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HouseholdRegisterUnderSupervisionofTheMinistryofPublicSecurityofP.R.CPAGE1-FRONTHouseholdTypeHouseholdNameofHouseholderHouseholdNumberAddressPublicSecurityDepartmentOfXXXXX(HouseholdRegistrationSeal)PublicSecurityBureauofXXXX(HouseholdRegistrationSeal)XXXXPoliceStationRegistrarSeal:IssueDate:PAGE1-BACKRegistrationofAddressAlternationsNewAddressDateofAlternationsRegistrarItisanaccuratetranslationoftheoriginaldocument.Signature:ConfirmedbytheTranslator:XXXXContact:+861333333333Email:XXXXXDateofTranslation:2015/05/191/5HouseholdRegisterUnderSupervisionofTheMinistryofPublicSecurityofP.R.CPAGE2-FRONTIndexofRegistrationCardofPermanentResidentNameGenderDateofBirthCategoryPopulationChangeRegistrarPAGE2-BACKIndexofRegistrationCardofPermanentResidentNameGenderDateofBirthCategoryPopulationChangeRegistrarItisanaccuratetranslationoftheoriginaldocument.Signature:ConfirmedbytheTranslator:XXXXContact:+861333333333Email:XXXXXDateofTranslation:2015/05/192/5HouseholdRegisterUnderSupervisionofTheMinistryofPublicSecurityofP.R.CPAGE3-FRONTRegistrationCardofPermanentResidentNameRelationwithHouseholderHouseholderHimselfFormerNameGenderPlaceofBirthEthnicityNativePlaceDateofBirthOtherResidentialAddressinThisCityReligionCitizenI.D.NumberStatureBloodTypeEducationalLevelMaritalStatusMilitaryServiceStatusNilEmployerOccupationWhenandfromwhereimmigratedintothiscityWhenandfromwheremovesincurrentresidentialaddressRegistrarSeal:IssueDate:PAGE3-BACKUpdatesofPermanentResident’sInformationUpdatedItemUpdatedContentDateofUpdatesRegistrarItisanaccuratetranslationoftheoriginaldocument.Signature:ConfirmedbytheTranslator:XXXXContact:+861333333333Email:XXXXXDateofTranslation:2015/05/193/5HouseholdRegisterUnderSupervisionofTheMinistryofPublicSecurityofP.R.CPAGE4-FRONTRegistrationCardofPermanentResidentNameRelationwithHouseholderFormerNameGenderPlaceofBirthEthnicityNativePlaceDateofBirthOtherResidentialAddressinThisCityReligionCitizenI.D.NumberStatureBloodTypeEducationalLevelMaritalStatusMilitaryServiceStatusEmployerOccupationWhenandfromwhereimmigratedintothiscityWhenandfromwheremovesincurrentresidentialaddressRegistrarSeal:IssueDate:PAGE4-BACKUpdatesofPermanentResident’sInformationUpdatedItemUpdatedContentDateofUpdatesRegistrarItisanaccuratetranslationoftheoriginaldocument.Signature:ConfirmedbytheTranslator:XXXXContact:+861333333333Email:XXXXXDateofTranslation:2015/05/194/5HouseholdRegisterUnderSupervisionofTheMinistryofPublicSecurityofP.R.CPAGE5-FRONTRegistrationCardofPermanentResidentNameRelationwithHouseholderFormerNameGenderPlaceofBirthEthnicityNativePlaceDateofBirthOtherResidentialAddressinThisCityReligionCitizenI.D.NumberStatureBloodTypeEducationalLevelMaritalStatusMilitaryServiceStatusEmployerOccupationWhenandfromwhereimmigratedintothiscityWhenandfromwheremovedincurrentresidentialaddressRegistrarSeal:IssueDate:PAGE5-BACKUpdatesofPermanentResident’sInformationUpdatedItemUpdatedContentDateofUpdatesRegistrarItisanaccuratetranslationoftheoriginaldocument.Signature:ConfirmedbytheTranslator:XXXXContact:+861333333333Email:XXXXXDateofTranslation:2015/05/195/5