Basic Personal Information
Marital Status | Education | Ancestral Native Place | ||||
Military Service Status | Religion | Residential District | ||||
Industry Engaged in | Category of Occupation | Detailed Address | ||||
Telephone | Occupation | Employer | ||||
Ancestral Native Country | Country of Birth | City/County of Birth | ||||
Detailed Place of Birth | ID No. of Father | Name of Father | ||||
ID No. of Mother | Name of Mother | ID No. of Spouse | ||||
Name of Spouse | ID No. of Guardian Ⅰ | Relation to Guardian Ⅰ | ||||
Guardian Ⅰ | ID No. of Guardian Ⅱ | Relation to Guardian Ⅱ | ||||
Guardian Ⅱ | Category of Migration | Date of Migration | ||||
Country Migrated to | City/County Migrated to | Detailed Address Migrated to | ||||
Reason of Immigration | Date of Immigration | Country Immigraed from | ||||
City/County Immigrated from | Detailed Address Immigrated from | Category of Death | ||||
Date of Death | ||||||
Father: , born on ID No. | ||||||
Mother: , born on , ID No. | ||||||
| | | | | | |
(SEALED: Sealed by XX Branch Of XX Public Security Bureau, used Exclusively for Household Register) |