Consolidated Document number 15/VBHN-BYT stipulates the issuance and use of the Birth Certificate.

MINISTRY OF HEALTH -------	SOCIALIST REPUBLIC OF VIET NAM Independence - Freedom - Happiness ---------------
Number: 15/VBHN-BYT	Hanoion 28 the 10 year 2019

 

CIRCULAR

REGULATIONS ON THE ISSUE AND USE OF BIRTH CERTIFICATES

Circular No. 17/2012/TT-BYT dated October 24, 2012, issued by the Minister of Health on the issuance and use of Birth Certificates, which took effect from January 1, 2013, has been amended and supplemented by:

1. Circular No. 34/2015/TT-BYT dated October 27, 2015, issued by the Minister of Health to amend and supplement Article 2 of Circular No. 17/2012/TT-BYT dated October 24, 2012, issued by the Minister of Health on the issuance and use of Birth Certificates, which took effect from December 14, 2015;

2. Circular No. 27/2019/TT-BYT dated September 27, 2019, issued by the Minister of Health to amend certain provisions of Circular No. 17/2012/TT-BYT dated October 24, 2012, issued by the Minister of Health on the issuance and use of Birth Certificates, which took effect from December 1, 2019;

Pursuant to Decree No. 63/2012/NĐ-CP dated August 31, 2012, promulgated by the Government on the functions, tasks, powers, and organizational structure of the Ministry of Health;

Decree No. 1Decree No. 58/2005/NĐ-CP dated December 27, 2005, promulgated by the Government on registration and management of household registration records;

Decree No. 06/2012/NĐ-CP dated February 2, 2012, promulgated by the Government amending and supplementing certain articles of decrees on household registration, marriage, family relations, and notarization;

Appendix 02 attached to this Circular.

The Minister of Health hereby issues this Circular on the issuance and use of Birth Certificates as follows:1

Article 1. Scope of Regulation

This Circular stipulates the authority and procedures for issuing and reissuing Birth Certificates; printing and providing models of Birth Certificates; recording Birth Certificates and reporting statistical data on Birth Certificate issuance.

Article 2. Authority and Procedures for Issuing and Reissuing Birth Certificates

1. Authority for Issuing and Reissuing Birth Certificates

a) General hospitals with obstetric departments; specialized obstetric hospitals; maternity and pediatric hospitals;

b) Midwifery houses;

c) Commune health centers;

d) Other legitimate medical examination and treatment facilities permitted to provide delivery services.

2. Procedures for Issuing Birth Certificates

a)2 Prior to the newborn's return home, the medical examination and treatment facility specified in Clause 1 of this Article shall be responsible for fully filling out the Birth Certificate model at Appendix 01 or Appendix 01A attached hereto. The father, mother, or close relative of the child must read and check the information before signing. The Birth Certificate shall be made in two copies of equal legal value, one copy given to the father, mother, or close relative of the child for birth registration purposes and one copy retained by the medical examination and treatment facility.No.The mother or close relative of the child shall handle the birth registration procedures and retain one copy at the medical facility.

b)3 In cases where the child is born outside a medical examination and treatment facility but delivered by a healthcare worker or midwife, rock commune rock the father, mother, or caregiver of the child must fill out the Application Form for Birth Certificate according to the model prescribed in Appendix 02 attached hereto and submit it to the commune health center where the child was born to request a Birth Certificate for the child. Within three working days from the date of receipt of the Application Form for Birth Certificate, the commune health center must process the issuance of the Birth Certificate for the child. If verification is required, the verification period shall not exceed five working days. The issuance of the Birth Certificate shall be carried out in accordance with point a of Clause 2 of this Article.policiesward must process the issuance of the Birth Certificate for the child. In cases requiring verification, the verification period shall not exceed five working days. The issuance of the Birth Certificate shall be carried out in accordance with point a, Clause 2 of this Article.

c)4 In cases where the child is born through assisted reproductive technology, the Couple Seeking Surrogacy or the Surrogate Mother must submit the Confirmation of Birth by Assisted Reproductive Technology according to Appendix 05 attached hereto and a certified copy or a copy with the original for comparison of the Agreement on Altruistic Surrogacy between the Couple Seeking Surrogacy and the Surrogate Mother to the medical examination and treatment facility where the child was born.ỹ surrogacy, the Surrogate Couple Party or the Surrogate Mother Party must submit a confirmation regarding the birth of the child through kỹ The child born through assisted reproductive technology will be issued a Birth Certificate according to Model 01A attached hereto. This Birth Certificate serves as proof of surrogacy when registering for birth registration.

The child born from the implementation of kỹ The issuance of the Birth Certificate shall be carried out in accordance with Point a of Clause 2 of this Article.

3. Procedures for Reissuing Birth Certificates

a) In cases where a Birth Certificate has already been issued but errors were found in the recording of the Birth Certificate: the father, mother, or close relative of the child must submit an Application for Reissuance of Birth Certificate according to the model prescribed in Appendix 03 attached hereto, along with evidence of the error to the medical examination and treatment facility that initially issued the Birth Certificate. Within two working days from the date of receipt of valid documents, the medical examination and treatment facility shall be responsible for recalling and canceling the erroneous Birth Certificate, and the application form and evidence of the error shall be kept together with the old retained copy at the medical examination and treatment facility. The reissued Birth Certificate must clearly indicate the number and volume number of the previous Birth Certificate and bear the stamp "Reissued". If verification is required, the verification period shall not exceed three working days.

Evidence of the error: in cases of errors regarding the mother's or caregiver's name, year of birth, place of permanent residence registration, ID card number, or ethnicity, a photocopied ID card (with the original for comparison) must be submitted; in cases of errors regarding temporary residence registration, a confirmation from the local police station about the place of temporary residence must be submitted.on may request to reissue the Birth Certificate according to the model prescribed in Appendix 03 issued together with this Circular, along with proof of the error sent to the medical facility that initially issued the Birth Certificate for the child. Within two working days from receiving valid documents, the medical facility is responsible for recalling and canceling the erroneous Birth Certificate, and storing the application form and supporting documents together with the old retained copy at the medical facility. The reissued Birth Certificate must clearly state the number and volume number of the original Birth Certificate and bear the stamp "Reissued". In cases requiring verification, the verification period shall not exceed three working days.

b) In cases where the Birth Certificate is lost, torn, or damaged: the father, mother, or close relative of the child must submit an Application for Reissuance of Birth Certificate according to the model prescribed in Appendix 03 attached hereto, accompanied by a confirmation from the Ward People's Committee Head or Village Chief about the birth and current residence status within the residential area, to be submitted to the medical examination and treatment facility that initially issued the Birth Certificate. Within two working days from the date of receipt of the application, the medical examination and treatment facility shall be responsible for reissuing a new Birth Certificate as in the case of an erroneous Birth Certificate. If verification is required, the verification period shall not exceed three working days.No.(ID card); in cases of confusion regarding the temporary residence registration, a confirmation from the local police station about the temporary residence registration must be attached.

b) In case of loss, damage, or deterioration of the Birth Certificate: the father, mother, or close relative of the child must submit an Application for Reissuance of the Birth Certificate according to the model prescribed in Appendix 03 issued together with this Circular, accompanied by a confirmation from the Ward Chief or Village Head regarding the birth and current residence of the child within the residential area. Within two working days from receiving the application, the medical facility is responsible for issuing a new Birth Certificate as in the case of reissuing a Birth Certificate with errors. In cases requiring verification, the verification period shall not exceed three working days.No.The Birth Certificate booklet is A4 size (210

Article 3. Printing and Providing Sample Birth Certificates

1. The Birth Certificate is pre-printed and bound into books. The size of the Birth Certificate is A4 paper (210 x 297 mm). Each page in the book is divided into two identical parts to record information related to live-born children. In cases where healthcare facilities are using management software, it is not necessary to bind them into books, but they must ensure that Birth Certificates are printed and provided according to the model specified in this Circular. Provincial People's Committees set specific prices297 mm). Each page in the booklet is divided into two identical parts to record information related to children born alive. In cases where medical facilities are using management software, it is not necessary to bind them into booklets, but they must ensure printing and issuing Birth Certificates according to the model prescribed in this Circular. x The Department of Health of the province or centrally-administered city is responsible for planning the printing and providing free samples of the Birth Certificate to health stations at the commune level. Other medical facilities print and use them on their own.

The Ministry of Health's electronic portal. The Department of Health of the province or centrally-administered city and other medical facilities can access the

Article 4. Recording Birth Certificates

The recording of Birth Certificates shall be carried out in accordance with the guidelines set forth in Appendix No. 04 issued together with this Circular.

Article 5. Reporting Statistics on Issued Birth Certificates

1. The content of the report on statistics for issued Birth Certificates includes:

a) Total number of live-born children;

b) Total number of live-born children issued Birth Certificates;

c) Difficulties and issues encountered when recording and issuing Birth Certificates.

2.5 The reporting of the contents stipulated in Clause 1 of this Article shall be conducted in accordance with the regulations of the Minister of Health regarding health statistics reporting.

Article 6. Implementation Provisions

6

This Circular takes effect from January 1, 2013.

The sample Birth Certificate is published on the Ministry of Health's electronic information portal. Provincial Departments of Health and other healthcare facilities can access the Ministry of Health's electronic information portal to print and use it. CMinistry of Health's electronic portal to print and use. CGovernment Portal);

During implementation, if there are any difficulties or new issues requiring clarification and guidance, please reflect them to the Ministry of Health (Department of Maternal and Child Health) for research and resolution./.

 

Place of Receipt: - Office of the Government (Government Gazette, Government Electronic Information Portal); Cthe electronic government portal); - Minister (for signature); - Ministry of Health Electronic Portal; - To be filed: VT, PC, Department of Maternal and Child Health.

CERTIFIED CONSOLIDATED DOCUMENT DEPUTY MINISTER DEPUTY MINISTER Nguyen Truong Son

ANNEX NO. 01

MINISTRY OF HEALTH REGISTRATION OF ISSUANCE OF BIRTH CERTIFICATES (Annexed to Circular No. 17/2012/TT-BYT dated October 24, 2012 of the Minister of Health) BYT/CS-2012 Province: ....................................................... District: ................................................... Commune/Ward: ............................................ Name of Healthcare Facility: ........................................ Book number: ................................................. LIST OF REGISTRATION FOR ISSUING PROFESSIONAL MILITARY PERSONNEL AND RESERVE NON-COMMISSIONED OFFICER AND SOLDIER CARDS..................................

 

Appendix No. 01

Healthcare Facility .................................. Model BYT/CS-2017 Number: ........................ Book number: ......................   BIRTHứCERTIFICATE7 (Annexed to Circular No. 56/2017/TT-BYT dated December 29, 2017 of the Minister of Health) Full name of mother/custodian:ẹ/Custodian:................................................... Year of birth:...................................................................................... Place of permanent residence:................................................................. ………………………………………………………………………………….. - Social Insurance Number/Health Insurance Card No.:........................................................... ID Card/Identity Card/Passport No.:|||Date of issue:.......................................... Place of issue:………./ ………./…………..Ethnicity:............................... Father's name:|||c: ........................................................................................ HBriefing signed on February 18, 2025 and father's name: ............................................................................... Born at: ... hours ... minutes, on…. month…..năm……………….. At:... Number of children born this time:.............................................................. Gender of child:………………………..Weight:ặbeen............................ DitselfandcouncillORSfor acquisition, reacquisition, or renunciation of Vietnamese nationality.ặchild's name is: ................................................................... Note: ......................................................................................... ……..,Name of child:20.... day ... month ... year Mother, father, custodian Midwife Mother, father, custodian (Signature, full name) Person recording (Signature, full title) (Sign, write clearly their full name and stamp)   Head of Healthcare Facilityintention: Fileof the Government stipulating functions, tasks, powers, and organizational structure of the Ministry of Home Affairs- First issuance of Birth Certificate: No.:         Book No.:           (if reissued) - Proposed name:changeablewhen đmay be changedđ fromđwhen registering birth. - Within 60 days from the date of birth, the father/mother or custodian must register the birth for the child. the day of birth, father/mother or caregiverto handle the birth registration for theng||| COMMISSIONS IN THE FORM OF GOODS rockDeputy Directors,n liđ(Signature, clearly stating positionDepending on the scale of housing, surveying for construction shall be conducted in accordance with the following regulations:

Healthcare Facility SOCIALIST REPUBLIC OF VIET NAM Independence - Freedom - Happiness --------------- Model BYT/CS-2017 Number: ........................ Book number: .................   BIRTHứCERTIFICATE (Annexed to Circular No. 56/2017/TT-BYT dated December 29, 2017 of the Minister of Health) Full name of mother/custodian:ẹ/Custodian:....................................................... Year of birth:.......................................................................................... Place of permanent residence:.................................................................... ......................................................................................................... - Social Insurance Number/Health Insurance Card No.:............................................................... ID Card/Passport:|||(Signature, full title).............................................. Place of issue:………./ ………./…………..Ethnicity:................................... Father's name:|||c: ............................................................................................ HBriefing signed on February 18, 2025 and father's name: ................................................................................... Born at: ... hours ... minutes, on…. month…..năm………………. At:... Number of children born this time:................................................................. Gender of child:………………………..Weight:ặbeen................................ DitselfandcouncillORSfor acquisition, reacquisition, or renunciation of Vietnamese nationality.ặchild's name is: ...................................................................... Note: ............................................................................................ ……..,Name of child:20.... day ... month ... year Mother, father, custodian Midwife Mother, father, custodian (Signature, full name)                                                 …, date  … month …. year 20……       Head of Healthcare Facility (Signature, stamp and full name)   Head of Healthcare Facilityintention: - Proposed name:changeablewhen đmay be changedđ fromđwhen registering birth. - Within 60 days from the date of birth, the father/mother or custodian must register the birth for the child. the day of birth, father/mother or caregiverto handle the birth registration for theng||| COMMISSIONS IN THE FORM OF GOODS rockDeputy Directors,n liđ(Signature, clearly stating positionDepending on the scale of housing, surveying for construction shall be conducted in accordance with the following regulations:

__________________________

⁷ This form is replaced by Appendix 5 of Circular No. 56/2017/TT-BYT dated December 29, 2017 of the Minister of Health detailing the implementation of the Law on Social Insurance and the Labor Safety and Health Law in the field of health, effective from March 1, 2018

 

Appendix No. 01A

Healthcare Facility ............................... Model BYT/CS-2015 Number: …………….…… Book number: ……….… BIRTH CERTIFICATE (Annexed to Circular No. 34/2015/TT-BYT dated October 27 2015 of the Minister of Health) 1. Information of the party seeking surrogacy: Full name of wife: … Year of birth: … ID No./Passport No.: …Ethnicity: … Place of permanent residence: … Full name of husband: …Year of birth: … ID No./Passport No.: …Ethnicity: … Place of permanent residence: … 2. Information of the surrogate mother Full name of wife: … Year of birth: … ID No./Passport No.: …Ethnicity: … Place of permanent residence: … Full name of husband: …Year of birth: … ID No./Passport No.: …Ethnicity: … Place of permanent residence: … Born at: …hours …minutes …day …month …year … At: ... Number of children born this time:… Gender of child: …Weight … Intended name of child: …                                                                                  …, date  … month …. year 20…… Surrogate Mother Mother, father, custodian Person requesting surrogacy Mother, father, custodian Midwife Mother, father, custodian Head of Healthcare Facility (Signature, full title)   Note: First issuance of Birth Certificate: No. …Book No. …(if reissued)

Healthcare Facility ............................... SOCIALIST REPUBLIC OF VIET NAM Independence - Freedom - Happiness --------------- Model BYT/CS-2015 No.: … Book number: ……….… BIRTH CERTIFICATE (Annexed to Circular No. 34/2015/TT-BYT dated October 27 2015 of the Minister of Health) 1. Information of the party seeking surrogacy: Full name of wife: … Year of birth: … ID No./Passport No.: …Ethnicity: … Place of permanent residence: … Full name of husband: …Year of birth: … ID No./Passport No.: …Ethnicity: … Place of permanent residence: … 2. Information of the surrogate mother Full name of wife: … Year of birth: … ID No./Passport No.: …Ethnicity: … Place of permanent residence: … Full name of husband: …Year of birth: … ID No./Passport No.: …Ethnicity: … Place of permanent residence: … Born at: …hours …minutes …day …month …year … At: ... Number of children born this time:… Gender of child: …Weight … Intended name of child: … stamped and clearly stating full name) Surrogate Mother/Person requesting surrogacy Mother, father, custodian Midwife Mother, father, custodian (Signature, full name) (signature, full title and stamp and full name) name) Head of Healthcare Facility (Signature, ID card/Citizen Registration Code:   Annotation The child born is the child of the party (husband and wife) requesting surrogacy The proposed name of the child (as determined by the party requesting surrogacy) may be changed when registering the birth, Within 60 days from the date of birth, the father/mother must register the birth for the child.

__________________________

⁸ This form was added pursuant to Clause 2 of Article 1 of Circular No. 34/2015/TT-BYT, effective from December 14, 2015.

1. Accounting regulations for tourism administrative and public service units issued together with Decision No. 1899/1998/QĐ-BTC dated December 19, 1998 of the Minister of Finance;

⁹

(Annexed to Circular No. 27/2019/TT-BYT dated September 27, 2019 of the Minister of Health)

SOCIALIST REPUBLIC OF VIET NAM
Independence - Freedom - Happiness
---------------

Application for registration of groundwater extraction works (for cases of extracting water for purposes with a scale not exceeding 10 m

Application for Issuance of Birth Certificate

(For cases where the child is born outside a healthcare facility but attended by medical staff or midwives)Depending on the scale of housing, surveying for construction shall be conducted in accordance with the following regulations:)

Respectfully submitted to: Commune Health Station⁽¹⁾..........................

My name is: .............................................................................

ID No./Citizen Identification Card/Passport/Residence Registration Code:||| Mother's name/caregiver:… ...........................................

Fax: ...........................................................................................

Request for issuance of Birth Certificate as follows:

Full name of mother/custodian: ..........................................................

Year of birth: ..........................................................

ID No./Citizen Identification Card/Passport/Residence Registration Code:||| Mother's name/caregiver:… ..........................................................

Date of issuance: ....../...../.............. Place of issuance: ..........................................................

Place of permanent residence/temporary residence ..........................................................

Ethnicity: ..........................................................

Born at: ......hours ......minutes, day.... the...... year: ....................

Location: ..........................................................

Number of children born this time: ..........................................................

Gender at birth: .......................................... Weight: ...........................................

Proposed name of child: ..........................................................

Midwife: ..........................................................

 

............(2)on .... the ..... Pursuant to Decree No. 32/2019/NĐ-CP dated April 10, 2019 of the Government on assigning tasks, procurement or tendering for the supply of products and services using state budget from regular operating expenses; ...... Applicant  and stamped)intention (Record name, full name and relationship to the child)

 

 ⁽¹⁾: Record commune/ward/district where the child was borncouncillORS : Record commune/ward/district where the person requesting the Birth Certificate resides

⁽²⁾This appendix was amended pursuant to Clause 3 of Article 1 of Circular No. 27/2019/TT-BYT, effective from December 1, 2019

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⁹ (Annexed to Circular No. 17/2012/TT-B

 

Annex No. 03

YT dated October 24, 2012Reissue of Birth Certificate of the Minister of Health)

SOCIALIST REPUBLIC OF VIET NAM
Independence - Freedom - Happiness
--------------

PETITION FOR APPLICATION

Full name of mother/custodian:

Respectfully submitted to:

……………………………………………………………………… ………………………………………………………………………

Signature, clearly stating position and full name

National ID/Passport Number:…

Address: …

……………………………………………………………………………………………………….

Date of Birth of Child: day:…month:…year: 20…

At:...

……………………………………………………………………………………………………….

Proposed Name of Child: …

The issuing authority has issued the Birth Certificate for the child in month…….year…Request to reissue the Birth Certificate for the child because:

1- Lost/Damaged □

2- Mistake in the previous Birth Certificate □ (Specify the mistake): …

………………………………………………………………………………………………………

………………………………………………………………………………………………

3- Other □ (Specify): …

……………….………………………………………………………………………………………

………………………………………………………………………………………………

 

Confirmation by Ward Chief/Village Head (Signature, full name)

…, day…….month…year 20… Applicant (Signature, full name)

 

Appendix 04

¹⁰

GUIDELINES FOR FILLING OUT THE BIRTH CERTIFICATE

(Annexed to Circular No. 56/2017/TT-BYT dated December 29, 2017 of the Minister of Health)policies)

1. Cơ (i) Name, headquarters address, contact phone number of the parties signing the contract; KB, CB: Clearly state the name of the medical facility. Example: Health Station A or County B General Hospital.

2. Number: Clearly state the Birth Certificate number in sequence within the year using two characters.No.. Example: For a newborn born on September 1, 2019, the Birth Certificate will be numbered asNo.ng sNo. 2019/85 Provincial People's Committees set specific pricesClearly state the

3. Book number: volume according to the continuous numbering of the birth certificate books issued by the healthcare facility.No. Example: On August 31, 2019, Health Station A used up Book No. 5. On October 1, 2019, Health Station A issued the first case of a newborn with Book No. 6 (of Health Station A), then the Birth Certificate will be numbered aspolicies2019/6shall Full Name of Mother or Foster Parent:No.Write the mother's name as stated on the original ID card or citizen identity card or passport in uppercase letters, with signature.No. Example: NGUYỄN THỊ A. ID Number:No.: 06

4. Write the year of birth of the mother or foster parent according to the Gregorian calendar. rockExample: 1990 Write the permanent residence registration address according to the four-level administrative division: Village/Township, District/County, Province/City. In cases where the mother or foster parent is temporarily residing at the place where the child was born, clearly indicate temporary residence according to the four-level administrative division.

5. Year of birth: In cases where foreign nationals have registered permanent or temporary residence in Vietnam, write it similarly to Vietnamese citizens. In cases where foreign nationals have not registered permanent or temporary residence in Vietnam but reside in border areas and give birth at Vietnamese healthcare facilities, write the name of the province and country where they are currently living.

6. Place of permanent residence: Social Insurance Number/Health Insurance Card Number:

Write the social insurance book number or social insurance number. If there is none, clearly state None.

The application of writing the social insurance number only applies when the social insurance agency officially announces the use of the social insurance number instead of the social insurance book number..National ID (ID)/Citizen Identity Card/Passport Number:

Clearly state the ID number or citizen identity card number or passport number of the mother or foster parent. In cases where there is no ID or citizen identity card or passport, leave blank.

7. Only apply the rule of writing the ID number or citizen identity card number or passport number until the social insurance agency officially announces the use of the social insurance number instead of the health insurance card number. Issuing Date:

Clearly state the full date of issuance of the ID or citizen identity card or passport of the mother or foster parent.

8. Issuing Authority:||| Clearly state the issuing authority of the ID or citizen identity card or passport of the mother or foster parent. Clearly state the ethnic group of the mother or foster parent such as: Kinh, Tay, Nung, Han or other ethnic groups.policiesFather's Full Name:

(Write according to the original ID or citizen identity card or passport of the father. In cases where the father does not have identification or information, clearly state No Information. The healthcare facility is not responsible for errors in the father's information.No. Place of Birth:policiesClearly state the place of birth of the child, specifically:No. a) In cases where the child is born in a hospital, write the name of the hospital and the administrative location where the child was born

9. Date of issuance: Example: Nam Dinh Provincial General Hospital). In cases where the child is born in another healthcare facility, write the name of the healthcare facility and the three-level administrative location where the child was born

10. N |||oExample: Health Station Lien Bao, Vu Ban District, Nam Dinh Province). b) In cases where the child is born at home but assisted by a healthcare worker or midwife from the village, write the home address and the three-level administrative location: township/district, county/province/city

11. Ethnicity: Example: At home in Lien Bao Township, Vu Ban District, Nam Dinh Province);

12. c) In cases where the child is born elsewhere outside a healthcare facility but assisted by a healthcare worker or midwife from the village, also write the place of birth and the three-level administrative location Example: Born on the road, in Lien Bao Township, Vu Ban District, Nam Dinh Province).

13. Born at: Record the hour, minute, day, month, and year when the child was born according to the Gregorian calendar.

14. Location: Number of Children in This Birth:

Write the number of children born this time. In cases of twins or more births, specify the number of children and issue separate Birth Certificates for each child. (Weight of Child:Write the weight of the newborn measured within the first hour after birth in grams. Example: The newborn weighs 3500 grams.;

If not weighed, clearly state Not Weighed. (Write the proposed name for the child. This proposed name may change during birth registration.

In cases of surgical childbirth or childbirth under 32 weeks gestation or both, note one of the following in the remarks section: "surgical childbirth", "birth under 32 weeks gestation", or "surgery, birth under 32 weeks gestation". (Date:

15. Write according to the Gregorian date of issuance of the Birth Certificate. Father, Mother, Foster Parent:

16. The application and procedures for requesting confirmation are Form 1 - HĐ/HTQT and the provisions in Section D.III of Circular No. 133/2004/TT-BTC, supplemented with the following specific information:ớSign, write full name, relationship to the newborn. Clearly record whether the child born and survived is male or female. In cases of deformities or uncertainty regarding gender, record "Undetermined".

17. Weight: Example: Father, Nguyen Van Y. Sign, write title and full name (for cases of birth at a healthcare facility).

18. Proposed name of child: In cases of birth at home or elsewhere not a healthcare facility but assisted by a healthcare worker or midwife from the village, clearly state the name and title of the person assisting

19. Note: Example: Midwife Tran Thi A.

20. Person Recording the Form: Sign, write title and full name. Head of Healthcare Facility:

21. The head of the healthcare facility or the person authorized by the head of the healthcare facility signs and stamps the form. In cases where the healthcare facility only has one person authorized to examine and sign discharge papers, that person only needs to sign and stamp the section for the head of the healthcare facility. Ex In cases of birth at home or elsewhere not a healthcare facility but assisted by a healthcare worker or midwife from the village, if the health station issues the Birth Certificate through a village health worker, the health station chief records and confirms, signs, stamps, and writes full name.

22. Midwife: (for births at healthcare facilities). In cases of home births or births at places other than healthcare facilities but assisted by healthcare workers or midwives, the specific name and position of the person assisting should be recorded. Example: Midwife

village midwife assists, then record Village Midwife T rock. Ho Thi A rock Record clerk:toSignature, clearly stating position and full name.

23. Head of Healthcare Facility: The head of the healthcare facility or the person authorized by the head of the healthcare facility may sign and affix the healthcare facility's seal.

24. If the healthcare facility only has one person authorized to examine and issue discharge papers, that person only needs to sign and affix the seal in the section for the head of the healthcare facility. In cases of home births or births at places other than healthcare facilities but assisted by healthcare workers or midwives, if the health station issues the Birth Certificate through village health workers, the health station director records and confirms, signs, stamps, and clearly states full name.

The Ministry of Health's electronic portal. Departments of Health of provinces and centrally-administered cities, and other healthcare facilities can access the Ministry of Health's electronic portal to print and use.

The Director of the Maternal and Child Health Department; the Director of the Legal Affairs Department; the heads of units under and affiliated with the Ministry of Health; the Directors of Provincial Health Departments and relevant agencies, organizations, and individuals are responsible for implementing this Circular. rock During implementation, if there are difficulties or obstacles, agencies, organizations, and individuals are advised to promptly report to the Maternal and Child Health Department of the Ministry of Health for consideration and resolution.”

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¹⁰ This Appendix is replaced by Appendix 5 of Circular No. 56/2017/TT-BYT, effective from March 1, 2018.

 

Appendix No. 05

¹¹

(Adopted along with Circular No. 34/2015/TT-BYT dated October 27, 2015 issued by the Minister of Health)

SOCIALIST REPUBLIC OF VIET NAM
Independence-Freedom-Happiness
----------------

CERTIFICATE

Regarding surrogacy

Respectfully submitted to: .......................................................

1. Information of the party seeking surrogacy:

Name of wife: .................................................... Year of Birth ..................................................

Provincial People's Committees set specific pricesNo. ID Card/||| Clearly state the issuing authority of the ID or citizen identity card or passport of the mother or foster parent. ......................................... Ethnicity: ....................................................

Place of permanent residence: ....................................................

Name of husband (if applicable): .................................................... Year of Birth ..............................

ID Card Number/||| Clearly state the issuing authority of the ID or citizen identity card or passport of the mother or foster parent. .................................................... Ethnicity: .........................................

Place of permanent residence: ....................................................

Marriage Registration Certificate number (if applicable): ....................................................

2. Information of the surrogate:

Name of wife: .................................................... Year of Birth ..................................................

Provincial People's Committees set specific pricesNo. ID Card/||| Clearly state the issuing authority of the ID or citizen identity card or passport of the mother or foster parent. ......................................... Ethnicity: ....................................................

Place of permanent residence: .......................................................................................................

Name of husband (if applicable): .................................................... Year of Birth ...............................

ID Card Number/||| Clearly state the issuing authority of the ID or citizen identity card or passport of the mother or foster parent. .................................................... Ethnicity: ..........................................

Place of permanent residence: .......................................................................................................

Marriage Registration Certificate number (if applicable): ........................................................................................

We confirm that we have successfully completed the surrogacy procedure at Hospital:

..............................................................................................................................

On ..... the .... year ........ pursuant to the Surrogacy Agreement for Humanitarian Purposes certified (notarized) at: .......................................

..........., dated......the......year 20..

THE WOMAN SEEKING SURROGACY  and stamped)intentionIII. RECOGNIZED AWARDS FORMS BY VIETNAMESE AUTHORITIES AND ORGANIZATIONS:

THE MAN SEEKING SURROGACY  and stamped)intentionIII. RECOGNIZED AWARDS FORMS BY VIETNAMESE AUTHORITIES AND ORGANIZATIONS:

THE WOMAN CARRYING THE SURROGACY  and stamped)intentionIII. RECOGNIZED AWARDS FORMS BY VIETNAMESE AUTHORITIES AND ORGANIZATIONS:

THE MAN CARRYING THE SURROGACY  and stamped)intentionIII. RECOGNIZED AWARDS FORMS BY VIETNAMESE AUTHORITIES AND ORGANIZATIONS:

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¹¹ This Appendix is added pursuant to Clause 2, Article 1 of Circular No. 34/2015/TT-BYT, effective from December 14, 2015.

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