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  • CamScanner 10-06-2021 15.52

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    7 views5 pages

    CamScanner 10-06-2021 15.52

    Uploaded by

    Nhi Ngô

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    Download as pdf
    of 5
    ‘Méu CTO1 ban hanh “CONG HOA XA HOLCHUNGHIA vir NAM = ™° 7736 sez02UrBCA ngiy 15/5/2020 Doc lip — Ty do — Hanh phitc TO KKHAI THAY BOI THONG TIN CU TRU Kinh giti: 1. Ho, chit dém va tén": 2. Neay, thing, nim sinh: . 4, $6 dinh danh c4 nhan/CMND: 5. $6 dign thoai 7. Noi thurdng tra: .. 3. Giéi tinh: ... ién hé:. 8. Noi tam tra: 9. Noi & hign 10. Nghé nghiép, noi lam vi 11. Ho, chit dém va tén chi hd: . 13. $6 dinh danh c4 nhén/CMND cia chit ho: 14. NGi dung dé nghi?: 12. Quan hé vi chi hd: ..... 15. Nhimng thanh vién trong hé gia dinh cing thay di: TT | Ho, ch dém vatén | Ngay, | Gidi | SOdiahdanh | — Ngh€ | Quan he voi | Quan thing, | tinh cA i} ngudicéd | hé vai nim sinh nhan/CMND |_limvige | thay di_|_chitho thing elites sy Yn ng im. MGR ne Hing Me ay MBAY oe thd .ordi. Virén env no” ‘Y KIeN CHU sO HOU YIGEN CUA CHA M0 NGUOLKE KEAL (Gis rdnéideng vb, ghivdho) — HOACNGUOLBALDIEN — HOACNGUOTGIAM HO (ghd hon) CHO OUGP PHAP (Kj, ghird ho ten) (ji, ghir hota) ce sets (1 Co quan ding hd ag i ng gi, Vd: ng tng dng a i eh Wk pho gn wot. {Apc i vce vo hp sy di Kt 2, Kon 3, hon, Kon 3, hoe 6 Diu 2 hon Didu 25 Lost Cu td; diée a ttotn 1idu26 Lut Curt, (0) Ap dong Abi vi ngubi cha tint ni, ng gn che inh vi dn sv. ngubi King i ning tc hah vi dn st eb thay i tg inv a, “1AM MINA MY PHUC Quiée tich: CONG HOA XA HOI CHU NGHIA VIET NAM Dc lap - Ty do Hanh phic SOCIALIST REPUBLIC OF VIET aM Independence - = Freed Happine. CAN CUOC CO Citizen Identity Card mon “ s61no: 086174001 476 * Ho va tén / Full name: - LAM THI MINH DOAN - Ngay sinh / Date of bith: 27/O7/1 \ Gidi tinh) Sex: N@ Quéctich “Qué quan / Place of origin: ~Hiéu Thuan, Ving Lié “ Noi thuwong tra] Place « re » Hiéu Thuan, Ving i nhan dang / Personal identification am C:2cm trén truéc da Wan ang, naém‘/ Date, month, ye “s CYC TRUONG CUC CANH SA QuaN LY HANH‘CHINH VE TRAT TU’ . ENERAL OF THE POLICE DEPARTMENT \ FOR ADMINISTRATIVE MANAGE oct CIAL ORD! ere Pham Céng guyén. sete ~ TDVNM1740014768086174001476<<8 7407273F 3407275 VNM<<<<<

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