Institution Name :

NGUYEN BINH KHIEM HIGH

SCHOOL
Degree obtained: (if applicable)
HIGH SCHOOL DIPLOMA
TEMPORARY CERTIFICATE OF HIGH SCHOOL
GRADUATION
Name of Official Completing Form
Ghi tn cn b trng xc nhn 2 bn dch ny
Telephone

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Authorized signature and seal

Date awarded: (month/yr)

07/2010
Mm/yyyy
Title
Chc danh ca ng hiu trng,
gio vin,
Email

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Date

Yes, the applicants academic transcript/statement of marks is attached to this for