mau giay khai sinh bang tieng anh
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PEOPLE’S
COMMITTEE
SOCIALIST REPUBLIC OF VIETNAM
Independence- Freedom- Happiness
Commune/ward: .....
--------------
BTP/HT-12345KS.2
No: .................
Book: ............
District: ......
Province/City: .........
CERTIFICATE OF BIRTH
Full name: .........................................................................................................................
Sex: ...................................................................................................................................
Date of birth: ................................ In words: ....................................................................
Place of birth: ....................................................................................................................
Ethnic group: .....................................................................................................................
Nationality: .......................................................................................................................
Native village: ...................................................................................................................
Full name of father: ...........................................................................................................
Ethnic group: .....................................................................................................................
Nationality: .......................................................................................................................
Full name of mother: .........................................................................................................
Ethnic group: .....................................................................................................................
Nationality: .......................................................................................................................
Full name of declarant: .....................................................................................................
RRelationship with declarant: ...........................................................................................
DECLARANT
(Signed)
Civil StatusJudicial Officials
(Signed)
Dated ............
Instate People’s Committee
PP. CHAIRMAN
(Signed and sealed)
