Household Register
Under Supervision of the Ministry of Public Security of P. R. C.
Basic Information of Household
No. 000000000
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Type of Household: |
Non-agricultural family
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Name of Householder: |
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Household Number: |
00000 |
Current residential address: |
Room 888,No. 98, Lane8,888Road, PuTuo District, shanghai |
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Authorized supervisor: |
Public Security Bureau of Shanghai |
Authorized Administrator: |
aaaRoad Police Station |
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Registrar: |
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Date of Issue: |
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Register of Residence Change
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New Address |
Date of registration update |
Registrar |
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Information of Member
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Name |
G
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Householder him/herself or Relation to the householder |
Householder herself 户主 |
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Former name (if available) |
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Sex |
Female |
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Place of birth |
shanghai |
Ethnicity |
Han |
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Ancestral native place |
ZhenHai ZheJiang Province |
Date of birth |
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Other residential address in this city (county) |
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Religious belief |
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Citizen ID card number |
310****** |
Stature |
1** cm |
Blood group |
O |
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Educational degree |
College or vocational college（大学专科或专科学校） |
Marital status |
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Military service status |
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Employer |
Shanghai *******Co;LTDl （工作单位） |
Occupation |
（职务，可以不填） |
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When and from where immigrated to this city (county) |
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When and from where moved in current |
迁移来的时间 |
Room***,No. ***, Lane**** WanHangDu Road, （迁移来的地址） |
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Registrar: |
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Date of register: |
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Updates of Member's Information
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Updated item |
Updated content |
Date of Update |
Registrar |
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Move out (移出) |
No.**, Lane****, ***** Road （移出后的地址） |
移出日期 |
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Identification Card（身份证）
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（Front side） |
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Name: XXX XXXXX
Sex: Female Ethnicity: Han
Date of Birth: 29th September, YYYY
Residential Address: XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX, Fukang, Xinjiang Province
Citizen ID number: 652302YYYYMMDD1234 |
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（Back side） |
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Citizen Identity Card of the People's Republic of China
Authority: Zhungaer Police Station
Duration of Validity: 5th September, 2012 To 5th September, 2017 |
