Based on the provided information, these are the relevant forms related to the process of implementing surrogacy techniques for humanitarian purposes in Vietnam, including: Birth Certificate, Application Form for Issuing Birth Certificate, Application Form for Reissuing Birth Certificate, and Confirmation of Surrogacy Technique Implementation. Each form contains necessary detailed information such as full name, date of birth, citizen identification number/passport number, residential address of the requesting party and the surrogate mother, as well as information about the midwife and healthcare facility performing the technique.
Đối tượng áp dụng
These forms are used for couples who cannot naturally conceive due to medical reasons or for humanitarian purposes.
Các điểm cốt lõi
- Each form has a detailed structure and content, including personal information of both the requesting party and the surrogate mother.
- There are sections to clearly record information about the midwife and the healthcare facility performing the technique.
- The Confirmation of Surrogacy Technique Implementation requires signatures from the head of the department/unit performing the technique and a representative of the healthcare facility.
- These forms ensure legal validity, transparency, and safety during the implementation of surrogacy techniques for humanitarian purposes.
- Information regarding reissuing the Birth Certificate when it is lost, damaged, or contains errors requiring correction is clearly specified.
🌐 Tác động xã hội từ văn bản này
- Ensuring the rights of couples who cannot naturally have children.
- Creating conditions for those who wish to help others through surrogacy techniques for humanitarian purposes.
- Providing clear and transparent legal grounds for implementing this technique.
❓ Câu hỏi thường gặp
What is the purpose of the Birth Certificate?
The Birth Certificate is an official document confirming the birth of a child, recording detailed information about the child and its parents.
When is it necessary to apply for a reissue of the Birth Certificate?
It is necessary to apply for a reissue of the Birth Certificate when it is lost, damaged, or contains errors that need to be corrected.
Toàn văn
|
MINISTRY OF HEALTH |
SOCIALIST REPUBLIC OF VIET NAM |
|
Number: 22/2025/TT-BYT |
Hanoi, June 28, 2025 |
CIRCULAR
REGULATIONS ON THE ISSUE AND USE OF BIRTH CERTIFICATES
Based on Decree No. 123/2015/NĐ-CP dated November 15, 2015 of the Government detailing certain provisions and measures for the implementation of the Household Registration Law;
Pursuant to Decree No. 42/2025/NĐ-CP dated February 27, 2025 of the Government stipulating the functions, tasks, powers, and organizational structure of the Ministry of Health;
At the proposal of the Director of the Maternal and Child Health Department;
The Minister of Health issues this Circular on the issuance and use of birth certificates.
Article 1. Scope of Regulation
This Circular stipulates the model, authority, and procedures for issuing and reissuing birth certificates.
Article 2. Authority to issue new and reissue birth certificates
Medical facilities that have been granted operating licenses in accordance with the law.
Article 3. Issuance of new birth certificates
1. In cases where the child is born at a medical facility:
The medical facility where the child was born shall issue a birth certificate according to Model 01 prescribed in Appendix I attached hereto to the child before the child leaves the medical facility or earlier upon request of the child's relatives.
2. In cases where the child is born outside a medical facility but is delivered by a healthcare practitioner, village health worker, or village midwife (hereinafter referred to as the delivery attendant):
a) Within thirty days from the date of the child's live birth, the child's relatives shall submit a declaration requesting the issuance of a birth certificate according to Model 02 prescribed in Appendix II attached hereto to the medical facility managing the delivery attendant and present valid identification documents bearing the individual identification number or passport of the mother giving birth to the child for verification;
b) Within five working days from the date of receipt of the declaration requesting the issuance of a birth certificate, the medical facility shall be responsible for verifying information about the delivery attendant, the mother giving birth to the child, the newborn, and issuing a birth certificate to the child. If the information cannot be verified or is inaccurate, a birth certificate will not be issued.
3. In cases where the child is born through surrogacy:
a) If the child is born at a medical facility performing surrogacy for the person giving birth to the child: the medical facility shall issue a birth certificate according to Model 02 prescribed in Appendix I attached hereto to the child before the child leaves the medical facility or earlier upon request of the child's relatives.
b) If the child is born at a medical facility other than the one performing surrogacy for the person giving birth to the child: the party requesting surrogacy or the surrogate shall submit to the medical facility where the child was born a confirmation of the performance of surrogacy for humanitarian purposes by the medical facility performing surrogacy according to Model 04 prescribed in Appendix IV attached hereto and present valid identification documents bearing the individual identification number or passport of the mother giving birth to the child for verification.
Within three working days from the date of receipt of the confirmation of the performance of surrogacy for humanitarian purposes, the medical facility where the child was born shall issue a birth certificate according to Model 02 prescribed in Appendix I attached hereto.
4. In cases where the child is born alive at a medical facility and dies before discharge, the medical facility shall issue a birth certificate to the child according to the model prescribed in Appendix I attached hereto, followed by issuing a death certificate.
5. The birth certificate shall be made in two copies having equal legal force, one copy given to the child's relatives and one copy retained at the medical facility. In cases of twins or more births, each living child shall be issued one birth certificate with different numbers.
Article 4. Reissuing Birth Certificates
1. Cases eligible for reissuing birth certificates: birth certificates issued with errors or missing information; birth certificates that have been lost, torn, or damaged.
2. The application dossier for reissuing a birth certificate shall include the following documents:
a) A declaration form for reissuing a birth certificate as prescribed in Appendix III attached to this Circular;
b) The previously issued birth certificate (except in cases where reissuance is requested due to loss);
c) Documents proving the existence of errors or missing information for cases of reissuance due to errors or missing information.
3. Procedures for reissuing a birth certificate:
a) The mother who gave birth directly submits the application dossier for reissuing a birth certificate as stipulated in Clause 2 of this Article to the healthcare facility that initially issued the birth certificate for the child and presents valid personal identification documents containing a unique individual code number or passport for verification. In cases where the applicant is not the mother who gave birth, a legal power of attorney must be presented.
b) Within three working days from the date of receiving a complete application dossier, the healthcare facility is responsible for reissuing the birth certificate for the child. If the information about the mother cannot be verified or is inaccurate, the birth certificate will not be reissued.
c) The new birth certificate must use the same serial number as the original birth certificate. The reissued birth certificate shall be kept at the healthcare facility along with the application dossier for reissuing the birth certificate.
Article 5. Implementation Provisions
1. This Circular shall take effect from October 1, 2025.
2. The following documents shall cease to be effective from the date this Circular comes into force:
a) Circular No. 17/2012/TT-BYT dated October 24, 2012, issued by the Minister of Health, detailing the issuance and use of Birth Certificates;
b) Circular No. 34/2015/TT-BYT dated October 27, 2015, issued by the Minister of Health, amending and supplementing Article 2 of Circular No. 17/2012/TT-BYT dated October 24, 2012, issued by the Minister of Health, concerning the issuance and use of Birth Certificates;
c) Circular No. 27/2019/TT-BYT dated September 27, 2019, issued by the Minister of Health, amending and supplementing certain provisions of Circular No. 17/2012/TT-BYT dated October 24, 2012, issued by the Minister of Health, concerning the issuance and use of Birth Certificates.
Article 6. Transitional provisions
1. For children born before the effective date of this Circular, the issuance of birth certificates shall be carried out according to the provisions set forth in Appendix 5 attached to Circular No. 56/2017/TT-BYT dated December 29, 2017, issued by 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, or Appendix 01a attached to Circular No. 34/2015/TT-BYT dated October 27, 2015, issued by the Minister of Health, amending and supplementing Article 2 of Circular No. 17/2012/TT-BYT dated October 24, 2012, issued by the Minister of Health, concerning the issuance and use of Birth Certificates.
2. In cases of reissuing birth certificates for children born before the effective date of this Circular, the process shall follow the model specified in Appendix I attached to this Circular.
Article 7. Responsibility for Implementation
1. Healthcare facilities are responsible for linking electronic data of birth certificates with the Service Delivery Platform under the regulations stipulated in Decree No. 63/2024/NĐ-CP dated June 10, 2024, issued by the Government, regarding the implementation of electronic linkage for two groups of administrative procedures: birth registration, permanent residence registration, issuance of health insurance cards for children under six years old; death registration, cancellation of permanent residence registration, funeral expenses settlement, and pension benefits.
Linked electronic data of birth certificates must include all fields of information according to the format of the birth certificate specified in Appendix I attached to this Circular. Information fields must be displayed according to the standard output data format regulation of the Ministry of Health and must be legally authenticated electronically.
2. The Director of the Maternal and Child Health Department, the Director of the Medical Examination and Treatment Management Department, the heads of units under and affiliated with the Ministry of Health, the Directors of Health Departments of provinces and centrally-administered cities, and relevant agencies, organizations, and individuals are responsible for implementing this Circular.
During the implementation process, if there are difficulties or obstacles, they should be reported to the Ministry of Health (Maternal and Child Health Department) for guidance, review, and resolution.
|
Place of Receipt: |
DEPUTY MINISTER |
ANNEX I
MODEL OF BIRTH CERTIFICATE
(Attached to Circular No. 22/2025/TT-BYT dated month day year 2025, issued by the Minister of Health)
Form No. 01
|
NAME OF HEALTHCARE FACILITY |
SOCIALIST REPUBLIC OF VIET NAM |
First issue: [ ] Birth Certificate Number: …
Reissue: [ ]
BIRTH CERTIFICATE
Full name of mother: …
Date of birth: …Ethnicity: …
Unique Individual Code/Passport number: …
Place of residence: …
………………………………………………………………..…………..…….………….……..
Social Insurance Number/Health Insurance Card number: …
Child was born at:…hours……minutes, on…day…month…year…
At: ...
Number of children in this birth: …
Gender of child: …Weight …grams.
Intended name of child: …
Remarks: …
.......................................................................................................................................
|
|
|
…, day ….. month ……. year …… |
Note:
- The intended name of the child may be changed during birth registration.
- Remarks for cases requiring surgery during childbirth or for children born before 32 weeks or other important matters.
Instructions for filling out Model Birth Certificate No. 01
|
No. |
Field of information |
Instructions for filling out |
|
1 |
Healthcare Facility |
Clearly state the name of the healthcare facility issuing the Birth Certificate. |
|
2 |
FIRST ISSUE |
Mark X in the box if it is the first issuance of the Birth Certificate. |
|
3 |
Reissuance |
Mark X in the box if it is a reissuance of the Birth Certificate. |
|
4 |
Serial number of the Birth Certificate |
Each Birth Certificate has a unique (and Law No. 47/2024/QH15) serial number. The healthcare facility uses this number to manage the issuance of birth certificates and link electronic data to the Service Delivery Platform. In cases of multiple births, each surviving child has a separate (and Law No. 47/2024/QH15) serial number for their Birth Certificate. The serial number on the software and on the paper copy must match. Serial number of the Birth Certificate is managed as follows: The serial number of the Birth Certificate is managed at the healthcare facility. It consists of 18 characters in the format XXXXX.GCS.ZZZZZ.YY Where: - XXXXX: five (year) characters representing the sequential number of birth certificates issued in the year at the healthcare facility. - GCS: Fixed character indicating a Birth Certificate. - ZZZZZ: The healthcare facility's code implemented according to Decision No. 384/QĐ-BYT dated February 1, 2019, issued by the Ministry of Health, regarding the principle of assigning codes to healthcare facilities. Accordingly, the code for medical examination and treatment facilities consists of 05 digits, expressed as numbers: the first 02 digits are the province or centrally governed city code according to the General Statistics Office.year) numeral character represented by number: 02 (forms) first character is the province or centrally governed city code according to the General Statistics Office (For medical examination and treatment facilities under the Ministry of National Defense, the code character is 97, while those under the Ministry of Public Security use 98. medical facilities under the Ministry of National Defense use the character code 97, medical facilities under the Ministry of Public Security use 98); 03 (Director of the Enforcement Bureau of the Ministry of National Defense is responsible for guiding, urging, and inspecting the Military Enforcement Sector to implement this Circular./.The next digits indicate the sequential number of medical examination and treatment facilities within the province or city starting from 001 and ending with ZZZ. - YY: Length of 02 digits corresponding to the last 02 digits of the year when the Birth Certificate was issued.forms) corresponding numeral characters for 02 (forms) last two digits of the year when the Birth Certificate is issued. Example: A child born on September 1, 2024 at the Quang Ninh General Hospital has a consecutive Birth Certificate number of 115, then the Birth Certificate number recorded is: 00115.GCS.22001.24. If the Birth Certificate is reissued, the old Birth Certificate number must be reused. Surname, middle name, given name at birth of the mother Note: Record the mother's surname, middle name, and given name in uppercase letters with accents according to the original Identity Card or Passport or Birth Registration Certificate. |
|
5 |
Record the mother's date of birth in Gregorian calendar. If the day and month are not remembered, record only the four-digit year. |
Clearly state the mother's ethnic group. |
|
6 |
Relationship to Head of Household |
In cases where the ethnic group is unknown, write "Unknown". For foreign nationals, write "Foreigner" and clearly state the mother's nationality as recorded on the Passport. |
|
7 |
Ethnicity |
Personal Identification Number (PIN)/Passport Clearly record the Personal Identification Number on the Identity Card, electronic Identity Card, or valid document containing the Personal Identification Number. If there is no Identity Card, electronic Identity Card, or valid document containing the Personal Identification Number, then record the passport number. |
|
8 |
In cases where the mother does not have the aforementioned documents, record the mother's Citizen Identification Card number or Birth Registration Certificate number, and clearly specify the type of document, issuance date, and issuing authority. |
Record the mother's place of permanent residence according to the Identity Card, electronic Identity Card, or valid personal identification document containing the Personal Identification Number or Passport. In cases where the mother does not have a place of permanent residence, record the temporary residence place and clearly indicate it as temporary residence or record the current place of residence and clearly indicate it as the current place of residence according to the law on residence. |
|
9 |
Place of residence |
In cases where foreign nationals have registered permanent residence, temporary residence, or current residence in Vietnam, record it similarly to the regulations for Vietnamese citizens. In cases where foreign nationals do not have registered permanent residence, temporary residence, or current residence in Vietnam but give birth at medical examination and treatment facilities in Vietnam, record the name of the province/city/state and country where they reside. Social Insurance Number/Card Health Insurance Card |
|
10 |
Clearly record the 10 digits of the Social Insurance Book or Health Insurance Card number. If there is no Social Insurance Number or Health Insurance Card number, then record ten zeros. Health Insurance |
Clearly record the ten digits of the Social Insurance Booklet or Health Insurance Card number. If there is no Social Insurance number or Health Insurance Card number, then record ten zeros. |
|
11 |
Born at |
Record the hour, minute, day, month, and year when the child was born according to the Gregorian calendar. |
|
12 |
At |
Clearly record the place where the child was born and lived, specifically: a) In cases where the child was born and survived at a medical examination and treatment facility, record the name of the medical examination and treatment facility and the administrative location where the facility is located. b) In cases where the child was born and survived outside a medical examination and treatment facility, record the location and administrative location where the child was born according to current regulations. |
|
13 |
Number of children born this time |
Record the number of children born this time. In cases of twins or more births, clearly record the number of children and each child will be issued a separate Birth Certificate with its own unique number. |
|
14 |
Gender of the child |
Clearly record whether the child born and survived is male or female. In cases of deformities or uncertainty regarding gender, record "Undetermined". |
|
15 |
Weight |
Record the weight of the newborn baby weighed within the first hour after birth in grams. If the baby was not weighed, clearly record "Not Weighed". |
|
16 |
Intended name for the child |
Record the intended surname, middle name, and given name for the child (if applicable). In cases where there is no intention to name the child, leave blank. |
|
17 |
Remarks |
Clearly record the following situations: - Child born through surgery; - Child born before 32 weeks of pregnancy; - In cases where the child is born before 32 weeks of pregnancy and requires surgery, clearly record "surgery, child born before 32 weeks of pregnancy" in the remarks section. - Other important matters to note - Column (7): Land area in land allocation decisions, lease decisions, or documents of the competent authority or actual land area managed and used (applicable to assets that are buildings and land).: Congenital defects, other health conditions. |
|
18 |
Date, Month, Year |
Record according to the Gregorian calendar date when the Birth Certificate was issued. |
|
19 |
Relatives of the child (Signature, clearly state surname, middle name, and given name) |
The child's relative signs, clearly states their surname, middle name, given name, and relationship to the child. |
|
20 |
Midwife (Sign, clearly state position and surname, middle name, and given name) |
The midwife signs, clearly states their surname, middle name, given name, and position. |
|
21 |
Representative of the medical examination and treatment facility (Sign, clearly state position and surname, middle name, given name, and stamp) |
The head of the medical examination and treatment facility or a person authorized by the head of the medical examination and treatment facility signs, clearly states their surname, middle name, given name, and stamps the seal of the medical examination and treatment facility. In cases where the child is born outside a medical examination and treatment facility but is delivered by a healthcare practitioner or village midwife and the medical examination and treatment facility managing the midwife issues the Birth Certificate, the representative of the medical examination and treatment facility signs, clearly states their surname, middle name, given name, and stamps based on confirmation by the midwife. |
Form number 02.
|
NAME OF HEALTHCARE FACILITY |
SOCIALIST REPUBLIC OF VIET NAM |
First issue: [ ] Birth Certificate number: …
Reissue: [ ]
BIRTH CERTIFICATE
1. Information of the party requesting surrogacy (S):
Surname, middle name, given name at birth of wife: …
Date of birth: …Ethnicity: …
Unique Individual Code/Passport number: …
Place of residence: …
Social Insurance Number/Health Insurance Card number …
Surname, middle name, given name at birth of husband: …
Date of birth: …Ethnicity: …
Unique Individual Code/Passport number: …
Place of residence: …
2. Information of the surrogate party:
Surname, middle name, given name at birth of wife: …
Date of birth: …Ethnicity: …
Unique Individual Code/Passport number: …
Place of residence: …
Social Insurance Number/Health Insurance Card number …
Surname, middle name, given name at birth of husband (if any): …
Date of birth: …Ethnicity: …
Unique Individual Code/Passport number: …
Born at: …hours…minutes…day…month…year…
At: ...
Number of children born this time:…
Gender of the child: …Weight …grams
Intended name of child: …
|
Party requesting surrogacy/ Surrogate party |
Midwife |
…, day …month ……. year … |
Note:
- The medical examination and treatment facility records the information of the husband of the surrogate party based on the declaration of the surrogate party or the party requesting surrogacy and is not responsible for the accuracy of this information. In cases where there is no information about the husband of the surrogate party, leave blank.
- The intended name of the child may change during registration.
- The child born is the child of the party (husband and wife) requesting surrogacy.
Instructions for recording Birth Certificate form number 02
|
No. |
Field of information |
Instructions for filling out |
|
1 |
Healthcare Facility |
Clearly state the name of the healthcare facility issuing the Birth Certificate. |
|
2 |
FIRST ISSUE |
Mark X in the box if it is the first issuance of the Birth Certificate. |
|
3 |
Reissuance |
Mark X in the box if it is a reissuance of the Birth Certificate. |
|
4 |
Serial number of the Birth Certificate |
Each Birth Certificate has 01and Law No. 47/2024/QH15The unique code number. Healthcare facilities use this code to manage the issuance of birth certificates and to electronically transmit data to the Public Service Software. In cases of twins or more, each surviving child will have 01 (and Law No. 47/2024/QH15) serial number for their Birth Certificate. The serial number on the software and on the paper copy must match. Serial number of the Birth Certificate is managed as follows: The serial number of the Birth Certificate is managed at the healthcare facility. It consists of 18 characters in the format XXXXX.GCS.ZZZZZ.YY Where: - XXXXX: five (year) character which is the sequentially increasing number of birth certificates issued in the year at the healthcare facility. - GCS: Fixed character indicating a Birth Certificate. - ZZZZZ: The healthcare facility's code implemented according to Decision No. 384/QĐ-BYT dated February 1, 2019, issued by the Ministry of Health, regarding the principle of assigning codes to healthcare facilities. Accordingly, the code for medical examination and treatment facilities consists of 05 digits, expressed as numbers: the first 02 digits are the province or centrally governed city code according to the General Statistics Office.year) numeral character represented by number: 02 (forms) first character is the province or centrally governed city code according to the General Statistics Office (Specifically, healthcare facilities under the Ministry of National Defense use a 97 character code, while those under the Ministry of Public Security use 98.); 03 (Director of the Enforcement Bureau of the Ministry of National Defense is responsible for guiding, urging, and inspecting the Military Enforcement Sector to implement this Circular./.The next digits indicate the sequential number of medical examination and treatment facilities within the province or city starting from 001 and ending with ZZZ. - YY: Length of 02 digits corresponding to the last 02 digits of the year when the Birth Certificate was issued.forms) corresponding numeral characters for 02 (forms) last two digits of the year when the Birth Certificate is issued. Example: A child born on May 23, 2025 at the Provincial General Hospital Quang Ninh with the sequential number of the transmitted birth certificate being 95, then The birth certificate number is recorded as: 00095.GCS.22001.25 Note: Record the mother's surname, middle name, and given name in uppercase letters with accents according to the original Identity Card or Passport or Birth Registration Certificate. |
|
5 |
Surname, middle name, given name at birth of the wife (the party requesting surrogacy) |
Record the surname, middle name, and given name of the wife requesting surrogacy in uppercase letters, with accents according to the original identity card, electronic ID card, or other valid identification document bearing a personal identification number or passport. |
|
6 |
Relationship to Head of Household |
Record the date of birth of the wife requesting surrogacy according to the Gregorian calendar. If the day and month are not remembered, record only the four-digit year. |
|
7 |
Ethnicity |
Clearly state the ethnic name of the wife requesting surrogacy. If the ethnicity is unknown, write "Unknown". If she is a foreigner, write "Foreigner" and clearly state her nationality according to her passport. |
|
8 |
Personal Identification Number/Passport Number |
Clearly state the personal identification number on the identity card, electronic ID card, or other valid identification document bearing a personal identification number or passport of the wife requesting surrogacy. |
|
9 |
Place of residence |
Record the place of permanent residence of the wife requesting surrogacy according to the identity card, electronic ID card, or other valid identification document bearing a personal identification number or passport. For foreigners residing in Vietnam, record the place of permanent residence or temporary residence registration. For foreigners who have not registered permanent residence or temporary residence in Vietnam, record their place of residence according to their passport. |
|
10 |
Clearly record the 10 digits of the Social Insurance Book or Health Insurance Card number. If there is no Social Insurance Number or Health Insurance Card number, then record ten zeros. Health Insurance |
Clearly state the ten digits of the Social Insurance Book or Health Insurance Card number. If there is none, write ten zeros. |
|
11 |
Surname, middle name, given name husband (requesting surrogacy) |
Clearly state the surname, middle name, and given name of the husband requesting surrogacy in uppercase letters, with accents according to the original identity card, electronic ID card, or other valid identification document bearing a personal identification number or passport. |
|
12 |
Relationship to Head of Household |
Record the date of birth of the husband requesting surrogacy according to the Gregorian calendar. If the day and month are not remembered, record only the four-digit year. |
|
13 |
Ethnicity |
Clearly state the ethnic name of the husband requesting surrogacy. If the ethnicity is unknown, write "Unknown". If he is a foreigner, write "Foreigner" and clearly state his nationality according to his passport. |
|
14 |
Personal Identification Number/Passport Number |
Clearly state the personal identification number on the identity card, electronic ID card, or other valid identification document bearing a personal identification number or passport of the husband requesting surrogacy. |
|
15 |
Place of residence |
Record the place of permanent residence of the husband requesting surrogacy according to the identity card, electronic ID card, or other valid identification document bearing a personal identification number or passport. For foreigners residing in Vietnam, record the place of permanent residence or temporary residence registration. For foreigners who have not registered permanent residence or temporary residence in Vietnam, record their place of residence according to their passport. |
|
16 |
Surname, middle name, given name at birth of the wife (providing surrogacy) |
Clearly state the surname, middle name, and given name of the wife providing surrogacy in uppercase letters, with accents according to the original identity card, electronic ID card, or other valid identification document bearing a personal identification number or passport. |
|
17 |
Relationship to Head of Household |
Record the date of birth of the wife providing surrogacy according to the Gregorian calendar. If the day and month are not remembered, record only the four-digit year. |
|
18 |
Ethnicity |
Clearly state the ethnic name of the wife providing surrogacy. If the ethnicity is unknown, write "Unknown". If she is a foreigner, write "Foreigner" and clearly state her nationality according to her passport. |
|
19 |
Personal Identification Number/Passport Number |
Clearly state the personal identification number on the identity card, electronic ID card, or other valid identification document bearing a personal identification number or passport of the wife providing surrogacy. |
|
20 |
Place of residence |
Record the place of permanent residence of the wife providing surrogacy according to the identity card, electronic ID card, or other valid identification document bearing a personal identification number or passport. For foreigners residing in Vietnam, record the place of permanent residence or temporary residence registration. For foreigners who have not registered permanent residence or temporary residence in Vietnam, record their place of residence according to their passport. |
|
21 |
Clearly record the 10 digits of the Social Insurance Book or Health Insurance Card number. If there is no Social Insurance Number or Health Insurance Card number, then record ten zeros. Health Insurance |
Clearly state the ten digits of the Social Insurance Book or Health Insurance Card number. If there is none, write ten zeros. |
|
22 |
Surname, middle name, given name husband (providing surrogacy) |
Clearly state the surname, middle name, and given name of the husband providing surrogacy in uppercase letters, with accents according to the original identity card, electronic ID card, or other valid identification document bearing a personal identification number or passport. |
|
23 |
Relationship to Head of Household |
Record the date of birth of the husband providing surrogacy according to the Gregorian calendar. If the day and month are not remembered, record only the four-digit year. |
|
24 |
Ethnicity |
Clearly state the ethnic name of the husband providing surrogacy. If the ethnicity is unknown, write "Unknown". If he is a foreigner, write "Foreigner" and clearly state his nationality according to his passport. |
|
25 |
Personal Identification Number/Passport Number |
Clearly state the personal identification number on the identity card, electronic ID card, or other valid identification document bearing a personal identification number or passport of the husband providing surrogacy. |
|
26 |
Born at |
Record the hour, minute, day, month, and year when the child was born according to the Gregorian calendar. |
|
27 |
At |
Name of the healthcare facility and administrative location where the healthcare facility is located. |
|
28 |
Number of children born this time |
Record the number of children born this time. In cases of twins or more births, clearly record the number of children and each child will be issued a separate Birth Certificate with its own unique number. |
|
29 |
Gender of the child |
Clearly indicate whether the newborn is male or female. In cases of deformities or uncertainty about gender, write "Undetermined". |
|
30 |
Weight |
Record the weight of the newborn baby weighed within the first hour after birth in grams. If the baby was not weighed, clearly record "Not Weighed". |
|
31 |
Intended name for the child |
Record the surname, middle name, and proposed name for the child (if applicable). If there is no plan to name the child, leave it blank. |
|
32 |
Date, Month, Year |
Record according to the Gregorian calendar date when the Birth Certificate was issued. |
|
33 |
Party Requesting Surrogacy/Surrogate Mother (Signature, full name) |
The party requesting surrogacy or the surrogate mother signs and writes their full name, and clearly states "Party Requesting Surrogacy" or "Surrogate Mother". |
|
34 |
Midwife (Sign, clearly state position and surname, middle name, and given name) |
The midwife must sign and write their full name and title. |
|
35 |
Representative of the medical examination and treatment facility (Signature, write title and full name, including surname, middle name, and given name and stamp) |
The head of the medical examination and treatment facility or a person authorized by the head of the medical examination and treatment facility signs, clearly states their surname, middle name, given name, and stamps the seal of the medical examination and treatment facility. |
ANNEX II
MODEL APPLICATION FOR ISSUANCE OF BIRTH CERTIFICATE
(Annexed to Circular No. 22/2025/TT-BYT dated June 18, 2025 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
Respectfully submitted to: ...(1) …………….……………….
Full name of the applicant:...
Unique Individual Code/Passport number: …
Place of residence: …
Relationship with the child for whom the birth certificate is requested: ...
Contact phone number: ...
Request the health authority to issue a birth certificate for the child based on the information below:
Child's surname, middle name, and given name: ...
Proposed name at birth is - Column (7): Land area in land allocation decisions, lease decisions, or documents of the competent authority or actual land area managed and used (applicable to assets that are buildings and land).: ………………………………………………………………
Born at...hours...minutes, on...day...month...year...
At:...
Gender at birth: Male □ Female □ Unclear □ Weight at birth: ...grams
Full name of mother: …
Date of birth: …Ethnicity: …
Unique Individual Code/Passport number: …
Place of residence: …
Social Insurance/Health Insurance Number: ...
Midwife's surname, middle name, and given name: ...Phone number: ...
Unique Individual Code/Passport number: …
|
Confirmation by the midwife |
.....……(2), date...month...year... |
Annotation :
(1): Record the name of the healthcare facility managing the medical practitioner or village health worker who delivered the child.
(2): Record the administrative name of the commune/district where the applicant resides.
ANNEX III
MODEL APPLICATION FOR REISSUE OF BIRTH CERTIFICATE
(Annexed to Circular No. 22/2025/TT-BYT dated June 18, 2025 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 Reissue of Birth Certificate
Respectfully submitted to: ... (1) ……………………………………….
Full name of the applicant: ...
Unique Individual Code/Passport number: …
Place of residence: …
Relationship with the child for whom the birth certificate is requested: ...
Contact phone number: ...
Request ……………………………………..….. reissue of the birth certificate for the child listed below:
Child's surname, middle name, and given name: ...
Proposed name at birth is (If any): …………………………………….………………………..
Last name, middle name, date of birth of mother:...
Date of birth: …Ethnicity: …
Unique Individual Code/Passport number: …
Place of residence: …
The issuing authority has issued the Birth Certificate on: ... day ... month ... year ...
Request the issuing authority to reissue the Birth Certificate for the child because:
1- Lost/Missing □
2- Damaged □
3- Information error □ (Specify): ...
4- Other □ (Specify: ...
I hereby certify that all the information declared above is entirely correct.
|
|
..……… (2) ..., day...month...year...... |
Annotation :
(1) Name of the medical facility where the Birth Certificate was issued for the child;
(2) Administrative address of the commune/district where the person requesting the reissuance of the Birth Certificate resides
ANNEX IV
CERTIFICATE OF ADOPTION OF SURROGACY TECHNIQUE FOR HUMANITARIAN PURPOSES
(Annexed to Circular No. 22/2025/TT-BYT dated June 18, 2025 of the Minister of Health)
SOCIALIST REPUBLIC OF VIET NAM
Independence - Freedom - Happiness
---------------
CERTIFICATE
Regarding the implementation of the surrogacy technique for humanitarian purposes
Respectfully submitted to: ...(1)………………………………………….
1. Information of the party seeking surrogacy:
Surname, middle name, given name at birth of wife: …
Date of birth: ... Ethnicity: ...
Unique Individual Code/Passport number: …
Place of residence: …
Surname, middle name, given name at birth of husband: …
Date of birth: ... Ethnicity: ...
Unique Individual Code/Passport number: …
Place of residence: …
Marriage registration number: ...
2. Information of the surrogate:
Surname, middle name, given name at birth of wife: …
Date of birth: ... Ethnicity: ...
Unique Individual Code/Passport number: …
Place of residence: …
Last name, middle name, date of birth of husband - Column (7): Land area in land allocation decisions, lease decisions, or documents of the competent authority or actual land area managed and used (applicable to assets that are buildings and land).: ………………..………………………
Date of birth: ... Ethnicity: ...
Unique Individual Code/Passport number: …
Place of residence: …
Marriage registration number (if there is):…………………………………………….…………
Confirmation of successful implementation of the surrogacy technique at Hospital: ...
- Embryo transfer date: ...
- Number of embryos transferred: ...
- Expected delivery date: ...
|
|
..., day... month... year ... |
||
|
WIFE |
HUSBAND |
WIFE |
HUSBAND(2) |
|
Head of department/unit implementing the surrogacy technique |
Representative of the healthcare facility |
||
|
|
|
|
|
Annotation :
(1) Name of the medical facility that implemented the surrogacy technique for humanitarian purposes.
(2) Sign and write the husband's name only if the surrogate has a husband.
Văn bản gốc (PDF)
Tải văn bản
Bản đồ quan hệ
Bấm vào một văn bản để mở. Viền đỏ = quan hệ làm thay đổi hiệu lực.
Bản dịch
Văn bản này có sẵn ở các ngôn ngữ sau: