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Household Register

Under Supervision of the Ministry of Public Security of P. R. C.

Basic Information of Household

Location No. Type of Household: Household Number: Authorized supervisor: Registrar:

Name of Non-agricultural family Householder: Current residential address: Administrator: Date of Issue: Public Security Bureau of Authorized Guangdong (sealed) Register of Residence Change

New Address Date of registration update Registrar

Information of Member

Name Former name (if available) Householder him/herself or Relation to the householder Sex Ethnicity Date of birth Householder himself Male Han Place of birth Ancestral native place address in this city (county) Citizen ID card number Educational degree Employer Other residential Religious belief Nil Stature Blood group Military service status A Marital status Nil Occupation When and from where immigrated to this city (county) When and from where moved in current residential address Registrar: Date of register:

Updates of Member's Information

Name

Updated item Updated content ,After Updataed Date of Update Registrar

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