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Change of Registered Items and Record Item
Change, After the Change
Date of the change Signed and sealed by the undertaker
Non-agricultural Household
Register Card for Permanent Resident Name
Householder/ Relationship Son with the Householder Name before Birthplace Tiedong District, Anshan City, Liaoning Province Native place Liaoyang City, Liaoning Province Other place of residence I.D. Card No.
Body height
Blood
type Educational attainments Primary School
Marital status Unmarried Military service Occupation
No military service Religious faith
Birth date
Nationality Han used
Gender Male Service place 不得用于商业用途
仅供个人参考
When and from where to Birth declaration on July 7,1986 this city (county When and from where to
this residence Signed and sealed by the undertaker: Date of registration:
Change of Registered Items and Record Item
Change, After the Change
Date of the change Signed and sealed by the undertaker
Non-agricultural Household
Register Card for Permanent Resident Name
Householder/ Relationship Wife with the Householder Name before Birthplace Native place Beijing City
Nationality Birth date Religious faith Han
used
Gender Female Other place of residence I.D. Card No. 不得用于商业用途
Body height 1 Blood
仅供个人参考
type Educational attainments Service place
Junior College Marital status Married Military service Occupation
No military service When and from where to Emigrated to Beijing on Dec. 21,1961 this city (county When and from where to On Dec. 12, 2006, Moved from No. 64 Youhao Huanshan Road this residence Signed and sealed by the undertaker: Date of registration:
ATTENTION
1. The Household Register is a legal instrument for proving the citizenship and relationship between family members. It is the main basis for inquiring and checking the household registration status of citizens by the Household Registration Organ. The householder or members of the household shall, upon request, submit the Household Register to the officials of the Household Registration Organ for checking. 2.
The householder shall properly keep the Household Register in a safe place. Unauthorized altering, transferring, or lending the Household Register to others are strictly forbidden. Report to the Household Registration Organ immediately should it be lost. 3.
Only the Household Registration Organ may record data onto the Household Register. None of the other organizations or individuals may record anything onto the Household Register. 4. If any of the registered items, such as the number of family members, have changed, the holder of the Household Register shall bring the Household Register to the Household Registration Organ for updating. 5.
Upon migrating of the whole household out of the precinct, the householder shall submit the Household Register to the Household Registration Organ for revocation. Household Household Number Non-agricultural Household
Householder Name Address
不得用于商业用途
仅供个人参考
Provincial Public Security Organization Household-special Seal:
Liaoning Provincial Public Security Bureau Household-Special