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RegistrationCardforResidentPopulationNo.XXXXXXXXSealofundertaker:Dateofregistration:XXXPublicSecurityOfficeNameResidenceTypeCollectiveUsedNameGenderMale/FemalePlaceofBirthEthnicityHan/Manchu/Hui/Tibetan/Mongolian/Uyghur,etc.NativePlaceDateofBirthOtherDwellingPlaceinTheCityReligionCitizenIDNumberStatureBloodTypeHighestAcademicDegreeObtainedUndergraduate/PostgraduateMaritalStatuesSingleMilitaryServicePlaceofServicePekingUniversityOccupationStudentWhenandfromwheremovedtothisCity(County)MovedinfromXXXXonNovember1st,2010WhenandfromwheremovedtothisaddressTheAlternationorAmendmentofRegistrationItemsItemsAfterAlternationorAmendmentAlternationDateSealofApplicantSealofUndertakerRecord