Form No.

07/2013/TT-LLTP
PEOPLE’S COMMITTEE OF HO CHI SOCIALIST REPUBLIC OF VIETNAM
MINH CITY Independence – Freedom – Happiness
DEPARTMENT OF JUSTICE ------------------------------------
------------------
No.: …/STP-LLTP Ho Chi Minh City, date…

CERTIFICATE OF CRIMINAL RECORD NO. 2

Nguồn: https://bankervn.com/dich-ly-lich-tu-phap/
Based on the Law on Criminal Record dated June 17, 2009;
Based on the Decree No. 111/2010/ND-CP on November 23, 2010 of the Government
regulating in details and guiding the provisions of the Law on Criminal Record;
Based on the Circular No. 13/2011/TT-BTP on June 27, 2011 of Minister of
Department of Justice promulgating and guiding the use of forms and samples of Criminal
Record;
Based on the Circular No. 16/2013/TT-BTP dated November 11, 2013 of Department
of Justice revising and supplementing some articles of the Circular No. 13/2011/TT-BTP on
June 27, 2011 of Minister of Department of Justice on promulgating and guiding the use of
forms and samples of Criminal Record;

CERTIFIES:
1. Full name: 2. Sex:
3. Date of birth:
4. Place of birth:
5. Nationality: Vietnamese
6. Permanent address:
7. Temporary address:

CE
8. ID Card/ Passport/ Citizen Identity Card:
RT Date of issue: Place of issue:
IFI
C 9. Full name of father:
A
TE
10. Full name of mother:
OF 11. Full name of wife/ husband: //
C
RI 12. Criminal status: No criminal conviction
MI
13. Information on prohibition from being in charge of positions, establishing,
N
A managing enterprises, co-operatives: Not prohibited from being in charge of positions,
L establishing, managing enterprises, co-operatives
RE
C
O Prepared by BY ORDER OF DIRECTOR
R (Signed) HEAD OF DIVISION OF CRIMINAL RECORDS
D (Signed and sealed)
N
O.
2
10/
Page 1
20
(This note consists of 1 page)
18
(Ci
rcu
lar