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 th 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 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