| Name | ×× ×××× | Sex | Female |
(Photo) |
| Byname | ×× | Date of Birth | ××××-××-×× | |
| Parentage | Worker | Status | Student | |
| Native | Chengdu, Sichuan | Nationality | Han | |
| Permanent Address | No.×× ×××××× St., Chengdu, Sichuan | |||
| Overseas Chinese? Where | ×× | Health | Good | |
| When, where, who introduce to join Communist Part or Youth League? | Introducer: ××××, In Chengdu No.×× Middle School; Joined Youth League in March ×××× | |||
| Marriage? Who, serving co. & title | Married, Husband: ×× ××, policeman, Traffic police Team No.××, Traffic Administration Dept., ×××× | |||
| Family economic situation & economic source | OK, Depend on salary | |||
| Rewards & Punishment | ×× | |||