SOCIALIST REPUBLIC OF VIETNAM INDEPENDENCE – FREEDOM – HAPPINESS HO CHI MINH CITY HOUSEHOLD REGISTRATION BOOK Full Name of Householder: ……… House No.. Place of Residence before Arrival:
Trang 1SOCIALIST REPUBLIC OF VIETNAM INDEPENDENCE – FREEDOM – HAPPINESS
HO CHI MINH CITY
HOUSEHOLD REGISTRATION BOOK
Full Name of Householder: ………
House No : ………
Street : ………
Ward, Village : ………
District, Town : ………
No ………
HOUSEHOLDER Full Name : ………
Codename : ………
Date of Birth : ……… Male/Female
Place of Birth : ………
Native Place : ………
Ethnic Group : ……… Religion: ………
Occupation : ………
Working Place : ………
ID Card Number : ………
Date of Issue : ……… Place of Issue:…………
Date of Arrival : ………
Place of Residence before Arrival: ………
………
On Behalf of ………
………
(Signed and Sealed) ………
………
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Trang 2RELATION WITH THE HOUSEHOLDER: …………
Full Name : ………
Codename : ………
Date of Birth : ……… Male/Female
Place of Birth : ………
Native Place : ………
Ethnic Group : ……… Religion: ………
Occupation : ………
Working Place : ………
ID Card Number : ………
Date of Issue : ……… Place of Issue:…………
Date of Arrival : ………
Place of Residence before Arrival: ………
………
On Behalf of ………
………
(Signed and Sealed) ………
………
RELATION WITH THE HOUSEHOLDER: …………
Full Name : ………
Codename : ………
Date of Birth : ……… Male/Female
Place of Birth : ………
Native Place : ………
Ethnic Group : ……… Religion: ………
Occupation : ………
Working Place : ………
ID Card Number : ………
Date of Issue : ……… Place of Issue:…………
Date of Arrival : ………
Place of Residence before Arrival: ………
………
On Behalf of ………
………
(Signed and Sealed) ………
………
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