Thư Viện Dịch

                    HUSBAND

                          WIFE

Full name of wife:

Alias:

Date of birth:

Ethnic group: Kinh

Nationality: Vietnam

Occupation: Housewife

Permanent residence:

ID card or Passport No.:

Full name of husband:

Alias:

Date of birth:

Ethnic group: Kinh

Nationality: Vietnam

Occupation: Housewife

Permanent residence:

ID card or Passport No.:

Wife’s signature

(Signed)

Husband’s signature  

(Signed)

ON BEHALF OF TRUNG VAN COMMUNE

PEOPLE’S COMMITTEE

VICE PRESIDENT

(Signed and sealed)