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Basic Certificate

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Basic Certificate

Original Domicile

Category Details

The First Recording in Register

[Date of the First Recording in the Family Relations Register]

[Reason of the Recording]

Changes of the Recording

[Date of the Change]

[Prior Original Domicile]

[Managing Office]

Category

Name Date of Birth Resident

Registration No. Sex Origin of Surname

Person

General Registration Details

Category Details

Birth

[Place of Birth]

[Report Date of the Birth]

[Person who Reported the Birth]

Reinstatement of Nationality

[Permission Date of the Reinstatement of Nationality]

[Prior Nationality before the Reinstatement of Nationality]

[Report Date of the Reinstatement of Nationality]

[Person who Reported the Reinstatement of Nationality]

[Sending Date]

[Sender]

Change of Name

[Permission Date of the Change of Name]

[Court which Permitted the Change of Name]

[Report Date of the Change of Name]

[Person who Reported the Change of Name]

[Prior Name before the Change of Name]

[Changed Name after the Change of Name]

Correction

[Date of Ex Officio Correction Recording]

[Date of Correction]

[Prior Resident Registration Number before the Correction]

[Corrected Resident Registration Number after the Correction]

[Managing Office]

This is to certify that the aforementioned Basic Certificate is true to the records of the Family Relations Register of the Republic of Korea.

. . .

Chief of Office

Name of the Office

Official Seal Affixed

참조

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