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RegistrationofResidenceBasicInformationofHouseholdNo.00xxxxxxxTypeofHousehold:户别Non-agriculturalfamily非农家庭户口HeadofHousehold:户主姓名HouseholdNumber:户号Currentresidentialaddress:住址Shanghai,Xuhui,xxxRoadxxxx上海市xx区xxx路xxxx弄xxxx室AuthorizingInstitution:省级公安机关PublicSecurityBureauofShanghai(seal)上海市公安局RecordingOffice:户口登记机关xxStreetPoliceStation(seal)xx街道派出所IssuingDate:xx/xx/20xxPage1RegisterofResidenceChange住址变动登记Addressaftermove变动后的住址Dateofmove变动日期Registerpersonnel承办人签章Page2Registrationcardforpermanentresidence(常住人口登记卡1)Non-agriculturalfamily非农家庭户口Registrationdate:20xx-xx-xxName姓名RelationshipwithHouseholder:户主或与户主关系HeadofHousehold户主OtherNames曾用名Sex性别M男PlaceofBirth出生地Ethnicity民族Han汉族Ancestralnativeplace籍贯DateofBirth出生日期OtherLocalAddresses本市其他住址Religion宗教信仰None无ResidenceIDNumber身份证号Height身高Bloodtype血型N/A不明Education文化程度Marriage婚姻状况Militaryservicestatus服兵役状况Employer服务处所Occupation职业Whenandfromwheremovedtothiscity何时由何地迁来本市Whenandfromwheremovedtocurrentaddress何时由何地迁来本址Page3RegistrationChangeandRecords登记事项变更和更正记载Item项目Change/postchange变更变更后Dateofchange变更日期Registerpersonnel承办人签章Page4Registrationcardforpermanentresidence(常住人口登记卡2)Non-agriculturalfamily非农家庭户口Registrationdate:20xx-xx-xxName姓名RelationshipwithHouseholder:户主或与户主关系Son子OtherNames曾用名Sex性别M男PlaceofBirth出生地Ethnicity民族Han汉Ancestralnativeplace籍贯DateofBirth出生日期OtherLocalAddresses本市其他住址Religion宗教信仰None无ResidenceIDNumber身份证号Height身高Bloodtype血型Education文化程度Marriage婚姻状况Single未婚Militaryservicestatus服兵役状况Employer服务处所Occupation职业Whenandfromwheremovedtothiscity何时由何地迁来本市Whenandfromwheremovedtocurrentaddress何时由何地迁来本址Page5RegistrationChangeandRecords登记事项变更和更正记载Item项目Change/postchange变更变更后Dateofchange变更日期Registerpersonnel承办人签章Page6Registrationcardforpermanentresidence(常住人口登记卡3)Non-agriculturalfamily非农家庭户口Registrationdate:20xx-xx-xxName姓名RelationshipwithHouseholder:户主或与户主关系Wife妻OtherNames曾用名Sex性别F女PlaceofBirth出生地Ethnicity民族Han汉Ancestralnativeplace籍贯DateofBirth出生日期OtherLocalAddresses本市其他住址Religion宗教信仰None无ResidenceIDNumber身份证号Height身高Bloodtype血型Education文化程度Marriage婚姻状况Militaryservicestatus服兵役状况Employer服务处所Occupation职业Whenandfromwheremovedtothiscity何时由何地迁来本市Whenandfromwheremovedtocurrentaddress何时由何地迁来本址Page7----------------------------------------------EndofRecords--------------------------------------------------

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