PEOPLE’S COMMITTEE PEOPLE’S COMMITTEE Commune/ward District Province/City SOCIALIST REPUBLIC OF VIETNAM Independence Freedom Happiness BTP/HT 12345 KS 2 No Book CERTIFICATE OF BIRTH Full name Sex Date[.]
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COMMITTEE
Commune/ward:
District:
Province/City:
SOCIALIST REPUBLIC OF VIETNAM Independence- Freedom- Happiness
- BTP/HT-12345-KS.2 No:
Book:
CERTIFICATE OF BIRTH Full name:
Sex:
Date of birth: In words:
Place of birth:
Ethnic group:
Nationality:
Native village:
Full name of father:
Ethnic group:
Nationality:
Full name of mother:
Ethnic group:
Nationality:
Full name of declarant:
RRelationship with declarant:
DECLARANT (Signed) Civil StatusJudicial Officials (Signed) Dated
Instate People’s Committee
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(Signed and sealed)