PEOPLE’S COMMITTEECommune/Ward:District:City/ Province: |
SOCIALIST REPUBLIC OF VIETNAMIndependence – Freedom – Happiness |
Form TP/HT 2No. :Book No: |
BIRTH CERTIFICATE
Full name: Sex:
Date of birth:
Place of birth:
Ethnic group: Nationality:
.../89 Decision 261/QD-HT |
Parents’ declaration |
MOTHER | FATHER |
Full name | |||
Age | |||
Ethnic group | |||
Nationality | |||
Occupation | |||
Permanent residence |
Full name, year of birth, ID card No. /Other valid documents of the declarant:
Declarant (Signed)
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Registered on ……, ON BEHALF OF PEOPLE’S COMMITTEE OF ……. COMMUNE CHAIRMAN (Signed and sealed)
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