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

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SOCIALIST REPUBLIC OF VIETNAM

Independence – Freedom – Happiness

No.:  183/2013

Book No.:   01/2013

BIRTH CERTIFICATE

(ORIGINAL)

Form TP/HT-2010-KS.1.a    09/2013      (Circular No. 08.a/2010/TT-BTP)  XBTP Full name:                         Sex:   

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)

NOTARIZED TRUE COPY OF THE ORIGINAL

Dated ………..

Certification No.: 1542            Book No.: 01

PEOPLE’S COMMITTEE OF

 ……..

PP. CHAIRMAN

VICE CHAIRMAN

 (Signed and sealed)

 

 

SIGNATURE IN BIRTH CERTIFICATE

PEOPLE’S COMMITTEE OF

 ……….

PP. CHAIRMAN

VICE CHAIRMAN

 (Signed and sealed)

 

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