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Giay Sinh: (San CHHRH)
Giay Sinh: (San CHHRH)
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CAry. B0. D_ANG. KV
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Nsiy . thiing ......... ndm ............ CAN BQ DANG KV
(K!, ghi rd hq tln)
Ngiy . thdng ......... nam
TRUoNG CoNG AN TRUONG CONG AN
(Ki, ghi rd hs t6n vd ddng de:u) (K:i, shi rd ha ten ve ddns dlu)
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t6n gei khdc (ndu ....{... Hq vd tOn gqi khac (ndu c6):
Noi thudng tr0 tru6c khi chuydn d¤n: .....'a.. . thudng tr0 truOc khi chuydn ddn:
cAN'a0 oArue xV
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cAN B0 oArtte xY
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cAN B0 DANG KV
(K!, ghi rd hq t6n)
Ngiy . . thdng ......... ndm CAN BO DANG KV
(Ki, ghi rd ho t1n)
TRUoNG coNG AN...........
(Ky, shi rd no tc, ii'ii'ii'iiit
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HE VOI CHU HO:.. QUAN HE vOr cnO n0:...
Hg vi tOn: .. Hg vd t0n:
Hq vd tOn gqi kh6c (ndu co): Hg va t6n goi khdc (n1u c6):
Ngdy, thiing, narn ri4h:485 l. 5 i1Gi6i tinh: Ngdy, thilng, nim sinh: .............1 ..............1 ...................Gi6i tinh:
Nguy6n
Ddn
CAN BO DANG KV
(K,i, ghi rd ha tqn)
i;;; titain:rg nem
TRUdNG 0ONG AN
(K!, ghi rd ho tqn vd ddns ddu)
CAN BO DANG KV Ngiy ........ thdng ......... ndm ............ CAN BO DANG KY
(K!, ghi rd hq t¤n) NSiy ........thilng ......... nam
(Ky, ghi rd ho t,n)
TRUdNG CONG AN TRUoNG coNG AN ............
(gi, ghi td hQ tCn va ddns ddu) (Ki,, shi ro no tc, ui'iiis'iiil
CQNG HOA xA HQI CHU NGHIAvt{'rT NAM
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I. Ngucri su drlng d6t, chrl s& hfru nhi o vir tii sin g{n liAn vcri d6t
HQ Ong: TrAn Yin HuAn; SN:1971, SO CMND: 181838862
Ve bi: Phan Thi HuQ; SN:1916;SO CVnrfO: 187525631,
Dia chi thucrng tru: Xom Trung Nam A, xd Phric Thenh, huyQn YOn Thzrnh, I{A
BR 513530
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Ngudi dugc cdp G!6y chungrnh$:r $6ngduoc sua chfta, t6y x9a hopc b6 17539.13.01524
sung'bi1k! nQi dung nio trongrGiil, ihung,'nh{n; khi, bi nr6t'hoIc hu
h6ng Gi6y chungrnhpnphii,khaib6o,ngay vdi co quan cip Gi6y:
cQr{G HoA xA ngr cuU NcHiAvrpr,lta*r
ilia clri tirir,)':ltl,t:'li: rci:t'ir''i:ts l,i:.,rn .i.:::'r [',ii'r: liri:r,t. ]J. YiuThr',ttil, T. Ng.n6:+,'r:.
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a, Dja chi: xom Trung Nam A, xh PhircrThanh,, H.Y6n Thinh, T.NghO r\n.
b..Di6n tich su dpng: 427 m-;
BEng clrir: 86n trdm hai maoi bay. met'vuong,'' i' '
c, fiirtkr thuc su dung:
+ Sft dpng chung: 0' *1;
+ Sft Au"E ri6ng: ' 427, ,rr',
cl, Muc Aicir sri-Aung: . E6t <v:
200 m2; DAt TCL,N: 22-t m2;
c1, Thdi hpn su dpng D6t &: Ldu ddi; Ddt I-CLN: 50 n5m (ke ttr ngey c6p GCN).
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e, Ngudn gdc su dung:,i.{hi nudc cong nh&n QSD dat
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4. Rirng sitn xudt ld rirng tr:'dng:
5. Cdy l{iu niim;
6. Ghi chri:
Thua ddt chua duoc x6c dinh han mric dat cY.
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I I : .sung bft kf n$i dung nao trong Gi6y chrmg nhf,n; khi bimrtt ho{c hu i'7539.X2.tI1 14,99
h6ng Gi6y chrng nhan phei thaiUao ngav ,6T co quun .6p biiy.
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