蒈Forpersonaluseonlyinstudyandresearch; 蚅BasicInformationofHousehold蚃No. 000000000蚂TypeofHousehold:芀Non-agriculturalfamily螅肄NameofHouseholder:腿聿袅 蒅HouseholdNumber:袁 00000袇Currentresidentialaddress:羅Room888,,Lane8,888Road,袅PuTuoDistrict,shanghai荿Authorizedsupervisor:袀PublicSecurityBureauofShanghai肅Authorized羂Administrator:肁aaaRoadPoliceStation虿Registrar:膅莃DateofIssue:螃蒈 膄 螄RegisterofResidenceChange芁NewAddress膇Dateofregistrationupdate芄Registrar膅 羃 芀 莄 节 莁 罿 蒄 螃 肃 螈 螈 膄薀InformationofMember螁Name袈G薄节Householderhim/herselforRelationtothehouseholder蕿Householderherself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:
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