SOCIALIST REPUBLIC OF VIETNAM No.
555
Independence - Freedom - Happiness Book No.: 05/2023
BIRTH CERTIFICATE
(ORIGINAL)
Full name: DAO NGOC DIEP Gender: Women
Date of birth: August 27th, 2010
In words: The August twenty-seventh day of the year two thousand and ten Date of registration
Place of birth: Rigshospitalen Hospital - Denmark
Ethnic group: Kinh Nationality: Vietnamese
10/2012(Circular No. 08.a/2010/TT-BTP) XBTP
Father’s full name: DAO QUANG HAO
Ethnic group: Kinh Nationality: Vietnamese Year of birth: 1970
Permanent residence: 85 Linh Nam Street – Mai Dong Ward - District 1 – Ha Noi Capital
Mother’s full name: PHAM THI DUNG
Ethnic group: Kinh Nationality: Vietnamese Year of birth: 1974
Permanent residence: 22 Lam Van Ben Street - Group 15 - Quarter 4 - Tan Kieng Ward - District
7
Place of registration: People’s Committee of Tan Kieng Ward, District 7
Date of registration: October 14th, 2023
Form TP/HT – 2010 – KS.1
Note:
Full name of birth declarer: DAO QUANG HAO
Relation with the declared person: Father
REGISTRAR SIGNER OF BIRTH CERTIFICATE
Pham Cong Vu CHAIRMAN
Lam Huu Phuong