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    • 曾用名公證書

    (2005-8-4 14:04:08)

    （）ХХ字第ХХ號 
    　　根據ХХ省ХХ市戶籍管理機關檔案記載（或ХХ單位公務人員檔案記載），茲證明ХХХ，（男或女，ХХ年Х月Х日出生），原住ХХ省ХХ市ХХ路ХХ號（或現住在ХХ國）從ХХ年Х月Х日至ХХ年Х月Х日曾用名為ХХХ。 


    　　 
    　　　　                       　　中華人民共和國ХХ省ХХ市（縣）公證處 
    　　　　　                                       　公證員（簽名） 
    　　　　                                       　　ХХ年Х月Х日 

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