签证用户口本翻译模板(英文版) (2)

Household Register

Under Supervision of the Ministry of Public Security of P.R.C. Residence Type Residence Number Non Agricultural Residence Address Name of Householder Certified Seal of Certified Seal of ____ Province Household Registration Office Public Security Bureau For Household Registration only ______ Police Station People Road Undertake’s Stamped signature: Issue Date:

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Permanent Resident Population’s Register

Name Former Name Place of Birth Place of Origin Householder or Relation with Householder Sex Nationality Date of Birth Householder Male Other Address in This City (County) Citizen ID Number Educational Level Place of Work Religious Belief None Height Blood Type Marital Status Occupation Military Service Status Date of Moving to the City (County) and Previous Place Date of Moving to Present Dwelling Place and Previous Dwelling Place Undertake’s Stamped signature: Issue Date:

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