HOUSE REGISTRATION

HOUSE REGISTRATION
PROVINCIAL ADMINISTRATION DEPARTMENT, MINISTRY OF INTERIOR

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HOUSE PARTICULARS Book No.1

House Code No. 9611-006338-0 Local Registration Office : PALURU DISTRICT
Address: HOUSE NO 68 Mooti 4
PALURU DISTRICT, SU-NGAI-PADEE DISTRICT,
NARATHIWAS PROVINCE

Village Name: House Name:

Type of House: HOUSE Description of house:

Date of stipulating the house number:

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Signature: (Mr. Netikorn Innoy) Registrar
Date of printing the house registration: 27 September 2002

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Book No: 1 List of persons of the house code no. 9611-006338-0 Serial No. 3

Name: MISS NULAILEE MALE Nationality: THAI Sex: FEMALE

ID No: 2-9611-00008-82-7 Status: RESIDENT Date of Birth: 24 August 1989

Name of natural mother: Saripha 3-9698-00051-93-3 Nationality: THAI

Name of natural father: Abdul-Nasay 3-9611-00071-79-9 Nationality: THAI

Transferred from: CIVIL HOUSE REGISTRATION DATABASE

Signature: (Miss Mr. Netikorn Innoy) Registrar

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**Transferred to