No.: 19/2015 Book No.: 01/2015 SOCIALIST REPUBLIC OF VIETNAM Independence – Freedom – Happiness
BIRTH CERTIFICATE (COPY) VO THI THU HA
Gender: Female Full name:
20/7/1986 (In words: The twentieth of July, Nineteen eighty-six) Date of birth:
) P T B
Que Luu Commune, Hiep Duc District, Quang Nam Province Place of birth:
Kinh Nationality: Vietnamese Race:
- T T / 0 1 0 2 / a .
Father’s full name: VO NGOC THANH
Kinh Nationality: Vietnamese Born in: 1959 Race:
8 0
.
Residential address: Que Luu Commune, Hiep Duc District, Quang Nam Province
Mother’s full name: TRAN THI XUAN HONG
o N T T (
Race: Kinh Nationality: Vietnamese Born in: 1963
Registration place:
a .
.
Residential address: Que Luu Commune, Hiep Duc District, Quang Nam Province
The People’s Committee of Que Luu Commune, Hiep Duc District, Quang Nam Province
Registration date: 21/4/2015
/
Note:
Full name of declarant: VO NGOC THANH
Relationship: Father
1 S K - 0 1 0 2 - T H P T m r o F
MADE BY: SIGNATORY:
(signed) (signed)
Tran Duc Tho Tran Ngoc Minh
Copied from Birth Registration Book April 21st , 2015 SIGNATORY:
CHAIRMAN
(signed and sealed)
Tran Ngoc Minh