LEGALIZATION OF DOCUMENTS

FOR APPLICATION OF MARRIAGE REGISTRATION IN VIETNAM

(Applicable to foreigners) A non-Vietnamese citizen, seeking to get married to a Vietnamese national, may submit in person or by mail his/her file of required documents for marriage registration to the Embassy of Vietnam in Washington, DC, for the authentication/legalization of the papers before taking them to Vietnam for subsequent procedures. Documents to be authenticated at the Embassy: I. A Regular Dossier Includes: 1. Application for Marriage Registration in Vietnam (bilingual form attached). your photo, provide your information, sign your name. Leave blank the column of the other applicant in Vietnam. 2. Affidavit of Single Status (bilingual form attached). 3. Certificate of No-marriage Records issued by the State (or County) Vital Statistics Office within the last six months certifying that no marriage license or marriage record of the applicant has been found from his/her mature age of marriage (age of 18 for female or 20 for male) or since his/her divorce up to now or since his/her spouse death up to now. 4. Certificate of Good Mental Health (bilingual form attached) issued by an authorized medical organization confirming that the applicant has no mental illnesses, or has a mental problem but not to the extent of losing consciousness of his/her own actions. 5. Biographic Information Sheet (bilingual form attached 6. Photocopy of the photo and signature pages of the Passport ( certified that it is true and exact copy from the original) NOTE: (a) The above-mentioned documents (No 1,2,4,5,6) must be certified by a Notary Public (the document No.3 is regularly issued by the Registrar or Court Clerk) and the signatures of the Notary Public or Registrar or Court Clerk must be subsequently certified by the State Department (or its Office of Authentication) of the State where the applicant lives before they are sent to the Embassy for legalization. The Embassy can certify only the signatures of the State-level Secretary of State. II. Divorced and Widowed Applicants: In addition to the 6 above-listed documents, - Divorcees are required to submit the Divorce Decree after it has been certified by a Notary Public or a Court Clerk, and the State-level Secretary of State. - Widows are to submit a true copy of the Death Certificate of the previous spouse after it has been certified by a Registrar or a Notary Public, and the State-level Secretary of State. III. Power of Attorney for Submission of Application: The foreign party can, with a power of attorney (bilingual form attached) entrust his/her fiance(e) to submit the application package. The power of attorney is required to be authenticated by the Embassy after it has been certified by (1) a Notary Public, and (2) the State-level Secretary of State. Fees: Please pay by Money Orders or Cashiers Checks (Certified Checks) payable to the Embassy of Vietnam. Mail back: A self-addressed postage-paid return envelope. For the safety of your documents, please use only one of the following mailing services which provide tracking numbers: Federal Express (FedEx), or USPS Express Mail. If you use FedEx, please make sure that you put your name, address, FedEx account and phone number in both senders and recipients boxes. Please do not use other mailing services. Applicants applying together may provide one envelope for visas to be returned to the same address. Processing Time: Regular processing requires 10 20 working days. Rush service requires 3 5 working days after the date of receipt of the papers. For further information, please contact the Consular Section of the Embassy: Public Opening hours: 9:30 12:00 Monday through Friday at the Embassy For further information: Tel. (202) 861 0737 ext 238 during 10h00pm-12h00pm Fax: (202) 861- 1297 and (202) 861- 0917 Website: http://www.vietnamembassy.us Address: 1233 20th Street, NW, Suite 400, Washington, DC 20036

Lat update: March 2008

CNG HA X HI CH NGHA VIT NAM

Socialist Republic of Vietnam

c lp T do Hnh phc
Independence Liberty Happiness nh/Photo Nam/Male 2x2 Cha qu 6 thng Taken within last 6 months nh/Photo N/Female 2x2 Cha qu 6 thng Taken within last 6 months

T KHAI NG K KT HN
Application for Marriage Registration

Knh gi: U ban Nhn dn Tnh/Thnh ph . . . . . . . . . . . . .

To: The Provincial Peoples Committee of

Ngi khai
Applicant

Nam
Male

N
Female

H v tn:
Full Name:

Ngy sinh:
Date of Birth

Ni sinh:
Place of Birth

Dn tc:
Ethnic Group

Quc tch:
Nationality

Ngh nghip:
Occupation

Qu qun1:
Place of Origin

Ni c tr2:
Current Address

Loi giy t/Type of Doc.3 S/Number Ngy cp/Date of Issue Ni cp/Place of Issue Kt hn ln th:
Married for the

CMND
ID Card

H chiu
Passport

Th xanh
Green Card

CMND
ID Card

H chiu
Passport

Th xanh
Green Card

________time

________ time

Lat update: March 2008

Chng ti cam oan nhng li khai trn y l ng s tht, vic kt hn ca chng ti l t nguyn, khng vi phm lut hn nhn v gia nh Vit Nam, v xin chu trch nhim trc lut php v li khai ca mnh.
We solemnly declare that the above statements are true and complete, that our application for marriage is of our own free will and not in violation of the Vietnam Family and Marriage Code, and that we take full responsibility before the law for our statements.

ngh U ban xem xt, ng k.

We respectfully submit the application to the Peoples Committee for consideration and registration.

Lm ti . . . . . . . . . , ngy . . . thng . . . nm . . . .
Place on dd mm Signature yy

Ngi nam k tn
Signature

Ngi n k tn

H v tn: . . . . . . . . . . .
Full Name in Print

H v tn: . . . . .
Full Name in Print

For the Notary Public Phn dnh cho Cng chng vin Sworn to and subscribed before me on this . . . day of . . . . . . . . . . . . . . . . . . . . . . . . .
Tuyn th v k tn trc mt ti ngy

Ghi theo ni sinh trng ca cha . Nu khng r cha l ai, th theo ni sinh trng ca m . Nu khng xc nh c cha, m , th theo ni sinh trng ca ngi nui dng t nh. Indicate
fathers birth place. If father is unkown, indicate mothers birth place. If both parents are unknown, indicate childhood guardians birth place.
2

Ghi ng theo ni thng tr. Trong trng hp khng c ni thng tr, th ghi theo ni tm tr v ghi r Tm tr. Indicate the exact permanent address. If there is no permanent address, indicate temporary address and state
clearly temporary address.

Ghi r loi giy t. Indicate clearly the type of the document.

Last Update: March 2008

AFFIDAVIT OF SINGLE STATUS

TUYN TH C THN

On this date of
Vo ngy

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

, I, the undersigned,
, ti, k tn di y,

Full Name:
H v tn:

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
dd mm yyyy

.Nam:
Male

N:
Female

Date of Birth:
Ngy sinh:

Place of Birth:
Ni sinh:

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

Social Security Number: . . . . .

S th an sinh x hi:

. . . . .

US Passport (or Green Card) No: . . . . . . . . . . .

S h chiu / th xanh

Current Occupation:
Ngh nghip hin nay

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( . ) . . .

Employer (Name, Add, Tel):

Ni lm vic (Tn, a ch, in thoi)

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

Permanent Address (Str. Add, City, State, Tel): . . . . . . . . . . . . . . . . . . . . . . . . . . .

a ch thng tr:

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

. . . . . . . . ( . ) . . . . .

being duly sworn in, hereby solemnly declare that, under the law of the United States, I am currently single, have never been married (or was divorced/widowed on . . . . . . . . . . . . . . . . . . . . . . . and have never been remarried since that date) and fully qualified to marry the following Vietnamese citizen:
xin tuyn th, theo lut php Hoa k, ti hin c thn, cha tng kt hn bao gi (hoc li hn/ga t . cha ti gi t ti nay), v hi iu kin kt hn vi cng dn Vit Nam c tn di y: . . . . . . v

Full Name:
H v tn:

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
dd mm yyyy

Nam:
Male

N:
Female

Date of Birth:
Ngy sinh:

Place of Birth:
Ni sinh:

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

ID Card Number: . . . .
S CMND:

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

Permanent Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a ch thng tr:

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

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

I declare that the statements made in this affidavit are true and correct and I take full responsibility for them under the US law of perjury. I also declare that I shall marry the above-named person according to the law of Vietnam.
Ti xin cam oan nhng li tuyn th trn l ng s tht v xin chu trch nhim v nhng li tuyn th trc lut php Hoa K. Ti xin cam oan s kt hn vi cng dn Vit Nam c tn trn theo lut php Vit Nam.

Signature of the Affiant: Full Name in Print:

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

Ngi tuyn th k v ghi y h tn:

For the Notary Public Phn dnh cho Cng chng vin Sworn to and subscribed before me on this . . . day of . . . . . . . . . . . . . . . . . . . . . . . . .
Tuyn th v k tn trc mt ti ngy

Lat update: March 2008

PRE-MARITAL EXAMINATION OF MENTAL HEALTH Kt qu Khm Sc khe Tm thn Tin Hn nhn Part/Phn I: Doctors Information/Bc s Full Name:
H v tn:

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

License Number:
Giy php hnh ngh s:

Name of Institution:
Tn Phng khm/Bnh vin

Address and Tel:

a ch v s phone

Part/Phn II: Applicants Information/ng n Full Name:

H v tn:

Mr.
ng C

Ms. . . . . . . . . . . . . . . . . . . . . . . . .

Date of Birth: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ngy sinh: dd mm yyyy

Address and Tel:

a ch:

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

Part/Phn III: Results/Kt lun: Currently, Hin ti, Mr. Ms. . . . . . . . . . . . . . . . . . . . . . . . . ng C

Does NOT suffer from mental illnesses. Khng mc bnh tm thn. Has mental problems, but NOT to the extent of losing consciousness of his/her actions;
Mc bnh tm thn, nhng cha n mc khng c kh nng nhn thc c hnh vi ca mnh;

Has a mental illness and is not capable of being conscious of his/her actions.
Mc bnh tm thn, khng c kh nng nhn thc c hnh vi ca mnh.

Part/Phn IV: Attachments/nh km Mental Assessment Others/Khc

Ngy khm:

. . . . . . . . . .

Date of Examination: . . . . . . . . . . . . Signature of Doctor: . . . . . . . . . . . .

Bc s k tn:

Full Name in Print: . . . . . . . . . . . . .

Ghi y h tn:

For the Notary Public Phn dnh cho Cng chng vin Sworn to and subscribed before me on this . . . day of . . . . . . . . . . . . . . . . . . . . . . . . .
Tuyn th v k tn trc mt ti ngy

Lat update: March 2008

CNG HA X HI CH NGHA VIT NAM

C LP T DO HNH PHC

N XIN VNG MT KHI NP H S KT HN V GIY Y QUYN

(POWER OF ATTORNEY)

Knh gi: Ti, k tn di y, : . . . . . .

I, the undersigned,

S T php. . . . . . . . . . . . . . .
The Deparment of Justice of

. . . . . .

. . .

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

Sinh ngy
Date of birth

:. . . . . .
dd mm

. . . Ti : . . . .
yyyy Place of birth

Mang h chiu s
Passport number

:. . . . . . :. . . . . . :. . . . . .

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

. . . . . . . . .

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

Thng tr
Permanent address

v l do
for reasons of

lm n ny xin c php vng mt khi np h s xin kt hn v y quyn cho:

hereby request permission to be absent in submitting my application for marriage registration and entrust:

H v tn
Full name

:. . . . . . :. . . . . .
dd mm

. . . . . .

. . .

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

Sinh ngy
Date of birth

. . . Ti : . . . .
yyyy

Place of birth

S CMND
ID Card No.

:. . . . . . :. . . . . .

. .

Ni cp : . . . .
Issuing authority

. . .

Thng tr
Permanent address

. . . . . .

. . .

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

thay ti lm cc th tc ng k kt hn v np h s ng k kt hn
to act on my behalf in completing all the procedures concerning marriage registration and in submitting the application package for a marriage certificate

ti S T php. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
at the Justice Department of

Lm ti . .
Place

. .

. . .

.
Signature

Ngy . . . thng . . nm . .
dd mm yyyy

Ngi y quyn k tn

H v tn:. . . . . . . . . . . .
Full name

For the Notary Public Phn dnh cho Cng chng vin Sworn to and subscribed before me on this . . . day of . . . . . . . . . . . . . . . . . . . . . . . . .
Tuyn th v k tn trc mt ti ngy

Lat update: March 2008

nh/Photo 2x2 Cha qu 6 thng Taken within last 6 months

CNG HA X HI CH NGHA VIT NAM Socialist Republic of Vietnam c lp T do Hnh phc Independence Liberty Happiness L LNCH C NHN BIOGRAPHIC INFORMATION SHEET

H v tn:

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

Nam:

N:

Full Name: Ngysinh: . . Date of Birth: Ni sinh: . . Place of Birth: Dn tc: . . Ethnic Group Ngh nghip: . . Occupation: Ni lm vic: . . Employer: . . Qu qun4: Place of origin: Ni c tr5: . . Current Address: H chiu No. of Passport Ni cp : Place of Issue:

Family First Middle Male Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . dd mm yyyy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Quc tch: . . . . . . . . . . . . . . Nationality: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Th xanh: S . . . . . . . . . . . . . . . . . . . . . . . Green Card . . . . . . . . . . . . . Ngy cp: . . . . . . . . . . . Date of Issue: HON CNH C NHN/PERSONAL INFORMATION

1. lm g, u t 15 tui n nay? What have you done and where have you lived since the age of 15? T - n/Dates Cng vic/Employment a ch/Address

Last Update: March 2008

2. Tnh trng hn nhn cho n nay (nu c, ghi r h tn, ni c tr ca ngi kt hn trc y, l do chm dt hn nhn): History of Marital Status (if have been married, indicate full name and address of previous spouse(s) and reasons for termination) T nm - n nm H tn a ch L do chm dt Dates Full Name Address Reasons for Termination

HON CNH GIA NH/FAMILY INFORMATION 1. Cha, m6/Parents: H v tn Full Name Cha Father M Mother 2. Anh, ch, em rut/Full Siblings: H v tn Ngy sinh Anh ch em Siblings Full Name Date of Birth

Ngy sinh Dn tc Quc tch Date of Birth Ethnicity Nationalit y

Qu qun Place of Origin

Ni c tr Current Address

Ni c tr Current Address

Ti cam oan nhng li khai trn y l ng s tht v xin chu trch nhim trc php lut v li khai ca mnh. I undertake that the above statements are true and complete and that I take full responsibility before the law for them. Lm ti . . . . . . . . . , ngy . . . thng . . . nm . Place on dd mm yyyy Ngi khai k tn Signature

H v tn: . . . . . . . . . . Full Name in Print

Last Update: March 2008

For the Notary Public Phn dnh cho Cng chng vin Sworn to and subscribed before me on this . . . day of . . . . . . . . . . . . . . . . . . . . . . . . .
Tuyn th v k tn trc mt ti ngy

Ghi theo ni sinh trng ca cha . Nu khng r cha l ai, th theo ni sinh trng ca m . Nu khng xc nh c cha, m , th theo ni sinh trng ca ngi nui dng t nh. Indicate fathers birth place. If father is unkown, indicate mothers birth place. If both parents are unknown, indicate childhood guardians birth place. 5 Ghi ng theo ni thng tr. Trong trng hp khng c ni thng tr, th ghi theo ni tm tr v ghi r Tm tr. Indicate the exact permanent address. If there is no permanent address, indicate temporary address and state clearly temporary address. 6 Nu l cha, m nui th phi ghi r. If parents are adoptive, so state clearly.

Last Update: March 2008