HouseholdRegisterUnderSupervisionoftheMinistryofPublicSecurityofP.R.C.BasicInformationofHouseholdNo.000000000TypeofHousehold:Non-agriculturalfamilyNameofHouseholder:HouseholdNumber:00000Currentresidentialaddress:Room888,No.98,Lane8,888Road,PuTuoDistrict,shanghaiAuthorizedsupervisor:PublicSecurityBureauofShanghaiAuthorizedAdministrator:aaaRoadPoliceStationRegistrar:DateofIssue:RegisterofResidenceChangeNewAddressDateofregistrationupdateRegistrarInformationofMemberNameGHouseholderhim/herselforRelationtothehouseholderHouseholderherself户主Formername(ifavailable)SexFemalePlaceofbirthshanghaiEthnicityHanAncestralnativeplaceZhenHaiZheJiangProvinceDateofbirthOtherresidentialaddressinthiscity(county)ReligiousbeliefCitizenIDcardnumber310******Stature1**cmBloodgroupOEducationaldegreeCollegeorvocationalcollege（大学专科或专科学校）MaritalstatusMilitaryservicestatusEmployerShanghai*******Co;LTDl（工作单位）Occupation（职务，可以不填）Whenandfromwhereimmigratedtothiscity(county)Whenandfromwheremovedincurrent迁移来的时间Room***,No.***,Lane****WanHangDuRoad,（迁移来的地址）Registrar:Dateofregister:UpdatesofMember'sInformationUpdateditemUpdatedcontentDateofUpdateRegistrarMoveout(移出)No.**,Lane****,*****Road（移出后的地址）移出日期IdentificationCard（身份证）（Frontside）Name:XXXXXXXXSex:FemaleEthnicity:HanDateofBirth:29thSeptember,YYYYResidentialAddress:XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX,Fukang,XinjiangProvinceCitizenIDnumber:652302YYYYMMDD1234（Backside）CitizenIdentityCardofthePeople'sRepublicofChinaAuthority:ZhungaerPoliceStationDurationofValidity:5thSeptember,2012To5thSeptember,2017
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