SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness No.: 30/2012Book No.: 02/2012 BIRTH CERTIFICATE OFFICIAL VERSION Re-registered Full name: BUI, QUANG PHI Gender: Male Da
Trang 1SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness No.: 30/2012Book No.: 02/2012
BIRTH CERTIFICATE
(OFFICIAL VERSION) (Re-registered )
Full name: BUI, QUANG PHI Gender: Male
Date of birth: December 02 nd , 1984 In letters: on the second date of December, nineteen eighty four
Place of birth: Cam Xuyen town
Ethnicity: Kinh Nationality: Vietnamese
Full name of father:
Ethnicity: Nationality: Year of Birth:
Place of residence:
Full name of mother: NGUYEN, THI THUONG
Ethnicity: Kinh Nationality: Vietnamese Year of Birth: 1956 Place of residence: Cam Xuyen town, Cam Xuyen district, Ha Tinh province
Date of registration: 27 - 02 - 2012
Notice: Birth Re-registration
Full name birth declarant: NGUYEN, THI THUONG
Relationship with the birth registered: Blood mother
CIVIL OFFICER
(Signature, full name)
Hoang, Nhat Son
PERSON SIGNING ON THE BIRTH CERTIFICATE
CHAIRMAN
( Signature, fullname, position and seal )
Nguyen, Van Hoang