户口本 模板

Change of Registered Items and Record

Item

Change, After the Change

Date of the change

Signed and sealed by the undertaker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-agricultural Household   Register Card for Permanent Resident

Name

 

Householder/ Relationship with the Householder

Son

Name used before

 

Gender

Male

Birthplace

Tiedong District, Anshan City, Liaoning Province

Nationality

Han

Native place

Liaoyang City, Liaoning Province

Birth date

 

Other place of residence

 

Religious faith

 

I.D. Card No.

 

Body height

 

Blood type

 

Educational attainments

Primary School

Marital status

Unmarried

Military service

No military service

Service place

 

Occupation

 

When and from where to this city (county)

Birth declaration on July 7,1986

When and from where to this residence

 

Signed and sealed by the undertaker:                Date of registration:


 

Change of Registered Items and Record

Item

Change, After the Change

Date of the change

Signed and sealed by the undertaker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-agricultural Household   Register Card for Permanent Resident

Name

 

Householder/ Relationship with the Householder

Wife

Name used before

 

Gender

Female

Birthplace

Beijing City

Nationality

Han

Native place

 

Birth date

 

Other place of residence

 

Religious faith

 

I.D. Card No.

 

Body height

1

Blood type

 

Educational attainments

Junior College

Marital status

Married

Military service

No military service

Service place

 

Occupation

 

When and from where to this city (county)

Emigrated to Beijing on Dec. 21,1961

When and from where to this residence

On Dec. 12, 2006, Moved from No. 64 Youhao Huanshan Road

Signed and sealed by the undertaker:                Date of registration:

 


 

 

 

ATTENTION

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.

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.

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.

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.

Upon migrating of the whole household out of the precinct, the householder shall submit the Household Register to the Household Registration Organ for revocation.

 

 

 

Household

Non-agricultural Household

Householder Name

 

 

Household Number

 

Address

 

 

Provincial Public Security Organization

Household-special Seal:

Liaoning Provincial Public Security Bureau

Household-Special

                                       Household Register Office

                                       Household-special Seal:

                                       Anshan Municipal Public Security Bureau

         Household-special

                    

 

Signed and sealed by the undertaker:        Issued on: Dec. 12, 2006

 

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