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Change of Registered Items and RecordItemChange, After the ChangeDate of the changeSigned and sealed by the undertakerNon-agricultural Household Register Card for Permanent ResidentNameHouseholder/ Relationship with the HouseholderSonName used beforeGenderMaleBirthplaceTiedong District, Anshan City, Liaoning ProvinceNationalityHanNative placeLiaoyang City, Liaoning ProvinceBirth dateOther place of residenceReligious faithI.D. Card No.Body heightBlood typeEducational attainmentsPrimary School Marital statusUnmarriedMilitary serviceNo military serviceService placeOccupationWhen and from where to this city (county)Birth declaration on July 7,1986When and from where to this residence Signed and sealed by the undertaker: Date of registration: Change of Registered Items and RecordItemChange, After the ChangeDate of the changeSigned and sealed by the undertakerNon-agricultural Household Register Card for Permanent ResidentNameHouseholder/ Relationship with the HouseholderWifeName used beforeGenderFemaleBirthplaceBeijing CityNationalityHanNative placeBirth dateOther place of residenceReligious faithI.D. Card No.Body height1Blood typeEducational attainmentsJunior College Marital statusMarriedMilitary serviceNo military serviceService placeOccupationWhen and from where to this city (county)Emigrated to Beijing on Dec. 21,1961When and from where to this residenceOn Dec. 12, 2006, Moved from No. 64 Youhao Huanshan RoadSigned and sealed by the undertaker: Date of registration: ATTENTION1. The Household Register is a legal instrument for proving the citizenship and relationship between family members. It is the main basis for inquiring and checking the household registration status of citizens by the Household Registration Organ. The householder or members of the household shall, upon request, submit the Household Register to the officials of the Household Registration Organ for checking.2. The householder shall properly keep the Household Register in a safe place. Unauthorized altering, transferring, or lending the Household Register to others are strictly forbidden. Report to the Household Registration Organ immediately should it be lost.3. Only the Household Registration Organ may record data onto the Household Register. None of the other organizations or individuals may record anything onto the Household Register.4. If any of the registered items, such as the number of family members, have changed, the holder of the Household Register shall bring the Household Register to the Household Registration Organ for updating.5. Upon migrating of the whole household out of the precinct, the householder shall submit the Household Register to the Household Registration Organ for revocation.HouseholdNon-agricultural HouseholdHouseholder NameHousehold NumberAddressProvincial Public Security OrganizationHousehold-special Seal: Liaoning Provincial Public Security BureauHousehold-Special Household Regis

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