聿Forpersonaluseonlyinstudyandresearch; 袈BasicInformationofHousehold肂No. 000000000蒁TypeofHousehold:羈Non-agriculturalfamily蕿膄NameofHouseholder:螃蚁肅 膅HouseholdNumber:羂 00000肀Currentresidentialaddress:螅Room888,,Lane8,888Road,羃PuTuoDistrict,shanghai肀Authorizedsupervisor:蒀PublicSecurityBureauofShanghai薆Authorized肄Administrator:莂aaaRoadPoliceStation罿Registrar:芆膅DateofIssue:蒁荿 肇 羃RegisterofResidenceChange袃NewAddress螈Dateofregistrationupdate螇Registrar羄 羂 蒁 薇 肅 肀 袁 芈 袃 蒂 莀 肈 袄InformationofMemberNameGHouseholderhim/herselforRelationtothehouseholderHouseholderherself户主Formername(ifavailable) SexFemalePlaceofbirthshanghaiEthnicityHanAncestralnativeplaceZhenHaiZheJiangProvinceDateofbirthOtherresidentialaddressinthiscity(county) ReligiousbeliefCitizenIDcardnumber310******Stature1**cmBloodgroupOEducationaldegreeCollegeorvocationalcollege(大学专科或专科学校)MaritalstatusMilitaryservicestatusEmployerShanghai*******Co;LTDl(工作单位)Occupation(职务,可以不填)Whenandfromwhereimmigratedtothiscity(county) Whenandfromwheremovedincurrent迁移来的时间Room***,No.***,Lane****WanHangDuRoad,(迁移来的地址)Registrar:Dateofregister:UpdatesofMember'sInformationUpdateditemUpdatedcontentDateofUpdateRegistrarMoveout(移出)No.**,Lane****,*****Road(移出后的地址)移出日期 IdentificationCard(身份证)(Frontside)Name:XXXXXXXX Sex:FemaleEthnicity:Han Da
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