1、Change of Registered Items and Record Item Change, After the Change Date of the change Signed and sealed by the undertaker Non-agricultural Household Register Card for Permanent Resident Name Householder/ Relationship
2、 with the Householder Son Name used before Gender Male Birthplace Tiedong District, Anshan City, Liaoning Province Nationality Han Native place Liaoyang City, Liaoning Province Birth date Other place of residence Religious faith I.D. Card No. Body height Blood type Edu
3、cational attainments Primary School Marital status Unmarried Military service No military service Service place Occupation When and from where to this city (county) Birth declaration on July 7,1986 When and from where to this residence Signed and sealed by the undertaker:
4、 Date of registration: Change of Registered Items and Record Item Change, After the Change Date of the change Signed and sealed by the undertaker Non-agricultural Household Register Card for Permanent Resident Na
5、me Householder/ Relationship with the Householder Wife Name used before Gender Female Birthplace Beijing City Nationality Han Native place Birth date Other place of residence Religious faith I.D. Card No. Body height 1 Blood type Educational attainments Junior Coll
6、ege Marital status Married Military service No military service Service place Occupation When and from where to this city (county) Emigrated to Beijing on Dec. 21,1961 When and from where to this residence On Dec. 12, 2006, Moved from No. 64 Youhao Huanshan Road Signed and sealed by
7、the undertaker: Date of registration: ATTENTION 1. The Household Register is a legal instrument for proving the citizenship and relationship between family members. It is the main basis for inquiring and checking the household registration status of citizens by the Household Regist
8、ration Organ. The householder or members of the household shall, upon request, submit the Household Register to the officials of the Household Registration Organ for checking. 2. The householder shall properly keep the Household Register in a safe place. Unauthorized altering, transferring, or lend
9、ing the Household Register to others are strictly forbidden. Report to the Household Registration Organ immediately should it be lost. 3. Only the Household Registration Organ may record data onto the Household Register. None of the other organizations or individuals may record anything onto the Ho
10、usehold Register. 4. If any of the registered items, such as the number of family members, have changed, the holder of the Household Register shall bring the Household Register to the Household Registration Organ for updating. 5. Upon migrating of the whole household out of the precinct, the house
11、holder shall submit the Household Register to the Household Registration Organ for revocation. Household Non-agricultural Household Householder Name Household Number Address Provincial Public Security Organization Household-special Seal: Liaoning Provincial Public Security Bureau H
12、ousehold-Special Household Register Office Household-special Seal: Anshan Municipal Public Security Bureau Household-special Signed and sealed by the undertaker: Issued on: Dec. 12, 2006 4 / 4






