Garuda Emblem
Office of Amphoe Phanat Nikhom District
No.92/2558 Old Town Rd,. ShorBor 20140
Letter of Certification
Whereas Miss Jaranya Bounte, Thai nationality, Identity No. 1100500314508, Aged 26 years, Born on Febuary 04, 1989, Father's name Mr.Tawin, Mother's name Mrs.Pranee Thai nationality, Residing at the house No. 122/3, Village No.12. Nonghiang - District, Phanat Nikhom District, Chonburi Province Requesting the Government Officer to issue the certificate that " Miss Jaranya Bounte" has never registered Marriage at Registration Officer of Phanat Nikhom, Chonburi Province. For supporting evidence to register Marriage with foreigner.
Amphoe Phanat Nikhom District Unaudited family registration database Ministry of Interior. Evidence, including witnesses and questioned the petitioner and panning.
Miss.Jaranya Bounte Never married to any person at the Registrar's Office Amphoe Phanat Nikhom District, Chonburi truth.
This letter of certification is therefore issued as evidence.
Given on 25 December, 2015.
Signed – Signature-
(Miss.Duongduan Phongphan)
Deputy District Chief (Governing Officer, Professional Level)
Acting Amphoe Phanat Nikhom District Chief
(Affixed with Official seal)