House Registration

HOUSE REGISTRATION
PROVINCIAL ADMINISTRATION DEPARTMENT, MINISTRY OF INTERIOR

HOUSE PARTICULARS Book No. 1

House Code No.9105-003134-2 Local Registration Office: LA-NGU DISTRICT

Address: HOUSE NO. 163 Mooti 4

TAMBON LA-NGE, MUEANG DISTRICT, SATUN PROVINCE

Village Name: - House Name: -

Type of House: HOUSE Description of house: -

Date of stipulating the house number:
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Signature: (Mr. Theerawat Denburnna.) Register

Date of printing the house registration: 27 July 2002

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Book No. 1 List of the house code no. 9105-003134-2 Serial No.8

Name: MISS YAMEENA USSAMA Nationality: THAI Sex: FEMALE

ID No: 1-9105-00063-44-3 Status: RESIDENT Date of birth: 09 March 1989

Name of natural mother: Yura 3-9105-00410-27-1 Nationality: THAI

Name of natural father: Solah 3-9105-00410-31-0 Nationality: THAI

Transferred from: CIVIL HOUSE REGISTRATION DATABASE

Signature: (Mr. Theerawat Denburnna.) Register
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** Transferred to