SOCIALIST REPUBLIC OF VIETNAM
Independence-Freedom-Happiness
TAY NINH PROVINCE
FAMILY HOUSEHOLD
REGISTERING BOOK
N°: 040011471
Name of householder: LE VAN DEO
HOUSEHOLDER
Full name: LE VAN DEO
Sex: male
Other name :………………………….
Date of birth: August 8, 1956 Place of birth: Loc Hung
Native country : Trang Bang
Ethnic group : Kinh
Religion: none
Occupation, Place of work : Farmer
ID. Card No.: 290247687 Date of issue: July 16, 1979
Place of issue: Tay Ninh Police Service
Move-in Date: ……………………………. Permanent place of
residence before move-in: change into another book
House No.:……………………………………………
Street, Hamlet : Loc Thanh
Registration officer
(Name and signed)
Commune/Ward/Town: Loc Hung
District/ Town: Trang Bang
HSHK No. 107002844
November 29, 2006
The Chief of the village Police
(Signed and stamped)
Pham Van Mat
Vo Van Pheo
RELATIONSHIP WITH HOUSEHOLDER: WIFE
RELATIONSHIP WITH HOUSEHOLDER: DAUGHTER
Full name: HO NGOC CAM
Sex: female
Other name:………………………….
Date of birth: December 1, 1955 Place of birth: Loc Hung
Native country: Trang Bang
Ethnic group: Kinh
Religion: none
Occupation, place of work: Farmer
ID. Card No.: 290247713
Date of issue:……………
Full name: LE THI HUYEN
Sex: female
Other name:………………………….
Date of birth: February 19, 1978 Place of birth: Loc Hung
Native country: Trang Bang
Ethnic group: Kinh
Religion: none
Occupation, Place of work:
ID. Card No.: 290011471 Date of issue: July 19, 2004
Place of issue: …………….
Place of issue: Tay Ninh Police Service
Move-in Date: ………………. Permanent place of residence
before move-in: change into another book
Move-in Date: ……………………….. Permanent place of
residence before move-in: change into another book
Registration officer
(Name and signed)
November 29, 2006
The Chief of the village Police
Registration officer
(Name and signed)
(Signed and stamped)
Pham Van Mat
Vo Van Pheo
November 29, 2006
The Chief of the village Police
(Signed and stamped)
Pham Van Mat
Vo Van Pheo
RELATIONSHIP WITH HOUSEHOLDER: DAUGHTER
RELATIONSHIP WITH HOUSEHOLDER: SON
Full name: LE THI KIM HUYEN
Sex: female
Other name:………………………….
Date of birth: April 28, 1982 Place of birth: Loc Hung
Native country: Trang Bang
Ethnic group: Kinh
Religion: none
Occupation, Place of work : …………………………
ID. Card No.: 290692877 Date of issue : June 4, 1997
Full name: LE HOANG QUY
Sex: male
Other name:………………………….
Date of birth: September 10, 1984 Place of birth: Loc Hung
Native country: Trang Bang
Ethnic group : Kinh
Religion: none
Occupation, Place of work: Farmer
ID. Card No.: 290769750 Date of issue: March 22, 2000
Place of issue: Tay Ninh Police Service
Place of issue
Move-in Date : …………………… Permanent place of residence
before move-in: change into another book
Move-in Date:………………… Permanent place of residence
before move-in: change into another book
Registration officer
(Name and signed)
Pham Van Mat
November 29, 2006
The Chief of the village Police
(Signed and stamped)
Vo Van Pheo
Date of moving out: May 25, 2007 Place of moving in: Gia Tan
hamlet, Gia Loc village, Trang Bang district, Tay Ninh province.
Registration officer
(Name and signed)
May 25, 2007
The Chief of the village Police
(Signed and stamped)
Nguyen Thi Truc Linh
Nguyen Thanh Son
: Tay Ninh Police Service
Registration officer
(Name and signed)
Pham Van Mat
November 29, 2006
The Chief of the village Police
(Signed and stamped)
Vo Van Pheo
RELATIONSHIP WITH HOUSEHOLDER: GRANDCHILD
RELATIONSHIP WITH HOUSEHOLDER: DAUGHTER-IN LAW
Full name: TRAN LE NI NI
Sex: female
Other name: Tran Le Ni Ni
Date of birth : July 3, 2007 Place of birth: Tay Ninh General
Full name : PHAN THI TUYET LAN
Sex: female
Other name :………………………….
Date of birth : 1990 Place of birth:
Native country: Hung Thuan village, Trang Bang district Tay
Hospital
Native country : Loc Hung village, Trang Bang district
Ethnic group: Kinh
Religion: none
Occupation, Place of work : …………………………
ID. Card No.: ……………. Date of issue : …………
Place of issue :…………………
Move-in Date : ………………… Permanent place of residence
before move-in: registration of birth
Registration officer
December 28, 2007
(Name and signed)
The Chief of the village Police
(Signed and stamped)
Nguyen Thi Truc Linh
Ninh province.
Ethnic group : Kinh
Religion: none
Occupation, Place of work: Farmer
ID. Card No.: 290930932 Date of issue:…………….
Place of issue:………………….
Move-in Date : June 8, 2011 . Permanent place of residence before
move-in: Cau Xe hamlet- Hung Thuan village-Trang Bang
district - Tay Ninh province
Registration officer
(Name and signed)
Vo Van Pheo
June 8, 2011
Vice Chief of the village Police
(Signed and stamped)
Tran Van Nguon
Tran Van Tay
RELATIONSHIP WITH HOUSEHOLDER: GRANDSON
Full name : LE PHAN TRUC LY
Sex: female
Other name: ………………..
Date of birth : September 11, 2009 Place of birth: Cu Chi
Hospital - Ho Chi Minh city
Native country: Loc Hung village, Trang Bang district
Ethnic group : Kinh
Religion: none
Occupation, Place of work : …………………………
ID. Card No.:……………… Date of issue:…………….
Place of issue :
Move-in Date: June 8, 2011 . Permanent place of residence before
move-in: registration of birth
Registration officer
(Name and signed)
June 8, 2011
Vice Chief of the village Police
(Signed and stamped)
Tran Van Nguon
RELATIONSHIP WITH HOUSEHOLDER: GRANDSON
Full name : LE PHAN HOANG KY
Sex: male
Other name :………………………….
Date of birth : May 20, 2011 Place of birth:Tu Du Hospital _
Ho Chi Minh city
Native country : Loc Hung village, Trang Bang district ,Tay
Ninh province.
Ethnic group
: Kinh
Religion: none
Occupation, Place of work : …………………………
ID. Card No.: …………………. Date of issue : ………….
Place of issue: ………………….
Move-in Date : June 8, 2011 . Permanent place of residence before
move-in: : registration of birth
Registration officer
(Name and signed)
June 8, 2011
Vice Chief of the village Police
(Signed and stamped)
Tran Van Tay
Tran Van Nguon
Tran Van Tay