1、Household RegisterUnder Supervision of The Ministry of Public Security of P.R.CPAGE 1-FRONTHousehold TypeHouseholdName of HouseholderHousehold NumberAddressPublic Security DepartmentOfXXXXX(Household Registration Seal)Public Security Bureau of XXXX(Household Registration Seal)XXXX Police StationRegi
2、strar Seal: Issue Date: PAGE 1-BACKRegistration of Address AlternationsNew AddressDate of AlternationsRegistrarPAGE 2-FRONTIndex of Registration Card of Permanent ResidentNameGenderDate of BirthCategoryPopulation ChangeRegistrarPAGE 2-BACKIndex of Registration Card of Permanent ResidentNameGenderDat
3、e of BirthCategoryPopulation ChangeRegistrarPAGE 3-FRONTRegistration Card of Permanent ResidentNameRelation with HouseholderHouseholder HimselfFormer NameGenderPlace of BirthEthnicityNative PlaceDate of BirthOther Residential Address in This CityReligionCitizen I.D. NumberStatureBlood TypeEducationa
4、l LevelMarital StatusMilitary Service StatusNilEmployerOccupationWhen and from where immigrated into this cityWhen and from where moves in current residential addressRegistrar Seal: Issue Date: PAGE 3-BACKUpdates of Permanent Residents InformationUpdated ItemUpdated ContentDate of UpdatesRegistrarPA
5、GE 4-FRONTRegistration Card of Permanent ResidentNameRelation with HouseholderFormer NameGenderPlace of BirthEthnicityNative PlaceDate of BirthOther Residential Address in This CityReligionCitizen I.D. NumberStatureBlood TypeEducational LevelMarital StatusMilitary Service StatusEmployerOccupationWhe
6、n and from where immigrated into this cityWhen and from where moves in current residential addressRegistrar Seal: Issue Date: PAGE 4-BACKUpdates of Permanent Residents InformationUpdated ItemUpdated ContentDate of UpdatesRegistrarPAGE 5-FRONTRegistration Card of Permanent ResidentNameRelation with H
7、ouseholderFormer NameGenderPlace of BirthEthnicityNative PlaceDate of BirthOther Residential Address in This CityReligionCitizen I.D. NumberStatureBlood TypeEducational LevelMarital StatusMilitary Service StatusEmployerOccupationWhen and from where immigrated into this cityWhen and from where moved
8、in current residential addressRegistrar Seal: Issue Date: PAGE 5-BACKUpdates of Permanent Residents InformationUpdated ItemUpdated ContentDate of UpdatesRegistrarIt is an accurate translation of the original document. Signature:Confirmed by the Translator: XXXXContact: +861333333333 Email:XXXXX Date of Translation: 2015/05/19 5 / 5