Type of the Household:
Head of Household’s Name:
Household No.:
Address:
Seal of Provincial Pubic Security Authority:
Seal of Household Registration Authority:
Handled by:
Issue Date:
Name:
Head of Household/ Relationship with the Head of Household:
Sex: Nationality:
Place of Birth:
Place of Origin:
Date of Birth:Blood Type:
ID No.:Height:
Level of Educational:Marital Status:
Service Location:
Occupation:
When and from where moved to this city (county):
When and from where moved to this address:
Name:
Head of Household/ Relationship with the Head of Household: Sex:
Nationality:
Place of Birth:
Place of Origin:
Date of Birth:Blood Type: ID No.:Height:
Level of Educational:Marital Status: Service Location:Occupation: When and from where moved to this city (county):
When and from where moved to this address:
Name:
Head of Household/ Relationship with the Head of Household: Sex:
Nationality:
Place of Birth:
Place of Origin:
Date of Birth:Blood Type:
ID No.:Height
Level of Educational:Marital Status: When and from where moved to this address:
Registration Date:
Name:
Head of Household/ Relationship with the Head of Household:
Sex:
Nationality:
Place of Birth:
Place of Origin:
Date of Birth:Blood Type:
ID No.:Height:
Level of Educational:Marital Status:
When and from where moved to this address:
Registration Dat e:。