BIRTH CERTIFICATE- Form BTP/HT (Bản dịch giấy khai sinh – mẫu BTP/HT)

Town:

Province:

SOCIALIST REPUBLIC OF VIETNAM

Independence – Freedom – Happiness

No.:

Book No.:

Date of birth:

In words:

Place of birth:

Ethnic group:                                     Nationality:

Native place:

Full name of father:

Ethnic group:                                      Nationality:

Full name of mother:

Ethnic group:                                       Nationality:

Place of registering birth:

Applicant of reissuing birth certificate

Head of Department of Justice

(Signed)

Reissued on ……..

ON BEHALF OF PEOPLE’S COMMITTEE OF ……..

PP. CHAIRMAN

VICE CHAIRMAN

(Signed and sealed)