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Household No.: xxxxxx
Type of household
Household register
Name of household
Relation
Corporate
xxxxxx
Non-relative
Name
xxxxxx
Gender
Male
Former name
xxxxxx
Ethnicity
Han
Date of birth
xx xx,19xx
Guardian
Place of birth
xxxx County, xxxx Province
Relation
Citizen birth certificate
Issued date
Address
No.xxx, xxxxx Road, Xuanwu District, Nanjing
This city
Other address
Place of origin
xxxx County, xxxx Province
Religion
Non-religion
ID card No.
xxxxxxxxxxxxxxxxxx
Issued date
Dec 30th ,20xx
Education
Graduate student
Marital status
Single
Military service
Non-military
Height
185cm
Blood type
x
Occupation
Staff
Employer
Nanjing xxx xxxxxxx Co.,Ltd
When where move to this city
Moved from No.x, xxxx Road xxx District,xxx,xxx Province on xxx 10th ,20xx
When why From where to here
When why To this address
When why Cancel household
Applicant signature: Public Security Department (sealed)
The undertaker signature: Register date : xxxxxx ,20xx
(sealed) (sealed)
Nanjing Service Center for Human Resources Nanjing Public Security Bureau Household Special Stamp
Household Special Stamp Police Station of xxxxx
Male
one
Male
two
Male
three
Updates of Members Information
item
After the change
Date of change
Applicant signature
records
telephone
Resident ID
APPLICANT REASON
Resident ID
Valid period
Resident ID
Payment cancel
Social relation
Name
Relation to
Address or work place
Female one
Female two
Female
three
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