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1、 Household No.: Household Type RegistrationCardforResident Population Name of householder Relation to householder Collective Household Non-relative Name Gender Former name Nationality Date of birth Guardian Place of birth Guardianship Birth certificat

2、e Issuing date Household Address Other Address Native Place Religion ID Card No. Issuing date Education Level Marital status Military service No Military service Height Blood type Occupation Employer When & why and from where moved to this city(county)

3、 12-21-2010, Moved to this city after graduation from…. When & why and from where moved to this address When & why and to where leave this city When & why cancel household Applicant signature: Household Registion Office

4、 (seal) Undertaker signature: Local Police Station of XXXXXX Registration date : 2013-05-19 2013.05.19 Male one Male two Male three Updates of Members Information Item After the change Date of change Applic

5、ant signature Undertaker signature Records Telephone Reason for apply ID card Valid period of ID Card ID Card cancel date Social RElation Name Relationship Address or work place Female one Female two Female three