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Certificate of Family Relations(detailed)

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Original Domicile 한국의 등록기준지(본적지)

Category Name Date of Birth Resident Registration No. Sex Origin of Surname

Self 본인성명 생년월일 주민등록번호 성별

Family Details

Category Name Date of Birth Resident Registration No. Sex Origin of Surname

Father 부친성명 생년월일 주민등록번호 Male 본

Mother 모친성명 생년월일 주민등록번호 Female 본

Spouse 배우자성명 생년월일 주민등록번호 성별 본

Child 자녀성명 생년월일 주민등록번호 성별

Child 자녀성명 생년월일 주민등록번호 성별

Certificate of Family Relations(detailed)

[The Embassy of the Republic of Korea]

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

MM.DD.YYYY

Family Registry Officer Geum Pyo Hong [Official Seal Affixed]

Overseas Korea Family Registration, National Court Administration

(만약 구/동/면사무소에서 발행한 서류의 경우 해당부서 영문기재)

※ The above certificate is a detailed certificate which is in accordance with Paragraph 3 of Article 15 of [Act on the Registration etc. of Family Relationships].

Time of Issue: HH:MM Official in Charge: Name Tel: XX-XXX-XXXX Applicant: Name

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This is to certify that the aforementioned Certificate was issued by a Public Certified Electronic Mail System. MM.DD.YYYY

The Embassy of the Republic of Korea [Official Seal Affixed]

Paid $1.50 to the Embassy of the Republic of Korea

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