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1、PAGE 1-FRONTHouseholdTypeHouseholdName ofHouseholderHouseholdNumberAddressPublic Security Departme ntPublic Security Bureau of XXXX Of(Household Registrati on Seal) XxXXXI1XXXX Police Statio n (Household Registrati on Seal)Registrar Seal:Issue Date:PAGE 1-BACKRegistrati on of Address Alter nati onsN

2、ew AddressDate ofAlter nati onsRegistrarPAGE 2-FRONTIn dex of Registratio n Card of Perma nent Reside ntNameGen derDate of BirthCategoryPopulatio n ChangeRegistrarPAGE 2-BACKIn dex of Registratio n Card of Perma nent Reside ntNameGen derDate of BirthCategoryPopulatio n ChangeRegistrarPAGE 3-FRONTReg

3、istratio n Card of Perma nent Reside ntNameRelati onwithHouseholderHouseholderHimselfFormer NameGen derPlace of BirthEth nicityNative PlaceDate of BirthOther Reside ntialAddress in ThisCityReligio nCitize nI.D.NumberStatureBloodTypeEducati onal LevelMaritalStatusMilitaryServiceStatusNilEmployerOccup

4、ati onWhen and from where immigrated into this cityWhen and from wheremovesincurre ntreside ntial addressRegistrar Seal:Issue Date:PAGE 3-BACKUpdates of Perma nent Reside nt s formati onUpdated ItemUpdated ContentDate of UpdatesRegistrarPAGE 4-FRONTRegistratio n Card of Perma nent Reside ntNameRelat

5、i onwithHouseholderFormer NameGen derPlace of BirthEth nicityNative PlaceDate of BirthOther Reside ntialAddress in ThisReligio nCityCitize nI.D.BloodStatureNumberTypeMilitaryMaritalEducati onal LevelServiceStatusStatusEmployerOccupati onWhen and fromwhereimmigrated into this cityWhen and fromwheremo

6、vesincurre ntreside ntial addressRegistrar Seal:Issue Date:PAGE 4-BACKUpdates of Perma nent Reside nt s formati onUpdated ItemUpdated ContentDate of UpdatesRegistrarPAGE 5-FRONTRegistratio n Card of Perma nent Reside ntNameRelati onwithHouseholderFormer NameGen derPlace of BirthEth nicityNative PlaceDate of BirthOther Reside ntialAddress in ThisReligio nCityCitize nI.D.BloodStatureNumberTypeMilitaryMaritalEducati onal LevelServiceStatusStatusEmployerOccupati onWhen and fromwhereimmigrated into this cityWhen and fromwheremovedincurre ntreside ntial addressRegistrar Seal:Issue Da

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