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SOCIALIST REPUBLIC OF VIETNAM INDEPENDENCE – FREEDOM – HAPPINESS ———————— HOUSEHOLD REGISTRATION BOOK Full Name of Householder House No Street Ward, Village District, Town No HOUSEHOLDER —————————— Fu[.]

SOCIALIST REPUBLIC OF VIETNAM INDEPENDENCE – FREEDOM – HAPPINESS ———————— HOUSEHOLDER —————————— Full Name: ………………………………………………… Codename: ……………………………………………… Date of Birth: ……………………  Male/Female: ……… Place of Birth: …………………………………………… Native Place: ………………………………………………   Ethnic Group: ……………………  Religion: …………… Occupation: ……………………………………………… HOUSEHOLD REGISTRATION BOOK Working Place: …………………………………………… ID Card Number: ………………………………………… Full Name of Householder: …………………… House No: ………………………………………… Street: …………………………………………… Date of Issue: ………  Place of Issue …………………… Date of Arrival: …………………………………………… Place of Residence before Arrival: ……………………… Ward, ………………… Village: ………………… ………………… District, Town: …………………………………… On Behalf of ……………………………………   No …………………… …………………… (Signed and Sealed) ………………………………… RELATION WITH THE HOUSEHOLDER:… … RELATION WITH THE HOUSEHOLDER:… … ———————— ———————— Full Name: ……………………………………………… Full Name: ………………………………………………… Codename: ……………………………………………… Codename: ………………………………………………… Date of Birth: ……………………  Male/Female: ……… Date of Birth: ……………………  Male/Female: ………… Place of Birth: …………………………………………… Place of Birth: ……………………………………………… Native Place: ……………………………………………… Native Place: ……………………………………………… Ethnic Group: ……………………  Religion: …………… Ethnic Group: ……………………  Religion: ……………… Occupation: ……………………………………………… Occupation: ………………………………………………… Working Place: …………………………………………… Working Place: ……………………………………………… ID Card Number: ………………………………………… ID Card Number: …………………………………………… Date of Issue: ………  Place of Issue ………………… … Date of Issue: ………  Place of Issue ……………………… Date of Arrival: …………………………………………… Date of Arrival: ……………………………………………… Place of Residence before Arrival: ………………… …… Place of Residence before Arrival: …………………………… ………………… ………………… On Behalf of …………………………………… On Behalf of …………………………………… …………………… …………………… (Signed and Sealed) (Signed and Sealed) ………………………………… ………………………………… …………………… ………………… RELATION WITH THE HOUSEHOLDER:… … RELATION WITH THE HOUSEHOLDER:… … ———————— ———————— Full Name: ……………………………………………… Full Name: ………………………………………………… Codename: ……………………………………………… Codename: ………………………………………………… Date of Birth: ……………………  Male/Female: ……… Date of Birth: ……………………  Male/Female: ………… Place of Birth: …………………………………………… Place of Birth: ……………………………………………… Native Place: ……………………………………………… Native Place: ……………………………………………… Ethnic Group: ……………………  Religion: …………… Ethnic Group: ……………………  Religion: ……………… Occupation: ……………………………………………… Occupation: ………………………………………………… Working Place: …………………………………………… Working Place: ……………………………………………… ID Card Number: ………………………………………… ID Card Number: …………………………………………… Date of Issue: ………  Place of Issue ………………… … Date of Issue: ………  Place of Issue ……………………… Date of Arrival: …………………………………………… Date of Arrival: ……………………………………………… Place of Residence before Arrival: ………………… …… Place of Residence before Arrival: …………………………… ………………… ………………… On Behalf of …………………………………… On Behalf of …………………………………… …………………… …………………… (Signed and Sealed) (Signed and Sealed) ………………………………… ………………………………… …………………… …………………

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