1、Household RegisterUnder Supervision of the Ministry of Public Security of P. R. C.Basic Information of HouseholdNo. 000000000Type of Household:Non-agricultural family Name of Householder: Household Number: 00000Current residential address:Room 888,No. 98, Lane8,888Road,PuTuo District, shanghaiAuthor
2、ized supervisor:Public Security Bureau of Shanghai AuthorizedAdministrator:aaaRoad Police Station Registrar: Date of Issue: Register of Residence ChangeNew AddressDate of registration updateRegistrarInformation of MemberNameG Householder him/herself or Relation to the householderHouseholder herself户
3、主Former name (if available) Sex FemalePlace of birth shanghai Ethnicity HanAncestral native placeZhenHai ZheJiang Province Date of birthOther residential address in this city (county)Religious beliefCitizen ID card number 310* Stature 1* cm Blood group OEducational degreeCollege or vocational colleg
4、e（大学专科或专科学校）Marital statusMilitary service statusEmployerShanghai *Co;LTDl（工作单位）Occupation （职务，可以不填）When and from where immigrated to this city (county)When and from where moved in current 迁移来的时间Room*,No. *, Lane* WanHangDu Road, （迁移来的地址）Registrar: Date of register:Updates of Members InformationUpda
5、ted item Updated content Date of Update RegistrarMove out(移出)No.*, Lane*, * Road（移出后的地址）移出日期Identification Card（身份证）（Front side） Name: XXX XXXXXSex: Female Ethnicity: HanDate of Birth: 29th September, YYYYResidential Address: XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX, Fukang, Xinjiang ProvinceCitizen ID number: 652302YYYYMMDD1234（Back side） Citizen Identity Card of the Peoples Republic of China Authority: Zhungaer Police StationDuration of Validity: 5th September, 2012 To 5th September, 2017
