giay xac nhan tinh t hon nhan trong nuoc
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PEOPLE’S COMMITTEE OF
Thi Tran village
Trang Bang district,
Tay Ninh province
No.: 109/UBND-XN
SOCIALIST REPUBLIC OF VIET NAM
Independence – Freedom - Happiness
August 23rd, 2013
CERTIFICATE OF MARITAL STATUS
(Used for Vietnamese citizens living in the country)
THE PEOPLE’S COMMITTEE
Pursuant to the Law on the organization of People’s Council and Peoples’
Committee dated November 26,2003;
Pursuant to the Decree No. 158/2005/ND-CP dated December 27, 2005 of
the Government on registration for and management of births, deaths and
marriages;
Having considered the request of Mr./Ms.: NGUYEN QUANG MINH
CERTIFIES:
Full name of Mr./Ms.: NGUYEN QUANG VINH
Sex: male.
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Date of birth: April 23 , 1993
Place of birth: Trang Bang district - Tay Ninh province
Ethnic group: Kinh.
Nationality: Viet Nam.
Identity card/passport/valid replacing paper No.: 291 055 104
Permanent/temporary place of residence: 26 Le Loi, Loc An hamlet, Thi Tran
village, Trang Bang district, Tay Ninh province.
Marital status: At present, the above person has not yet registered marriage to
anybody up to now.
This certificate is issued for the purpose of: settled in Washington by a guaranty
Certificate of registering marriage is valid in 6 months, from the date recorded.
Registered in the Book of Marital Status Certificate issuance.
No.: 109/2013, Book No.: 02/2012
Justice, births, deaths and marriages Officer
On behalf of the people’s Committee
Vice Chairman
(Signed and stamped)
NGO VAN HON
VO THI TUYET THUONG
