PEOPLE’S COMMITTEE Commune/ward : 11 District/town : 10 Province/City: Ho Chi Minh SOCIALIST REPUBLIC OF VIETNAM Independence – Freedom – Happiness - Model TP/HT -1999A.2.a No: 21 Book no 01/2005 BIRTH CERTIFICATE (TRUE COPY) Full name : Date of birth : Place of Birth : Ethnic : Hometown : The report on the parents information Full name Date of birth Ethnic Nationality Hometown NGUYEN NGOC MINH THU Gender : Male 08/02/2005 In words: February eight two thousand and five Tu Du Maternity hospital- Ho Chi Minh City Kinh Nationality: Vietnamese Long An Temporary resident FATHER MOTHER NGUYEN ANH DUNG 20th December 1974 Kinh Vietnamese Long An NGUYEN THI NGOC THUY 2nd May 1975 Kinh Vietnamese Long An 66 Dang Nguyen Can, Ward 14, District 528/25/5 Dien Bien Phu, Ward 11, District 10 Full name, Year of birth, ID card number/valid replacement papers of declarant: NGUYEN ANH DUNG – Year of birth : 1974 - ID card number : 022698942 Relationship with declared person: Father Declarant (signed) Nguyen Anh Dung Civil Officer (signed) Ha Thi Chi Trung According to official dispatch no: 4206/QD-UB 17th October 2005 Of Ho Chi Minh People’s Committee Rectification from Nguyen Thi Ngoc Anh to Nguyen Ngoc Minh Thu Ward 11, February 2nd 2005 ON BEHALF OF PEOPLE’S COMMITTEE OF WARD 11 CHAIRMAN (signed and sealed) Vo Anh Thanh Certified a true copy from the origin Ward 11, 2nd November 2005 ON BEHALF OF PEOPLE’S COMMITTEE OF WARD 11 CHAIRMAN (signed and sealed) Do Tra My