CHỨNG TỪ DỊCH SANG TIẾNG ANH
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SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
The People’s Committee
Commune: Lien Bat
District: Ung Hoa
Province: Ha Tay
Model: TP/HT-1999-C.2
No: 01
Book: 01
-----------------
Death Certificate
(Re-registration)
Full name:
Bui Dam Quang
Date of birth:
May 3rd, 1942
Ethnic group:
Kinh
Native place (1):
Bat Chua – Lien Bat – Ung Hoa – Ha Tay
Sex: Male
Nationality: Vietnamese
Residence address/Last temporary address (2): Lien Bat – Ung Hoa – Ha Tay
ID No./ alternative documents (3):
No.:
Issued in…………………………on………………………………
Died at ……………on February, 25th, 2001
Place of death:
Bat Chua – Lien Bat – Ung Hoa – Ha Tay
Cause of death:
Suddenly catching cold
Officer in charge of Birth, Marriage, Death
(Name, position, signature)
Lien Bat, May, 15th, 2006
On Behalf of the People’s Committee
Vice-Chairman
(Signed and sealed)
Certified as original copy
Date: May 30th, 2006
Number: 382 Book: 05 CN-BS
Notary
NGUYEN THI MINH TAM
