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Office of registering household September 07, 2001 Name, position, sign and seal On behalf of the Chief of Public Security Do Dang Sang Signed and sealed... RELATIONSHIP TO THE HEAD OF

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SOCIALIST REPUBLIC OF VIETNAM

Independence-Freedom-Happiness

BAC NINH PROVINCE

FAMILY HOUSEHOLD REGISTERING BOOK

N°:1709 Name of the head of household: ………

House N°:………

Street, Hamlet : ………

Commune/Precinct: ………

District : ………

No 01 Page: 53 HEAD OF HOUSEHOLD 1 Full name : ………

2 Date of birth : ………

3 Place of birth : ………

4 Sex :………

5 Native place : ………

6 Ethnic group : ………

7 Religion : ………

8 ID Card N° : 9 Occupation : ………

Place of work : ………

10.Date of Moving in :

Former address :

11.Date of moving out :………

Place of moving to :………

12 Office of registering household September 07, 2001 (Name, position, sign and seal) On behalf of the Chief of Public Security

Do Dang Sang (Signed and sealed)

Trang 2

RELATIONSHIP TO THE HEAD OF HOUSEHOLD :MOTHER

1.Full name : Nguyen Thi Gia………

Nick name : ………

2 Date of birth : December 15, 1925 ………

3 Place of birth : ………

4 Sex : Female………

5 Native place : ………

6 Ethnic group : Kinh………

7 Religion : ………

8 ID Card N° : ………

9 Occupation : Farmer………

Place of work :Mao Dien………

10 Date of Move in : ………

Former address : ………

11 Date of moving out :………

Place of moving to :………

RELATIONSHIP TO THE HEAD OF HOUSEHOLD :WIFE 1.Full name : Nguyen Thi Tinh………

Nick name : ………

2 Date of birth : Ferbruary 12th, 1964 ………

3 Place of birth : Ba hamlet, Mao Dien………

4 Sex : Female………

5 Native place : Thuan Thanh- Bac Ninh………

6 Ethnic group : Kinh………

7 Religion : None………

8 ID Card N° : ………

9 Occupation : Farmer………

Place of work :Mao Dien………

10 Date of Move in : ………

Former address : ………

11 Date of moving out :………

Place of moving to :………

12 Office of registering household May 13th, 1996 (Name, position, sign and seal)

September 07, 2001 On behalf of the Chief of PublicSecurity

Do Dang Sang (Signed and sealed)

12 Office of registering household September 07, 2001 On behalf of the Chief of PublicSecurity

Do Dang Sang (Signed and sealed) Date of moving out: Died of ill on December, 31st,2004 September 31st , 2004 On behalf of the Chief of Public Security

Do Dang Sang (Signed and sealed)

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RELATIONSHIP TO THE HEAD OF HOUSEHOLD :SON

1.Full name : Nguyen Xuan Vinh………

Nick name : ………

2 Date of birth : December 1st , 1990 ………

3 Place of birth : Man hamlet, Mao Dien………

4 Sex : Male………

5 Native place : Thuan Thanh- Bac Ninh………

6 Ethnic group : Kinh………

7 Religion : None………

8 ID Card N° : 125295976………

9 Occupation : Pupil………

Place of work :Mao Dien………

10 Date of Move in : ………

Former address : ………

11 Date of moving out :………

Place of moving to :………

12 Office of registering household September 07, 2001 On behalf of the Chief of Public Security (Name, Position, sign and seal)

Do Dang Sang (Signed and sealed) (Name, position, sign and seal)

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RELATIONSHIP TO THE HEAD OF HOUSEHOLD :SON

1.Full name : Nguyen Xuan Vung………

Nick name : ………

2 Date of birth : December 11, 1984 ………

3 Place of birth : Man hamlet, Mao Dien………

4 Sex : Male………

5 Native place : Thuan Thanh- Bac Ninh………

6 Ethnic group : Kinh………

7 Religion : None………

8 ID Card N° : 125092240………

9.Date :March 22nd , 2000 10.Place : Bac Ninh Public Security 11 Occupation : Farmer………

Place of work :Mao Dien………

12 Date of Move in : ………

Former address : ………

13 Date of moving out :………

Place of moving to :………

RELATIONSHIP TO THE HEAD OF HOUSEHOLD :DAUGHTER 1.Full name : Nguyen Thi Vinh………

Nick name : ………

2 Date of birth : May 19th , 1988 ………

3 Place of birth : Man hamlet, Mao Dien………

4 Sex : Female………

5 Native place : Thuan Thanh- Bac Ninh………

6 Ethnic group : Kinh………

7 Religion : None………

8 ID Card N° :125255184 ………

9.Date :January 7th ,2004 10.Place : Bac Ninh Public Security 11 Occupation : Pupil………

Place of work :Mao Dien………

12 Date of Move in : ………

Former address : ………

13 Date of moving out :………

Place of moving to :………

14 Office of registering household September 07, 2001 On behalf of the Chief of Public Security

Do Dang Sang (Signed and sealed) 14 Office of registering household September 07, 2001 On behalf of the Chief of Public Security

Do Dang Sang (Signed and sealed)

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