Form CT07 issued under the Circular No. 66/2023/TT-BCA
dated 17 November 2023 by the Minister of Public Security
………………’s Public Security
…………………’s Public Security ———————– No.: 000226/XN |
SOCIALIST REPUBLIC OF VIETNAM
Independence – Freedom – Happiness —————————— ……………….., ………….. 2024 |
CONFIRMATION OF RESIDENCE INFORMATION
At the request of Mr./Ms.:
Personal identification number:
……………………..’S PUBLIC SECURITY HEREBY CONFIRMS:
- Last name, middle name and first name:
- Date of birth: 2. Sex:
- Personal identification number:
- Ethnic group: 5. Religion:
- Place of origin:
- Place of birth registration:
- Permanent place of residence:
- Temporary place of residence:
- Current place of residence:
- Last name, middle name and first name of householder:
- Relationship with householder:
- Personal identification number of householder:
- Information of other household members:
No. | Last name, middle name and first name | Date of birth | Sex | Personal identification number | Relationship w/ householder |
1 | |||||
2 | |||||
3 |
III. Other confirmations (previous places of residence, time of living in each place of residence, form of residence registration and other residence information available in the Residence database, National population database…):
This Confirmation is valid until the end of ……………………/.
HEAD OF RESIDENCE REGISTRATION AUTHORITY (3)
CHIEF OF COMMUNE’S PUBLIC SECURITY
Notes:
(1) Superior authority of residence registration authority;
(2) Residence registration authority throughout the country not depending on the citizen’s place of residence;
(3) Head of the residence registration authority affixes handwritten signature with full name or digital signature or confirms by another form of authentication.
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Dịch thuật Hồng Linh
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