CQNG HOA XA HQI CHU NGHiA VttT NAM

O{,c l~p - TY' do - H"nh phuc

SOCIALIST REPUBLIC OF VIET NAM
Independence - Freedom - Happiness

CAN GlfO'C CONG DAN .:-\-

Citizen Identity Card • f,

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He;> va ten / Full name:
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TRU'ONG THI THUYEN
Ngay sinh / Date of birth: 16/01 /2002
GiO'i tinh / Sex: NC, Quoc tjch I Nationality: Viet
. Nam
. .. .
Que quan I Place of origin; . 'f.
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Trung HU'ng, Yen •M9,.·Hllng Yen , · ··
4on.:1001/2027 NO'i thU'O'ng tru / Place ol residence: Thon £)~ Kt,~ ·:: ... .:
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g;~~,~P~fY.· -·,. - Trun~ HU'ng, Yen My, Hlfng Yen.: · ' · ·

 ~jf:~ ·'n1}runj~ng I Pe~~ona1 itlef!Wlcation:
'.~ ~f-O~r c ?,cm sau duo, mat tra, •
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;~Y,~il?g, nam / Date, month, year: 01109/2021
.. -:''. . . ·. '--, eye TRU'O'NG CUC cANH SAT
:~ '. ~ . •: .:. QUAN LY HANH CHiNH ·v ~ TRAT Tlf XA HOI
•-~· ::,... ~- ·-..\ _ ;_DIRECTOR GENERAL OF THE POLICE DEPAAh.tfNT •
• . ;, • -.; ,,_. · , FOR_A~f'IISTRA n VE AIAW.GEMEN OCIAL ORDER

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I DVNM3020004595033302000459<<7'~- ,
0201162 f 2701161 VNM<<<<<<.<·<<<<8 ··:·· ~:
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 HIEN MAU CIJU NGU'OI CQNG HOA XA HQI CHU NGHIA Vl~T NAM
09c l~p - Tl! do · H~nh phuc
MQT NGHiA CU CAO Df;P
1. Giay chu•ng nh$n nay dU'Q'C trao cho ngLI'&i hien mau sau GIAY CHUNG NH~N
moi Ian hien mau tinh nguy$n. HIEN MAU TINH NGtniN
2. C6 gia tr/ de dU'Q'C truyen mau mien phi bang so IU'Q'ng BCD v?n d('mg hi~n mau tinh nguy¢n Thanh ph 6 Ha N(li
mau da h~~n, khi ban than ngU'&i hien mau c6 nhu cau s& dt,mg Chfrng nh~n: A
mau lc;li tat ca cac CO' so y le c6ng I$p tren loan quoc. ~~.O~fa.W.t. ..J\\\t{~.N.. ........................
Ong/Ba :...
3. NgU'&i hien mau can xuat trinh Giay chll'ng nh$n nay de Sinh ngay:..... J~..... ./. ......V.A. ...... ./. ... o2.0~.~ ....
lam ca s& cho cac ca s& y le lhl)'c hi$n vi$c truyen mau mien phi. So CMND : ...0.~?..)..0.~ ..0.Q.Q.4;-_5.:0., ........... ..... .
4. Ca s& y te c6 trach nhi$m ky, d6ng dau, xac nh$n so 0/a chi: ,.1~... 1\.~ ..... ...~fu...Nf.... ..........
IU'qng mau da truyen mien phi cho ngU'&i hien mau vao giay ··· ····it~..:t¼.•... .:... ....... ......... ......................... ........ ..
chLFng nh$n. Da hien mau tinh nguy~n
Ti;li ca s& tiep nh$n mau: Vi$n Hu et h c - Truyen mau Trung U'O'ng
CHUNG NH!N CUA co soy TE s6 ILPQ'ng : 25 0ml O ..........................
oA TRUYEN MAu Ngl1'6'i b$nh • n ai cua Ong/Ba .
Ngay.......... thang .. .. .... ..nam ...... .... .thang .. ..f.nam .~ .
• PH6 TRlfONG BAN TT
S6 IU'Q'ng: .... .............. ......ml

So: -sl 19 . HQI CHU' TH~P 00 TP HA NQI

Dao Ng9c Tri~u
 C()NG HOA XA H()I CHU NGHiA Vl~T NAM
D<)c lip-Tlf do- H~mh phuc

DON XIN xAc N~N

HOAN CA.NH GIA DINH KH6 KHAN

Kinh gm: UBND xa Truog Htrng

Ten toi la: Luy~n Thi S\1 sinh nam: 1977

Dia chi: Thon D~o Khe - xa Trung Hung - huy~n Yen My - tinh Hung Yen
Toi viJt dan nay xin xac nh~ cho gia dinh toi thU<)c di~n boan canh kh6 khan.
Ly do: Gia dinh toi sinh dugc 3 chau, vg ch6ng toi lam ru9ng va cong an
vi~c lam khong 6n dµih.
Chau 16n nha toi ten la Truang Thi Thoan sinh nam 1999 bi b~nh u nao ac
tinh tu nam 2015 phai ph~u thu?t ab~nh vi~n Vi~t Due.
Nam 2017 chau 1~ bi u nao tai phat phai ph~u thu?t l~ 2, gia dinh toi di vay
mugn dS chua ch~y cho chau, hi~n t~i chau bay gicr dang di~u t:tj t~i b~nh vien K.3
Tan Tri~u thinh thoang chau bi len can d(mg kinh.
Chau thu hai ten la Truang Thi Thuyen sinh nam 2002 chau di h9c t?p thS
dvc thl l~i bid~ xuang svn l~i phai di ph~u thU?t (J vi~n Vi~t Due.
Chau thu ba ten la Truang Cong Thao sinh nam 2006.
V?Y toi lam dan nay kinh mong UBND xa Trung Hung xac nh~n cho gia
dinh toi thu9c di~n gia dinh kh6 khan.
Toi xin cam doan rn)i dung trlnh bfty tren la dung, n~u sai toi xin hoan toan
chiu trach nhi~m truac phap lu?t.
Toi xin chan thanh cam 011!
Trung Hung, ngay 18 thdng 8 niim 2021
Ngtroi lam dO'n

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