE’S COMMITTEE             CHAIRPERSON             (Signed & Sealed)

 

CERTIFIED TRUE COPY FROM THE ORIGINAL DOCUMENT Certified No:  05237 Book No: 6 SCT/BS Date: 06/09/2017 Chairperson of People’s Committee of Binh Tri Dong B Ward (Signed and sealed) Nguyen Quang Minh

 

 

 

 

 

This certificate must be preserved carefully. The erasure and modification of this birth certificate is prohibited.

NOTE FOR CHANGES AND CORRECTIONS OF CIVIL STATUS,

 DETERMINATION OF ETHNIC GROUP AND DETERMINATION OF SEX

ADDING THE CONTENTS OF BIRTH CERTIFICATE

 

No.	Date	Content	Basis	Full name and signature of Registrar/ Officer of Justice Office