Date of birth: August 8, 1956 Place of birth: Loc Hung Native country : Trang Bang Ethnic group : Kinh Religion: none Occupation, Place of work : Farmer ID.. Date of birth: December 1,
Trang 1SOCIALIST REPUBLIC OF VIETNAM
Independence-Freedom-Happiness
TAY NINH PROVINCE
FAMILY HOUSEHOLD REGISTERING BOOK
N°: 040011471 Name of householder: LE VAN DEO
House No.:………
Street, Hamlet : Loc Thanh
Commune/Ward/Town: Loc Hung
District/ Town: Trang Bang
HSHK No 107002844
HOUSEHOLDER
Full name: LE VAN DEO Sex: male
Other name :………
Date of birth: August 8, 1956 Place of birth: Loc Hung
Native country : Trang Bang Ethnic group : Kinh Religion: none Occupation, Place of work : Farmer
ID Card No.: 290247687 Date of issue: July 16, 1979 Place of issue: Tay Ninh Police Service
Move-in Date: ……… Permanent place of residence before move-in: change into another book
Registration officer November 29, 2006
(Name and signed) The Chief of the village Police
(Signed and stamped)
Pham Van Mat Vo Van Pheo
Trang 2RELATIONSHIP WITH HOUSEHOLDER: WIFE
Full name: HO NGOC CAM Sex: female
Other name:………
Date of birth: December 1, 1955 Place of birth: Loc Hung
Native country: Trang Bang
Ethnic group: Kinh Religion: none
Occupation, place of work: Farmer
ID Card No.: 290247713 Date of issue:………
Place of issue: ………
Move-in Date: ……… Permanent place of residence
before move-in: change into another book
Registration officer November 29, 2006
(Name and signed) The Chief of the village Police
(Signed and stamped)
Pham Van Mat Vo Van Pheo
RELATIONSHIP WITH HOUSEHOLDER: DAUGHTER
Full name: LE THI HUYEN Sex: female
Other name:………
Date of birth: February 19, 1978 Place of birth: Loc Hung
Native country: Trang Bang Ethnic group: Kinh Religion: none Occupation, Place of work:
ID Card No.: 290011471 Date of issue: July 19, 2004 Place of issue: Tay Ninh Police Service
Move-in Date: ……… Permanent place of residence before move-in: change into another book
Registration officer November 29, 2006 (Name and signed) The Chief of the village Police
(Signed and stamped)
Pham Van Mat Vo Van Pheo
Trang 3RELATIONSHIP WITH HOUSEHOLDER: DAUGHTER
Full name: LE THI KIM HUYEN Sex: female
Other name:………
Date of birth: April 28, 1982 Place of birth: Loc Hung
Native country: Trang Bang
Ethnic group: Kinh Religion: none
Occupation, Place of work : ………
ID Card No.: 290692877 Date of issue : June 4, 1997
Place of issue: Tay Ninh Police Service
Move-in Date : ……… Permanent place of residence
before move-in: change into another book
Registration officer November 29, 2006
(Name and signed) The Chief of the village Police
(Signed and stamped)
Pham Van Mat Vo Van Pheo
RELATIONSHIP WITH HOUSEHOLDER: SON
Full name: LE HOANG QUY Sex: male
Other name:………
Date of birth: September 10, 1984 Place of birth: Loc Hung
Native country: Trang Bang Ethnic group : Kinh Religion: none Occupation, Place of work: Farmer
ID Card No.: 290769750 Date of issue: March 22, 2000 Place of issue : Tay Ninh Police Service
Move-in Date:……… Permanent place of residence before move-in: change into another book
Registration officer November 29, 2006 (Name and signed) The Chief of the village Police
(Signed and stamped)
Pham Van Mat Vo Van Pheo
Date of moving out: May 25, 2007 Place of moving in: Gia Tan
hamlet, Gia Loc village, Trang Bang district, Tay Ninh province
Registration officer May 25, 2007
(Name and signed) The Chief of the village Police
(Signed and stamped)
Nguyen Thi Truc Linh Nguyen Thanh Son
Trang 4RELATIONSHIP WITH HOUSEHOLDER: GRANDCHILD
Full name: TRAN LE NI NI Sex: female
Other name: Tran Le Ni Ni
Date of birth : July 3, 2007 Place of birth: Tay Ninh General
Hospital
Native country : Loc Hung village, Trang Bang district
Ethnic group: Kinh Religion: none
Occupation, Place of work : ………
ID Card No.: ……… Date of issue : …………
Place of issue :………
Move-in Date : ……… Permanent place of residence
before move-in: registration of birth
Registration officer December 28, 2007
(Name and signed) The Chief of the village Police
(Signed and stamped)
Nguyen Thi Truc Linh Vo Van Pheo
RELATIONSHIP WITH HOUSEHOLDER: DAUGHTER-IN LAW
Full name : PHAN THI TUYET LAN Sex: female
Other name :………
Date of birth : 1990 Place of birth:
Native country: Hung Thuan village, Trang Bang district Tay Ninh province
Ethnic group : Kinh Religion: none Occupation, Place of work: Farmer
ID Card No.: 290930932 Date of issue:………
Place of issue:………
Move-in Date : June 8, 2011 Permanent place of residence before
move-in: Cau Xe hamlet- Hung Thuan village-Trang Bang district - Tay Ninh province
Registration officer June 8, 2011 (Name and signed) Vice Chief of the village Police
(Signed and stamped)
Tran Van Nguon Tran Van Tay
Trang 5RELATIONSHIP WITH HOUSEHOLDER: GRANDSON
Full name : LE PHAN TRUC LY Sex: female
Other name: ………
Date of birth : September 11, 2009 Place of birth: Cu Chi
Hospital - Ho Chi Minh city
Native country: Loc Hung village, Trang Bang district
Ethnic group : Kinh Religion: none
Occupation, Place of work : ………
ID Card No.:……… Date of issue:………
Place of issue :
Move-in Date: June 8, 2011 Permanent place of residence before
move-in: registration of birth
Registration officer June 8, 2011
(Name and signed) Vice Chief of the village Police
(Signed and stamped)
Tran Van Nguon Tran Van Tay
RELATIONSHIP WITH HOUSEHOLDER: GRANDSON
Full name : LE PHAN HOANG KY Sex: male
Other name :………
Date of birth : May 20, 2011 Place of birth:Tu Du Hospital _
Ho Chi Minh city
Native country : Loc Hung village, Trang Bang district ,Tay Ninh province
Ethnic group : Kinh Religion: none Occupation, Place of work : ………
ID Card No.: ……… Date of issue : ………… Place of issue: ………
Move-in Date : June 8, 2011 Permanent place of residence before move-in: : registration of birth
Registration officer June 8, 2011
(Name and signed) Vice Chief of the village Police
(Signed and stamped)
Tran Van Nguon Tran Van Tay