Household Register
Under Supervision of the Ministry of Public Security of P.R.C
Points for Attention
I. Residence Booklet has legal effect to prove a citizen’s identity status and mutual relations among family members, and is the main basis for residence registration authority to investigate and confirm his/her registered permanent residence. In so doing, the household owner or members of this household shall, of his/her own free will, show the booklet.
II. The household owner shall well keep the booklet, and is prohibited to modify, transfer or lend it. If loss arises, such shall be immediately reported to the residence registration authority.
III. The registration right of the booklet belongs to residence registration authority, and any other organization or individual shall not make any record on it.
IV. If the members are increased or decreased, or registration items change in this household, registration shall be declared to residence registration authority by holding the booklet.
V. When the whole household moves out of residence jurisdictional area, the residence booklet shall be returned to residence registration authority for cancellation.
| Type of Household | Non-agricultural Household | Name of Householder | XXX |
| Household No. | XXXXXX | Address | XXXXX |
| Provincial-level Public Security Authority’s Seal Special for Residence: Public Security Bureau of XXX Province (seal) Public Security Bureau of XXX
Seal of Undertaker: XXX | |||
Registration of Changed Items and Record of Change
| Item | Address after Change | Date of Change | Seal of the Undertaker |
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Registration Card for Resident Population
| Name | XXX | Relation with Householder | Householder | ||||
| Other Used Names |
| Sex | Male | ||||
| Place of Birth | XXX, XXX Province | Nationality | Han Chinese | ||||
| Place of Origin | XX, XXX Province | Date of Birth | XXth October 19XX | ||||
| Other Addresses if Have |
| Religion |
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| Identity Card Number | XXXXXXXXXXXX | Height | XXXcm | Blood Group | XX | ||
| Education | XXX | Marital Status | Married | Military Service Status | No | ||
| Work Place | XXXX | Occupation | XXX | ||||
| When and from Where Moved to This City (County) | Moved from XXX, XXX Province on XXth August 19XX. | ||||||
| When and from Where Moved to This Address | Moved from XX Street, XX on XXth December 19XX. | ||||||
Seal of Undertaker: XXX Date of Issue: XXth December 200X
Registration of Changed Items and Record of Change
| Item | Address after Change | Date of Change | Seal of the Undertaker |
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Registration Card for Resident Population
| Name | XXX | Relation with Householder | Wife | ||||
| Other Used Names |
| Sex | Female | ||||
| Place of Birth | XXX Province | Nationality | Han Chinese | ||||
| Place of Origin | XX, XXX Province | Date of Birth | XXth June 19XX | ||||
| Other Addresses if Have |
| Religion |
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| Identity Card Number | XXX | Height | XXXcm | Blood Group | XXX | ||
| Education | XXX | Marital Status | XXX | Military Service Status | No | ||
| Work Place | XXX | Occupation | XXX | ||||
| When and from Where Moved to This City (County) | Permanent Residence | ||||||
| When and from Where Moved to This Address | Moved from XX Road, XX District, XX on XXth December 200X. | ||||||
Seal of Undertaker: XXX Date of Issue: XXth December 200X