Shanghai Public Security Bureau Household Certificate
SHANGHAI CERTIFICATE (20) No.132XXX
| NAME | X XX | USER NO. | X XXX XXX XX | |
| Citizen Identify Number | 510725X XXX XXX XX | SEX | Male | |
| Date of Birth | February 7, X XX | Ethnicity | HAN | |
| Address | X XXX XXX XXX XX Caolu County | Degree of Education | a student of college | |
| Company | University level(Four years’ time) of Class 5 majoring in from year 2010 | Occupation | ||
| Marital status | Unmarried | Another name | X XXX | |
| Native place | X XX Province | Place of birth | X XX, Sichuan Province | |
| The Items to Be Certificated | Household of a corporate The student collective permanent population registration from Colleges and Universities (valid for 30 days) | |||
X XX Police Station
Issued on 23rd May, 2014.
Special Seal for household register of Gulu Police Station, Shanghai Public Security Bureau