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ChangeofRegisteredItemsandRecordItemChange,AftertheChangeDateofthechangeSignedandsealedbytheundertakerNon-agriculturalHouseholdRegisterCardforPermanentResidentNameHouseholder/RelationshipwiththeHouseholderSonNameusedbeforeGenderMaleBirthplaceTiedongDistrict,AnshanCity,LiaoningProvinceNationalityHanNativeplaceLiaoyangCity,LiaoningProvinceBirthdateOtherplaceofresidenceReligiousfaithI.D.CardNo.BodyheightBloodtypeEducationalattainmentsPrimarySchoolMaritalstatusUnmarriedMilitaryserviceNomilitaryserviceServiceplaceOccupationWhenandfromwheretothiscity(county)BirthdeclarationonJuly7,1986WhenandfromwheretothisresidenceSignedandsealedbytheundertaker:Dateofregistration:ChangeofRegisteredItemsandRecordItemChange,AftertheChangeDateofthechangeSignedandsealedbytheundertakerNon-agriculturalHouseholdRegisterCardforPermanentResidentNameHouseholder/RelationshipwiththeHouseholderWifeNameusedbeforeGenderFemaleBirthplaceBeijingCityNationalityHanNativeplaceBirthdateOtherplaceofresidenceReligiousfaithI.D.CardNo.Bodyheight1BloodtypeEducationalattainmentsJuniorCollegeMaritalstatusMarriedMilitaryserviceNomilitaryserviceServiceplaceOccupationWhenandfromwheretothiscity(county)EmigratedtoBeijingonDec.21,1961WhenandfromwheretothisresidenceOnDec.12,2006,MovedfromNo.64YouhaoHuanshanRoadSignedandsealedbytheundertaker:Dateofregistration:ATTENTION1.TheHouseholdRegisterisalegalinstrumentforprovingthecitizenshipandrelationshipbetweenfamilymembers.ItisthemainbasisforinquiringandcheckingthehouseholdregistrationstatusofcitizensbytheHouseholdRegistrationOrgan.Thehouseholderormembersofthehouseholdshall,uponrequest,submittheHouseholdRegistertotheofficialsoftheHouseholdRegistrationOrganforchecking.2.ThehouseholdershallproperlykeeptheHouseholdRegisterinasafeplace.Unauthorizedaltering,transferring,orlendingtheHouseholdRegistertoothersarestrictlyforbidden.ReporttotheHouseholdRegistrationOrganimmediatelyshoulditbelost.3.OnlytheHouseholdRegistrationOrganmayrecorddataontotheHouseholdRegister.NoneoftheotherorganizationsorindividualsmayrecordanythingontotheHouseholdRegister.4.Ifanyoftheregistereditems,suchasthenumberoffamilymembers,havechanged,theholderoftheHouseholdRegistershallbringtheHouseholdRegistertotheHouseholdRegistrationOrganforupdating.5.Uponmigratingofthewholehouseholdoutoftheprecinct,thehouseholdershallsubmittheHouseholdRegistertotheHouseholdRegistrationOrganforrevocation.HouseholdNon-agriculturalHouseholdHouseholderNameHouseholdNumberAddressProvincialPublicSecurityOrganizationHousehold-specialSeal:LiaoningProvincialPublicSecurityBureauHousehold-SpecialHouseholdRegisterOfficeHousehold-specialSeal:AnshanMunicipalPublicSecurityBureauHousehold-specialSignedandsealedbytheundertaker:Issuedon:Dec.12,2006