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UnderSupervisionoftheMinistryofPublicSecurityof
forAttention
’sidentity
statusandmutualrelationsamongfamilymembers,andisthemainbasis
forresidenceregistrationauthoritytoinvestigateandconfirmhis/her
,thehouseholdowneror
membersofthishouseholdshall,ofhis/herownfreewill,showthe
booklet.
,andisprohibited
to
modify,
transfer
orlend
it.
If
loss
arises,
such
shallbe
immediatelyreportedtotheresidenceregistrationauthority.
III.
The
registration
right
of
the
booklet
belongs
to
residence
registrationauthority,andanyotherorganizationorindividualshall
notmakeanyrecordonit.
,orregistrationitems
changeinthishousehold,registrationshallbedeclaredtoresidence
registrationauthoritybyholdingthebooklet.
,
the
residencebooklet
shall
be
returnedto
residence
registration
authorityforcancellation.
BasicInformationofHousehold
Typeof
Non-agricultural
Nameof
Household:
family
Householder:
Household
Current
residential
Number:
address:
PublicSecurity
PublicSecurityBureauof
Authorized
Authorized
ZHENGZHOU
BureauofHENAN
supervisor:
Administrator:
xxxRoadPoliceStation
(sealed)
(sealed)
Registrar:
DateofIssue:
RegisterofResidenceChange
Dateofregistration
NewAddressRegistrarupdate
InformationofMember
HouseholdNumber:PeopleNumber:
NameHouseholderHouseholder
him/herselfor
Relationtothe
householder
FormerSexMale
name(if
available)
PlaceofEthnicityHan
birth
AncestralDateofbirth
native
place
OtherReligious
residentiabelief
laddress
inthis
city
(county)
CitizenIDStatureBloodgroup
card
number
EducationaMaritalMilitary
ldegreestatusservice
status
EmployerOccupation
Whenandfromwhere
immigratedtothis
city(county)
Whenandfromwhere
movedincurrent
residentialaddress
Registrar:xxx(sealed)Dateofregister:
UpdatesofMember'sInformation
UpdateditemUpdatedcontentDateofUpdateRegistrar
InformationofMember
HouseholdNumber:PeopleNumber:
NameHouseholder
him/herselfor
Relationtothe
householder
FormerSex
name(if
available)
PlaceofEthnicityHan
birth
AncestralDateofbirth
native
place
OtherReligious
residentiabelief
laddress
inthis
city
(county)
CitizenIDStatureBloodgroup
card
number
EducationaMaritalMilitary
ldegreestatusservice
status
EmployerOccupation
Whenandfromwhere
immigratedtothis
city(county)
Whenandfromwhere
movedincurrent
residentialaddress
Registrar:Xxx(sealed)Dateofregister:
UpdatesofMember'sInformation
UpdateditemUpdatedcontentDateofUpdateRegistrar
InformationofMember
HouseholdNumber:
Name
Former
PeopleNumber:
Householder
him/herselfor
Relationtothe
householder
Sex
name(if
available)
Placeof
Ethnicity
birth
Ancestral
Dateofbirth
native
place
Other
residentia
Religious
belief
laddress
inthis
city
(county)
CitizenID
Stature
Bloodgroup
card
number
Educationa
ldegree
Marital
status
Military
service
status
Employer
Whenandfromwhere
immigratedtothis
city(county)
Whenandfromwhere
movedincurrent
residentialaddress
Occupation
Registrar:Dateofregister:
UpdatesofMember'sInformation
UpdateditemUpdatedcontentDateofUpdateRegistrar
Declaration
Iherebyconfirmthistranslationof‘HouseholdRegister’istrue
.
Translator:
Date:
E-mail: