BIRTH CERTIFICATE – Form TP/HT-2010-KS.1.a (Dịch giấy khai sinh mẫu TP/HT-2010-KS.1.a)

SOCIALIST REPUBLIC OF VIETNAM

Independence – Freedom – Happiness

Book No.:   01/2013

Date of birth:

In words:

Place of birth:

Ethnic group:                                   Nationality:

Full name of father:

Ethnic group:                  Nationality:           Year of birth:

Temporary/permanent residence:

Full name of mother:

Ethnic group:                 Nationality:            Year of birth:

Temporary/permanent residence:

Registration place:

Registration date:

Remarks:

Full name of the declarant:

Relationship with the declared person:

Prepared by

(Signed)

SIGNATURE IN BIRTH CERTIFICATE

PEOPLE’S COMMITTEE OF

 ……….

PP. CHAIRMAN

VICE CHAIRMAN

 (Signed and sealed)