袁Forpersonaluseonlyinstudyandresearch; 荿BasicInformationofHousehold薆No. 000000000薄TypeofHousehold:肃Non-agriculturalfamily聿薇NameofHouseholder:羆蒃袀 莅HouseholdNumber:肄 00000袂Currentresidentialaddress:薀Room888,,Lane8,888Road,蒆PuTuoDistrict,shanghai膃Authorizedsupervisor:芁PublicSecurityBureauofShanghai芀Authorized蒈Administrator:薅aaaRoadPoliceStation螁Registrar:肁芅DateofIssue:蚃膀 螁 莆RegisterofResidenceChange羆NewAddress膈Dateofregistrationupdate薂Registrar蚂 莈 薇 节 葿 蒇 羆 肂 薁 衿 莆 螃 薂羇InformationofMember袅Name蒃G荿莀Householderhim/herselforRelationtothehouseholder芄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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