GKS-Form TPHT-2010-KS.1a

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SOCIALIST REPUBLIC OF VIETNAM No.

26
Independence - Freedom - Happiness

BIRTH CERTIFICATE
(THE COPY)
Full name: VU ANH TUAN
Date of birth: 23/12/2021
In words: The twenty-third of December in two thousand and twenty-one
Gender: Male Ethnic group: Kinh Nationality: Vietnamese
Place of birth: Hoan My Sai Gon General Hospital, Ho Chi Minh City
Native village: Ha Nam
Personal ID number: 079221037934
Mother’s full name: NGUYEN THUY TRANG
Year of birth: 1980 Ethnic group: Kinh Nationality: Vietnamese
Permanent residence: 1084/50A Le Duc Tho, ward 13, Go Vap district, Ho Chi Minh City

Father’s full name: VU TUAN ANH


Year of birth: 1983 Ethnic group: Kinh Nationality: Vietnamese
Permanent residence: 1084/50A Le Duc Tho, ward 13, Go Vap district, Ho Chi Minh City

Full name of birth declarer: NGUYEN THUY TRANG

Personal paper: Citizen ID Card No.: 080180002181, Police Department on Administrative


Management of Social Order issued on April 11th, 2021

Place of registration: People’s Committee of ward 13, Go Vap district, Ho Chi Minh City
Date of registration: February 19th, 2022
SIGNER OF BIRTH CERTIFICATE
(Signed)
Nguyen Thi Minh Tam
PEOPLE’S COMMITTEE OF WARD 13
(Copy of birth registers)
GO VAP DISTRICT Ward 13, March 08th, 2022
HO CHI MINH CITY SIGNER COPY OF BIRTH
No.: 71/GKS-BS CERTIFICATE
PP. CHAIRMAN
VICE CHAIRMAN
(Signed, wrote full name and sealed)
Nguyen Thi Bich Nuong
Note:
“Record according to the number in the Birth Registration Book.
“Enter the name of the agency issuing the copy of the Birth Certificate.
“Write according to the number in the copy-issuance monitoring book of the agency issuing the copy of the
civil status extract.
“Depending on the method of implementation, specify the basis for issuing copies from: "Birth registration
book" or "Database" electronic civil status data"

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