TRADUCTION

Form No. 07/2013/TT-LLTP

PEOPLE’S COMMITTEE OF BA RIA – VUNG TAU PROVINCE SOCIALIST REPUBLIC OF VIETNAM
DEPARTMENT OF JUSTICE Independence – Freedom – Happiness
No.: 4033/STP-LLTP Ba Ria- Vung Tau, on April 5th, 2024

CRIMINAL RECORD CERTIFICATE NO.2

Based on the Law on Criminal Record dated June 17th, 2009;
Based on Decree No. 111/2010/ND-CP dated November 23 rd, 2010 of the Government detailing regulating in
details and guiding the provisions of the Law on Criminal Record;
Based on the Circular No. 13/2011/TT-BTP dated June 27 th, 2011 of Minister 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 th, 2013 of Minister of Justice amending,
supplementing some articles of Circular No.13/2011/TT/BTP dated June 27 th, 2011 of Minister of Justice
promulgating and guiding the use of forms and samples of Criminal Record;
CERTIFICATE OF CRIMINAL RECORD NO. 2

HEREBY CERTIFIES:
1. Full name: HO THI NGOC TUOI 2. Gender: Female
3. Date of birth: 17.02.1995
4. Place of birth: Ba Ria – Vung Tau
5. Nationality: Vietnamese
6. Permanent address: 115/58/7/2 Le Loi, Thang Nhi Ward, Vung Tau City, Ba Ria – Vung Tau Province
7. Temporary address: //
8. ID Card/Passport/ Citizen Card: Passport No.: C6644333
.

issued on February 23rd, 2019 by Vietnam Immigration Department

(Circular No. 13/2011/TT-BTP)

9. Father’s full name: HO Ngoc Tham

10. Mother’s full name: CHAU Thi Thuy Tien
11. Wife/husband’s full name: //
12. Status of conviction: No criminal conviction.
13. Information on prohibition from being in charge of positions, establishing, managing enterprises
or co-operatives: Not prohibited from being in charge of positions, establishing, managing enterprises or
co-operatives.
P.P THE DIRECTOR
VICE-DIRECTOR
Signature
(signed and sealed)
LE Pham Minh Chi
PHAM Hong Phuc
Page 1
(This Certificate consists of one page)