1、One-child certificateFamily Planning Bureau of Shiquan CountySupervisory Unit: Family Planning Bureau of XXXCertification Unit: Family Planning Bureau of XXX(seal)Signed Date: Valid Period: No.:2007050Child Name: Sex:Date of Birth: 27th August, 1984Name: Age:Father:Work Place:Name: Age:Mother:Work P
2、lace:Type: contraceptive ring Contraceptive Measure Adopted: Date:Update: Re-certification due to original lostFamily Planning Bureau of XXX(seal)Tuition and Miscellaneous Fees Exemption RecordDate Amount School System & Class Householder Signature Undertaker SignatureHealth subside, Welfare and Bonus Receipts RecordDate Item Amount Payee Signature Undertaker Signature
