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1、 Registration of ResidenceBasic Information of HouseholdNo. 00xxxxxxxType ofNon-agricultural familyHead of Household:户主姓名Shanghai, Xuhui, xxx Road xxxxNumber: 户号上海市 xx 区 xxx 路 xxxx 弄 xxxx 室AuthorizingInstitution:Public Security Bureau ofRecording Office:xx Street Police Station (seal)Shanghai (seal)
2、xx 街道派出所户口登记机关省级公安机关上海市公安局Issuing Date: xx/xx/20xxPage 1 Register of Residence Change 住址变动登记变动后的住址Page 2Registration card for permanent residence(常住人口登记卡 1)Non-agricultural family 非农家庭户口Registration date : 20xx-xx-xxName 姓名Relationship with Householder:Head of HouseholdOther NamesSex曾用名Place of Birt
3、hEthnicity民族Han出生地HeightEducation文化程度Employer服务处所When and from wheremoved to current address 何时由何地迁来本址Page 3 Registration Change and Records 登记事项变更和更正记载Item项目变更日期Page 4Registration card for permanent residence(常住人口登记卡 2)Non-agricultural family 非农家庭户口Registration date : 20xx-xx-xxSonName 姓名Relationsh
4、ip with Householder:Other NamesSex曾用名Place of BirthEthnicity民族Han出生地NoneHeightEducationSingle文化程度Employer服务处所When and from wheremoved to current address 何时由何地迁来本址Page 5Registration Change and Records 登记事项变更和更正记载 ItemChange/ post changeDate of changeRegister personnel项目变更日期Page 6Registration card for permanent residence(常住人口登记卡 3)Non-agricultural family 非农家庭户口Registration date : 20xx-xx-xxWifeName 姓名Relationship with Householder:Other NamesSex曾用名Place of BirthEthnicity民族Han出生地NoneHeightEducation文化程度Employer服务处所When and from wheremoved to current address 何时由何地迁来本址Page 7- End of Records -