GIẤY KHAI SINH TIẾNG ANH certificate of birth
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PEOPLE’S COMMITTEE
SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom- Happiness
Commune/ward:
Form BTP/HT-2006-KS.1a
No.: 345
Book no.: 01/2015
District:
Province/City:
CERTIFICATE OF BIRTH
(THE COPY)
Full name: ....................................................................................... Sex: ........................................
Date of birth: .....................................................................................................................................
(In words): ........................................................................................................................................
...........................................................................................................................................................
Place of birth: ....................................................................................................................................
Ethnic group: ........................................................................ Nationality: .........................................
Native village: ...................................................................................................................................
Full name of father: ...................................................................... Sex: ........................................
Ethnic group: ........................................................................ Nationality: .........................................
Full name of mother: .................................................................... Sex: ........................................
Ethnic group: ........................................................................ Nationality: .........................................
Full name of declarant: ..................................................................................................................
Relationship with declarant: .............................................................................................................
Civil Status Judicial Officials
(Signed)
Dated …… …….. …….
INSTATE PEOPLE’S COMMITTEE
PP. CHAIRMAN
(Signed and sealed)
Copy from Birth Registration Book
Date ….. month …… year …..
PP. Chairman
