Mẫu vietnam autogate declaration form (Mẫu số M02 - Nghị định 77/2020/NĐ-CP của Chính phủ)
Mẫu M02
| Photograph, size 4x6 cm, shall be less than six months old, looking directly at the camera, do not wear glasses | VIETNAM AUTOGATE DECLARATION FORM (for foreigner who have been granted permanent or temporary residence card) |
1. Full name (in capital letters): ............................................................................
2. Sex (male, female):............................................................................................
3. Date of birth (day, month, year):.................................. /............... /.............
4. Nationality at birth:...........................................................................................
5. Current nationality:............................................................................................
6. Occupation:.......................................................................................................
7. Employer and business address: ……………………………………………… ………………………………………………….......................................................... ..
8. Permanent/temporary residential address in Vietnam: ……………………… …………………………… ................................................. …………………………..
9. Telephone number:.............................................. Email:...................................
10. Passport number:.............................................................................................
Issuing authority:.................................. Expiry date: ………../………/…………
11. Vietnam Permanent/Temporary Residence Card number: .............................
Issuing authority:.................................. Expiry date: ………../………/…………
I declare to the best of my knowledge that all the above particulars are correct.
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Done at………… date …../…../….. The applicant’s signature and fullname |
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