PUBLIC SECURITY BUREAU RESIDENCE REGISTRATION CERTIFICATE
SHANGHAI CERTIFICATE No.
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NAME |
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HOUSEHOLD No. |
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ID CARD No. |
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SEX |
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DATE OF BIRTH |
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ETHICITY |
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ADDRESS |
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EDUCATION |
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WORKING PLACE |
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OCCUPATION |
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MARITAL STATUS |
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OTHER NAMES |
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ANCESTRAL NATIVE PLACE |
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PLACE OF BIRTH |
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THE ITEMS TO BE CETIFIED |
HOUSEHOLD OF A CORPORATE RESIDENCE REGISTRATION CERTIFICATE FOR DOMESTIC USE ONLY(EXCLUDING HONGKONG, MACAU AND TAIWAN REGIONS) VALID FOR 30 DAYS |
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LOCAL POLICE STATION ISSUED
DATE: xx-xx-xxxx
I hereby certify that, to the best of my knowledge, this is an accurate translation of the original document.
Translator’s full name: Signature:
Date of the translation: Tel:
