.
Household No.:
Household Type
Registrati on Card for Reside nt
Populati on
Name of
householder
Relation to householder
Collective
Household
Non-relative
Name
Gender
Former name
Nationality
Date of birth
Guardian
Place of birth
Guardianship
Birth certificate
Issuing date
Household
Address
Other Address
Native Place
Religion
ID Card No.
Issuing date
Education Level
Marital status
Military service
No Military service
Height
Blood type
Occupation
Employer
When & why and from where moved to this city(county)
12-21-2010, Moved to this city after graduation from …
When & why and from where moved to this address
When & why and to where leave this city
When & why
cancel household
Household Registi on Office (seal)
Registration date : 2013-05-19
Applicant sig nature:
Un dertaker sig nature:
Local Police Station of XXXXXX
I;
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Male
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Male
:
Male
one
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1
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: :
two
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:
three
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