BIRTH CERTIFICATE NGUYEN NGOC MINH THU

PEOPLE’S COMMITTEE
Commune/ward : 11
District/town : 10
Province/City: Ho Chi Minh

SOCIALIST REPUBLIC OF VIETNAM
Independence – Freedom – Happiness
---------------------

Model TP/HT -1999A.2.a
No: 21
Book no. 01/2005

BIRTH CERTIFICATE
(TRUE COPY)
Full name
:
Date of birth
:
Place of Birth
:
Ethnic
:
Hometown
:
The report on the parents
information
Full name
Date of birth
Ethnic
Nationality

Hometown

NGUYEN NGOC MINH THU Gender
: Male
08/02/2005 In words: February eight two thousand and five
Tu Du Maternity hospital- Ho Chi Minh City
Kinh
Nationality: Vietnamese
Long An

Temporary resident

FATHER

MOTHER

NGUYEN ANH DUNG
20th December 1974
Kinh
Vietnamese
Long An

NGUYEN THI NGOC THUY
2nd May 1975
Kinh
Vietnamese
Long An

66 Dang Nguyen Can, Ward 14,
District 6

528/25/5 Dien Bien Phu, Ward
11, District 10

Full name, Year of birth, ID card number/valid replacement papers of declarant:
NGUYEN ANH DUNG – Year of birth : 1974 - ID card number : 022698942
Relationship with declared person:
Father

Declarant
(signed)
Nguyen Anh Dung

Civil Officer
(signed)
Ha Thi Chi Trung

According to official dispatch no: 4206/QD-UB
17th October 2005
Of Ho Chi Minh People’s Committee

Rectification from Nguyen Thi Ngoc Anh
to Nguyen Ngoc Minh Thu

Ward 11, February 2nd 2005
ON BEHALF OF PEOPLE’S
COMMITTEE OF WARD 11
CHAIRMAN
(signed and sealed)
Vo Anh Thanh

Certified a true copy from the origin
Ward 11, 2nd November 2005

ON BEHALF OF PEOPLE’S
COMMITTEE OF WARD 11
CHAIRMAN
(signed and sealed)
Do Tra My