Dịch vụ
Khai sinh - Form HT 2P3
Form: HT 2 / P3.
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PEOPLE’S COMMITTEE OF Commune/Town: Town District: Cho Moi Province/City: An Giang |
SOCIALIST REPUBLIC OF VIET NAM
Independence – Freedom – Happiness
No. 352 Book No: 01
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CERTIFICATE OF BIRTH
Full name |
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Sex: Male Female |
Date of birth |
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Place of birth |
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Mother & Father |
Father |
Mother |
Full name (or Date of birth) |
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19 |
19 |
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Ethnic Group Nationality |
Kinh |
Kinh |
Vietnamese |
Vietnamese |
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Occupation, DKNK permanent address |
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Full name, age, place of registered the permanent address, ID Card or Certified Identification Document number of Declarant |
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Registered, on December 03rd, 1984
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On behalf of People’s Committee of Town Chairperson (Signed & Sealed)
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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 |