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SOCIALIST REPUBLIC OF VIETNAM

Independence-Freedom-Happiness

TAY NINH PROVINCE

FAMILY RECORD BOOK
N°:
Full name of householder: VUONG VAN UT
House No.:
Street, Hamlet: HOA HUNG
Commune/Ward/Town: AN HOA
District/ Town: TRANG BANG

Book of registration No:…..
Page No:

Family record book No.: 6539



RELATIONSHIP WITH HOUSEHOLDER: DAUGHTER

RELATIONSHIP WITH HOUSEHOLDER: SON

Full name
: VUONG CAM LINH
Other name : ………………………….
Date of birth : …/…./1990
Sex: female
Place of birth : An Hoa – Trang Bang - TN


Native country : An Hoa – Trang Bang - TN
Ethnic group : Kinh
Religion:none
Occupation
: a student
Place of work :
Identity. Card N°.: 290 930 507

Full name
: VUONG THANH DUY
Other name : ………………………….
Date of birth : …./…../1995 Sex: male
Place of birth : An Hoa – Trang Bang - TN
Native country : An Hoa – Trang Bang - TN
Ethnic group : Kinh
Religion:
Occupation
: a student
Place of work :
Identity. Card N°.: 291 090 390

Date of issue: 14/04/2005

Date of issue:

Place of issue: CA TN

Move-in Date: …/…/ …..
Permanent place of residence before move-in: Registration of Birth
November 19th, 1998


Registration officer
(Name and signed)

The Chief of An Hoa Police

Place of issue:

Move-in Date: …/…/ …..
Permanent place of residence before move-in: Registration of Birth
Registration officer
(Name and signed)

November 19th, 1998
The Chief of An Hoa Police

(Signed and sealed)
Tran Van Chuyen
Date of moving out: ……….Place of moving in:
Registration officer

Day…month…year

(Name and signed)

Date of moving out: …………….Place of moving in:
Registration officer
(Name and signed)

The Chief of Police


Day…. month .. year
The Chief of Police

(Signed and sealed)

(Signed and sealed)
0004034664

RELATIONSHIP WITH HOUSEHOLDER: DAUGHTER

Full name : NGUYEN THI PHUONG DUNG Sex: female
Other name : ………………………….
Date of birth : 27/09/1976 At: Dac Song, Dac Nong
Native country : Nam Truc- Nam Dinh
Ethnic group : Kinh
Religion:Catholicism
Occupation ,place of work : A salesman
Identity. Card N°:

Date of issue:…….Place of issue:

RELATIONSHIP WITH HOUSEHOLDER: SON-IN-LAW

Full name
: NGUYEN NGOC UT
Sex: male
Other name : ………………………….
Date of birth : 19/08/1974 At: HCM City
Native country : Thua Thien Hue

Ethnic group : Kinh
Religion: Buddhism
Occupation, place of work : A salesman
Identity. Card N°.:

Date of issue:

Place of issue:

Move-in Date: …/…/ …..
Move-in Date: …/…/ …..
Permanent place of residence before move-in: 91/26/11 Tran Tan,Tan Permanent place of residence before move-in: 91/26/11 Tran Tan,Tan
Son Nhi, Tan Phu, HCM city.
Son Nhi, Tan Phu, HCM city.


004034664

RELATIONSHIP WITH HOUSEHOLDER: GRANDCHILD

Full name
: NGUYEN TUAN KHANG Sex: male
Other name : ………………………….
Date of birth : 11/07/2008 At: Gia Dinh People's Hospital
Native country : An Tinh – Trang Bang
Ethnic group : Kinh
Religion: none
Occupation ,place of work :
Identity. Card N°.:


Date of issue:…….Place of issue:
Move-in Date: …/…/ …..
Permanent place of residence before move-in: 103003348 An Phu ,
An Tinh
Registration officer
(Name and signed)

October 23rd, 2014
The Chief of An Tinh Police

RELATIONSHIP WITH HOUSEHOLDER:

Full nam
: ………………………………… Sex:
Other name : ………………………….
Date of birth : …………. At: ………………………..
Native country : ……………………………………
Ethnic group : …………………. Religion: ……………
Occupation, place of work :…………………………….
Identity. Card N°: …………………………….
Date of issue:…./…../……. Place of issue: …………….
Move-in Date: …/…/ …..
Permanent place of residence before move-in: ………..
Registration officer
(Name and signed)

Date..month..year…
The Chief of Police

(Signed and stamped)


(Signed and stamped)
Nguyen Hung Quoc

Lam Van Kich

Date of moving out: ……….Place of moving in:
Registration officer
Date..month..year…
(Name and signed)
The Chief of Police
(Signed and stamped)

Date of moving out: ……….Place of moving in:
Registration officer
Date..month..year…
(Name and signed)
The Chief of Police
(Signed and stamped)


004034664

RELATIONSHIP WITH HOUSEHOLDER: GRANDCHILD

Full name
: NGUYEN HUY BAO Sex: male
Other name : ………………………….
Date of birth : 07/05/2008 At: Gia Dinh People's Hospital
Native country : An Phu – An Tinh

Ethnic group : Kinh
Religion: none
Occupation ,place of work :
Identity. Card N°.:

Date of issue:…….Place of issue:
Move-in Date: …/…/ …..
Permanent place of residence before move-in: Registration of birth
Registration officer
(Name and signed)

September 6th, 2012
Chief of Police of An Tinh

(Signed and stamped)
Nguyen Hung Quoc

Lam Van Kich

Date of moving out: ……….Place of moving in: 103006442 An
Phu, An Tinh.
Registration officer
(Name and signed)

March 11th,2003
The Chief of the village Police

(Signed and stamped)
Lam Van Kich


RELATIONSHIP WITH HOUSEHOLDER: DAUGHTER

Full nam : NGUYEN THI THU THUY Sex: Female
Other name : ………………………….
Date of birth : 26/01/1981 At: Nam Dinh
Native country : Nam Truc , Nam Dinh
Ethnic group : Kinh
Religion: Catholicism
Occupation, place of work :A tailor
Identity. Card N°: 036181000386
Date of issue:15/06/2015 Place of issue: C72
Move-in Date: …/…/ …..
Permanent place of residence before move-in: 103003348/0517A An
Phu , An Tinh
Registration officer
(Name and signed)

October 23rd, 2014
Chief of Police of An Tinh

(Signed and stamped)
Nguyen Hung Quoc

Lam Van Kich

Date of moving out: ……….Place of moving in:
Registration officer
(Name and signed)

Date…month…year

The Chief of the village Police

(Signed and stamped)


RELATIONSHIP WITH HOUSEHOLDER: SON

Full name: LE HOANG LUAN
Sex: male
Other name: ………………………….
Date of birth: 01/05/1991 At : Cau khoi –Duong Minh Chau -TN
Native country: An Tinh - Trang Bang - TN
Ethnic group: Kinh
Religion:
Occupation, Place of work : Farmer
ID. Card No.: 290465674

Date of issue :12/8/06 Place of issue: ……….
Move-in Date :
Permanent place of residence before move-in: enter KT2
Registration officer
(Name and signed)

November 5th, 2003
Chief of Police of Cau Khoi village

RELATIONSHIP WITH HOUSEHOLDER: DAUGHTER

Full name: LE THI CAM TIEN
Sex: female

Other name: ………………………….
Date of birth: 27/01/1997 At: Cau khoi –Duong Minh Chau -TN
Native country: An Tinh - Trang Bang - TN
Ethnic group: Kinh
Religion:
Occupation, Place of work:
ID. Card No.: 291153756
Date of issue :
Place of issue:
Move-in Date :
Permanent place of residence before move-in: enter KT2
Registration officer
(Name and signed)

Vo Thanh An

Nguyen Thanh Phong

Date of moving out:

Date of moving out:

Place of moving in:

Place of moving in:

Registration officer
(Name and signed)

Day…. month .. year

The Chief of the village Police

(Signed and stamped)

RELATIONSHIP WITH HOUSEHOLDER: SON

Full name: LE HOANG LUAN
Sex: male
Other name: ………………………….
Date of birth: 01/05/1991 At : Cau khoi –Duong Minh Chau -TN
Native country: An Tinh - Trang Bang - TN
Ethnic group: Kinh
Religion:
Occupation, Place of work : Farmer
ID. Card No.: 290465674

Chief of Police of Cau Khoi village

(Signed and stamped)

(Signed and stamped)
Nguyen Thanh Phong

November 5th, 2003

Registration officer
(Name and signed)

Vo Thanh An


Day…. month .. year
The Chief of the village Police

(Signed and stamped)

RELATIONSHIP WITH HOUSEHOLDER: DAUGHTER

Full name: LE THI CAM TIEN
Sex: female
Other name: ………………………….
Date of birth: 27/01/1997 At: Cau khoi –Duong Minh Chau -TN
Native country: An Tinh - Trang Bang - TN
Ethnic group: Kinh
Religion:
Occupation, Place of work:
ID. Card No.: 291153756


CHANGES OR OTHER CORRECTIONS
Content: Adjust the birth year is truly with a birth certificate
named
1 / Chau Quoc Huy was born on 21/04/1992
Registration officer
(Name and signed)
Le My Phuong

March 10th ,2010
The Deputy police chief of village
(Signed and stamped)
Le Hoang Duy


CHANGES OR OTHER CORRECTIONS
Content: Supplemented date of birth exactly as with 2
Demographic named
1. Duong Thi Thao, born on 01/01/1966
2. Chau Van Xe , born on 01/01/1959
Registration officer
(Name and signed)
Le My Phuong

March 25th,2013
The Deputy police chief of village
(Signed and stamped)
Nguyen Tuan Kiet

TRANG BANG DISTRICT, TAY NINH PROVINCE.
GIA BINH VILLAGE PEOPLE’S COMMITTEE
Certifies this copy as true to the original.
Certification No.: 2453, Book No.: 02 CT/UBND
May 12th, 2015
For Chairman
Vice Chairman
Nguyen Quoc Quan
(Signed and stamped)



0004012967
SOCIALIST REPUBLIC OF VIETNAM


Independence-Freedom-Happiness

TAY NINH POLICE SERVICE

FAMILY RECORD BOOK
N°: 0004012967
Full name of householder: LY THI PHUNG
House No.: 190

22 national roard

Street, Hamlet: Loc Du ward
Commune/Ward/Town: Thi Tran
District/ Town: Trang Bang

Family record book No.:
Page No:

Book of registration No:
101001875


HOUSEHOLDER

Full name
: LY THI PHUNG
Sex: female
Other name : ………………………….
Date of birth : January 1st,1968
At: Thi Tran

Native country : Campodia
Ethnic group : Kinh
Religion: none
Occupation, place of work:…………………………….
Identity. Card N°.: 290369042

Date of issue:

Place of issue:

Move-in Date: …./…./…..Permanent place of residence before movein: change into another book
.
Registration officer
(Name and signed)

November 16th,2006
Chief of Thi Tran Police

(Signed and stamped)


RELATIONSHIP WITH HOUSEHOLDER: SON

Full name: NGUYEN LY HOAI PHUONG Sex: male
Other name: ………………………….
Date of birth: August 15th,1988
At: Thi Tran
Native country: Trang Bang
Ethnic group: Kinh
Religion: none

Occupation, place of work: …………………………
ID. Card No.: 290 883 821

Date of issue :

Place of issue:

Move-in Date: …./…./…..Permanent place of residence
before move-in: change into another book
Registration officer
(Name and signed)

November 16th,2006
Chief of Thi Tran Police

0004012967
RELATIONSHIP WITH HOUSEHOLDER: SON

Full name: NGUYEN LY HOAI NAM Sex: male
Other name: ………………………….
Date of birth: October 14th,1989 At : Thi Tran
Native country: Trang Bang
Ethnic group: Kinh
Religion: none
Occupation, place of work: …………………………
ID. Card No.: 290936003
Date of issue :
Place of issue:
Move-in Date :…./…/…Permanent place of residence
before move-in:change into another book

Registration officer
(Name and signed)

Major Huynh Van Phi

Chief of Thi Tran Police

(Signed and stamped)

(Signed and stamped)
Nguyen van Hai

November 16th,2006

Nguyen van Hai

Major Huynh Van Phi


RELATIONSHIP WITH HOUSEHOLDER: SON

RELATIONSHIP WITH HOUSEHOLDER: SON

Full name: LY CHI TAI
Other name: ………………………….
Date of birth: 1972
Sex: male

Full name: LY CHI HUNG
Other name: ………………………….

Date of birth: 1973
Sex: male

Place of birth: Trang Bang town

Place of birth: Trang Bang town

Native country: Trang Bang district, Tay Ninh province
Ethnic group: Kinh
Religion: none
Occupation: A saleman
Place of work:
ID. Card No.: 290 464 219

Native country: Trang Bang district, Tay Ninh province
Ethnic group: Kinh
Religion: none
Occupation:
Place of work:
ID. Card No.: 290 573 265

Date of issue :

Date of issue :

Place of issue:
th

Move-in Date : February 18 , 2003
Permanent place of residence before move-in: Loc Du hamlet,

Trang Bang town, Trang Bang district, Tay Ninh province.
Registration officer
(Name and signed)

February 18th, 2003
The Chief of Hiep Tan village Police
(Signed and stamped)

Place of issue:
th

Move-in Date : February 18 , 2003
Permanent place of residence before move-in: Loc Du hamlet,
Trang Bang town, Trang Bang district, Tay Ninh province.
Registration officer
(Name and signed)

February 18th, 2003
The Chief of the village Police Hiep Tan
(Signed and stamped)



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