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1、Applicant signature: Household Registion Office Household No.: Household TypeRegistrationCardforResidentPopulationName of householderRelation to householder Collective HouseholdNon-relativeNameGenderFormer name NationalityDate of birthGuardian Place of birth GuardianshipBirth certificateIssuing date
2、Household Address Other AddressNative Place Religion ID Card No.Issuing date Education LevelMarital statusMilitary serviceNo Military serviceHeightBlood type OccupationEmployerWhen & why and from where moved to this city(county) 12-21-2010, Moved to this city after graduation from.When & why and fro
3、m where moved to this addressWhen & why and to where leave this cityWhen & why cancel household (seal)Undertaker signature: Local Police Station of XXXXXX Registration date : 2013-05-19 2013.05.19Male oneMaletwoMale threeUpdates of Members Information ItemAfter the changeDate of changeApplicant signatureUndertaker signatureRecordsTelephoneReason for apply ID cardValid period of ID Card ID Card cancel dateSocial RElationNameRelationshipAddress or work place Female one Female two Female three第 6 页