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Khai sinh - Form HT 2P3

Khai sinh - Form HT 2P3

Khai sinh - Form HT 2P3

Khai sinh - Form HT 2P3

Khai sinh - Form HT 2P3
Khai sinh - Form HT 2P3

Dịch vụ

Khai sinh - Form HT 2P3

04-03-2020 10:25:22 PM

 

Form: HT 2 / P3.

 

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

 

   CERTIFICATE OF BIRTH

 

 

 

 

Full name

 

Sex: Male  Female

 

Date of birth

 

Place of birth

 

Mother & Father

Father

Mother

Full name

(or Date of birth)

 

 

19

19

Ethnic Group

Nationality

Kinh

Kinh

Vietnamese

Vietnamese

Occupation,

DKNK permanent address

 

 

Full name, age, place of registered the permanent address, ID Card or Certified Identification Document number of Declarant

 

 

Registered, on December 03rd,  1984

 

 

         On behalf of People’s Committee of Town

            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

 

 

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