PEOPLE’S COMMITTEE

Commune/ward: 11
District: 3 TP/HT-1999-A.2.a
Province/City: HCM SOCIALIST REPUBLIC OF VIETNAM No.: 47
Independence- Freedom- Happiness Book : 01
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CERTIFICATE OF BIRTH
(THE COPY)

Full name : NGUYEN NHAT HONG Gender (Male/Female): Female

Date of birth: 13/09/1986 In words: Thirteen of September in nineteen
eighty six At: 2 pm
Place of birth: Maternity hospital
Ethnic group:……………………………………………………………………………………
Nationality:……………………………………………………………………………………..
Native place:..................................................................................................................
About Parents DAD MOTHER
Full name Nguyen The Truyen Cong Thi Quang
Date of birth 1942 1950
Ethnic group Kinh Kinh
Nationality Vietnamese Vietnamese
Native place
Permanent address 17 Pham Ngoc Thach street, 17 Pham Ngoc Thach street,
Ward 6, District 3 Ward 6, District 3
Full name, Id card No. of declarant: Nguyen The Truyen - Id card No. 020588191
Relationship with declarant:
………………………………………………………………………………………
…………………….
September 25 th 1986
DECLARANT Civil StatusJudicial On behalf of People’s
(Signed) Officials Committee Ward 6 District 3
(Signed) CHAIRMAN
(Signed)

Huynh Thi Lien