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Khai sinh - Form BTPHT-2006-KS

Khai sinh - Form BTPHT-2006-KS

Khai sinh - Form BTPHT-2006-KS

Khai sinh - Form BTPHT-2006-KS

Khai sinh - Form BTPHT-2006-KS
Khai sinh - Form BTPHT-2006-KS

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Khai sinh - Form BTPHT-2006-KS

04-03-2020 10:24:33 PM

 

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

Text Box: 03/2009 ( Decision No :01/2006/QD-BTP) XBTPDate 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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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