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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