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CERTIFICATE

[2012] XXX Zheng Zi No.XX

Proposer:XXX, famale, born on XX. XXth ,19XX; ID:XXXXXXXXXXX; live in Group X , XXX Village, XXXX Town, XXXXX, XXXX Province.

This is to certify that XXX didn't register marriage in .marriage registration department of XXXX, XXXX Province before XXXX XXth ,2012.

XXXX Notary Public Office

XXXX Province

The People’s Republic of China

Notary:

XXX XXth ,2012