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Sổ hộ khẩu Form NK3a

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SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness HA TINH PROVINCE FAMILY - REGISTER BOOK No: 62 Full name of the householder: TRAN, THI THU House/Lane No: Street/hamlet:

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SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness

HA TINH PROVINCE

FAMILY - REGISTER BOOK

No: 62

Full name of the householder: TRAN, THI THU

House/Lane No:

Street/hamlet: Block I

Commune/Precinct/district town: HA HUY TAP

Urban district/District/Town: HA TINH

Family registration book file No.: Original file: Book: Page:

HOUSEHOLDER

Fullname: TRAN, THI THU Gender: Female

Allias (other name):

Date of birth: 10/10/1950

Place of origin: Ha Huy Tap ward, Ha Tinh town

Ethnicity: Kinh Religion: None

Occupation, place of work: Official

ID number: 181859240 Date of issue: Issuing place: 184166646

Move in on:

Permanent resident address before moving in: Change family – register book

Registration officer

(signed)

Tran, Hong Minh

Date: August 15 th , 2004

DEPUTY HEAD OF PUBLIC SECURITY OF HA TINH TOWN

(Signed, stamped) Nguyen, Dinh Trung

Move out on:

Place to move in:

Registration officer Date:

HEAD OF PUBLIC SECURITY OF

Form NK3a

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RELATIONS WITH THE HOUSEHOLDER: CHILD

Fullname: NGUYEN, PHI THANH Gender: Male

Allias (other name):

Date of birth: 16/6/1984

Place of origin: Ha Huy Tap ward, Ha Tinh town

Ethnicity: Kinh Religion: None

Occupation, place of work:

ID number: 183382983 Date of issue: Issuing place:

Move in on:

Permanent resident address before moving in:

Registration officer

(signed)

Date: August 15 th , 2004

DEPUTY HEAD OF PUBLIC SECURITY OF HA TINH TOWN

(Signed, stamped)

Move out on:

Place to move in:

Registration officer Date:

HEAD OF PUBLIC SECURITY OF

RELATIONS WITH THE HOUSEHOLDER: HUSBAND

Fullname: NGUYEN PHI NIEM Gender: Male

Allias (other name):

Date of birth: 10/1950

Place of origin: Thach Linh, Ha Tinh town

Ethnicity: Kinh Religion: None

Occupation, place of work: Worker, Construction 5

ID number: 183452415 Date of issue: Issuing place:

Move in on:

Permanent resident address before moving in: Change family – register book

Registration officer

DEPUTY HEAD OF PUBLIC SECURITY OF HA TINH TOWN

(Signed, stamped) Nguyen, Dinh Trung

Move out on:

Place to move in:

Registration officer Date:

HEAD OF PUBLIC SECURITY OF

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