For
m Nguồn: https://bankervn.com/dich-giay-khai-sinh-2/
TP/
HT SOCIALIST REPUBLIC OF VIETNAM No. 555
– Independence - Freedom - Happiness Book No.: 05/2013
201
0–
KS.
1
10/
201 BIRTH CERTIFICATE
2(C
irc
(ORIGINAL)
ula
r Full name: NGUYEN THI A Gender: Female
No.
Date of birth: December 14th, 2013
08.
a/2 In words: The fourteenth of December in two thousand and thirteenth
010
Place of birth: Tu Du Hospital – Ho Chi Minh City
/T
T- Ethnic group: Kinh Nationality: Vietnamese
BT
P) Father’s full name: NGUYEN VAN B
XB Ethnic group: Kinh Nationality: Vietnamese Year of birth: 1986
TP
Permanent residence: 80 Nguyen Thai Hoc Street - Cau Ong Lanh Ward - District 1 - Ho Chi
Minh City
Mother’s full name: NGUYEN THI C
Ethnic group: Kinh Nationality: Vietnamese Year of birth: 1990
Permanent residence: 22 Lam Van Ben Street - Group 15 - Quarter 4 - Tan Kieng Ward - District 7
- Ho Chi Minh City
Place of registration: People’s Committee of Tan Kieng Ward, District 7, Ho Chi Minh City
Date of registration: December 19th, 2013
Note:
Full name of birth declarer: Nguyen Van B
Relation with the declared person: Father
REGISTRAR SIGNER OF BIRTH CERTIFICATE
CHAIRMAN
(Signed and wote full name) (Signed, wrote full name and sealed)
Pham Cong Vu Lam Huu Phuong