PEOPLE’S COMMITTEE OFKY XUAN COMMUNE SOCIALIST REPUBLIC OF VIETNAM Independence – Freedom – Happiness No.: 91/ TLKS-BS Ky Xuan, September 19 th , 2016 TRANSCRIPT OF BIRTH CERTIFICATE TR
Trang 1PEOPLE’S COMMITTEE OF
KY XUAN COMMUNE
SOCIALIST REPUBLIC OF VIETNAM Independence – Freedom – Happiness
No.: 91/ TLKS-BS Ky Xuan, September 19 th , 2016
TRANSCRIPT OF BIRTH CERTIFICATE
(TRANSCRIPT VERSION)
Full name: NGUYEN, THI THUY TRANG
Date of birth: October 13 th , 1998
In letters: on the tenth date of October, nineteen ninety eight
Gender: Female Ethnicity: Kinh Nationality: Vietnamese Place of birth: Ky Xuan commune, Ky Anh district, Ha Tinh province
Place of origin: Ky Xuan commune, Ky Anh district, Ha Tinh province
Personal identification number:
Family name, middle name and given name of the mother: TRINH, THI HOA
Date of birth: 1973 Ethnicity: Kinh Nationality: Vietnamese
Place of residence: Ky Xuan commune, Ky Anh district, Ha Tinh province
Family name, middle name and given name of the father: NGUYEN, TIEN TOAN
Date of birth: 1969 Ethnicity: Kinh Nationality: Vietnamese
Place of residence: Ky Xuan commune, Ky Anh district, Ha Tinh province
Place of birth registration: the People’s Committee of Ky Xuan commune, Ky Anh district, Ha Tinh province
No 154 Date: November 9 th , 2001
Notice: Transcript from the birth registration book
PERSON SIGNING ON THE TRANSCRIPT
(Sign, full name, position and stamp)
(Signed and stamped)
VICE CHAIRMAN
Duong, Xuan Sau