PEOPLE’S COMMITTEE Socialist Republic of Vietnam Form HT12/P3

Village, Ward Six Independence – Freedom – Happiness Decision no.

Commune, District Eight Date
Province, City Ho Chi Minh No. 12
Archive 1/1986

MARRIAGE CERTIFICATE

HUSBAND WIFE

Full name Nguyen Chi Thien Nguyen Bich Thuy

Alias / /

Date of birth or age 01 – 04 – 1957 11 – 25 – 1960

Ethnic group Kinh Kinh

Nationality Vietnamese Vietnamese
Occupation Officer Teacher
Place of
Permanent residence DD11 Bac Hai Housing Project 025B Pham The Hien Apartment Building
Ward 25, District 10, HCMC Ward 6, District 8, HCMC

ID Card or Passport no.: 020959239 020915436

Registered on June 23, 1986

Signature of the husband Signature of the wife On behalf of People’s Committee of Ward 6
[signature] [signature] Chairperson
Ng Chi Thien Nguyen Bich Thuy [signature]
Pham Van Tien

[Seal: PEOPLE’S COMMITTEE OF

WARD 6, DISTRICT 8, HO CHI MINH
CITY]