1、Change of Registered Items and RecordItem Change, After the Change Date of the change Signed and sealed by the undertakerNon-agricultural Household Register Card for Permanent ResidentName Householder/ Relationship with the HouseholderSonName used beforeGender MaleBirthplace Tiedong District, Anshan
2、 City, Liaoning ProvinceNationality HanNative place Liaoyang City, Liaoning ProvinceBirth dateOther place of residenceReligious faithI.D. Card No. Body height Blood typeEducational attainmentsPrimary School Marital status Unmarried Military serviceNo military serviceService place OccupationWhen and
3、from where to this city (county)Birth declaration on July 7,1986When and from where to this residenceSigned and sealed by the undertaker: Date of registration: Change of Registered Items and RecordItem Change, After the Change Date of the change Signed and sealed by the undertakerNon-agricultural Ho
4、usehold Register Card for Permanent ResidentName Householder/ Relationship with the HouseholderWifeName used beforeGender FemaleBirthplace Beijing City Nationality HanNative place Birth dateOther place of residenceReligious faithI.D. Card No. Body height 1 Blood typeEducational attainmentsJunior Col
5、lege Marital status Married Military serviceNo military serviceService place OccupationWhen and from where to this city (county)Emigrated to Beijing on Dec. 21,1961When and from where to this residenceOn Dec. 12, 2006, Moved from No. 64 Youhao Huanshan RoadSigned and sealed by the undertaker: Date o
6、f registration: ATTENTION1. 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
7、of the household shall, upon request, submit the Household Register to the officials of the Household Registration Organ for checking.2. The householder shall properly keep the Household Register in a safe place. Unauthorized altering, transferring, or lending the Household Register to others are st
8、rictly forbidden. Report to the Household Registration Organ immediately should it be lost.3. 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.4. If any of the registered
9、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.5. Upon migrating of the whole household out of the precinct, the householder shall submit the Household Register to the
10、 Household Registration Organ for revocation.Household Non-agricultural Household Householder NameHousehold Number AddressProvincial Public Security OrganizationHousehold-special Seal: Liaoning Provincial Public Security BureauHousehold-SpecialHousehold Register OfficeHousehold-special Seal: Anshan Municipal Public Security BureauHousehold-specialSigned and sealed by the undertaker: Issued on: Dec. 12, 2006
