THE SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
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REQUEST FORM FOR SEA AREA RETURN
To: ...(The Prime Minister/The Ministry of Natural Resources and Environment/The People’s Committee of ... province/The People’s Committee of ... district)
Name of the applicant ……………………………………………………………………………
Head office address/Address: ………………………………………………………………………………………….
Phone number:……………………………………….. Fax: ……………………………………
Establishment decision No. .... dated (dd/mm/yyyy).... or Enterprise registration certificate, enterprise ID No. …. date of issue…. (dd/mm/yyyy).... revision (if any) made on…. (dd/mm/yyyy) or Business registration certificate No. .... dated (dd/mm/yyyy).... (if the applicant is an organization).
- Date of birth ...., ID card or Citizen ID card or Personal identification No. ... issued on …. (dd/mm/yyyy) by.... (if the applicant is an individual).
- Hereby would like to request the permission for return of the sea area under the Decision on sea area assignment No. .... dated (dd/mm/yyyy).... of: the Prime Minister/the Ministry of Natural Resources and Environment/the People’s Committee of ... province/the People’s Committee of ... district regarding the transfer of the right to use the sea area in .... commune, .... district, …. province.
- Or the permission for partial return of the sea area of... ha out of the total size of… ha under the Decision on sea area assignment No. .... dated (dd/mm/yyyy).... of: the Prime Minister/the Ministry of Natural Resources and Environment/the People’s Committee of ... province/the People’s Committee of ... district regarding the transfer of the right to use the sea area in .... commune, .... district, …. province
Reasons for return ………………………………………………………………………………………
(Name of the applicant) ... undertakes to strictly comply with regulations of law on use of sea areas and other relevant regulations of law./.
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…..(Place name), (dd/mm/yyyy) ….
APPLICANT
(Signature; seal or fingerprints)
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Form No. 04
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