Notes

1. The Household Register has a legal force to identify the status of a citizen and the relationship of family members. It is a main basis for the household registration office to make residence investigation and check. When the household registration office makes residence investigation and check, the householder or anyone of the family members shall bring forth on his/her own initiative the Household Register.

2. The Household Register shall be under proper keep of the householder. No alter, transfer and lease is allowed. The loss of the Household Register must be reported to the household registration office promptly.

3. Only the household registration office has the power to make registration on the Household Register. No any other units and individuals are allowed to make any records on it.

4. Any increase or decrease of family members in the household or any alteration of the registration items shall be registered on the Household Register by reporting to the household registration office.

5. If the whole family has moved out of the jurisdictional area of the residence, the Household Register shall be submitted to the household registration office for cancellation.

Category

Non Agricultural Residence

Householder

XXX

Family No.

Address

Room 13, Door 10, No.1, XXX District

Beijing Public Security Department

Provincial Public Security Organ               Beijing Municipal Public Security Bureau

Seal for Household Register                    Household Register Organ

Only for Household Register                    Seal for Household Register

                                                       XXX Police Station

Official: XXX                                                   Issued on: July 1, 1998

Item

Address after Modification

Date

Official

Name

XXX

Householder or Relationship with Householder

Householder

Former Name

Sex

Male

Place of Birth

Beijing

Ethnic Group

Han

Native Place

Beijing

Date of Birth

Dec 25, XXX

Other Residences

Religion

ID No.

11010XXX

Height

163

Blood Group

B

Education

University Graduated

Marital Status

Married

Military Service

Employer

Urban XXX

Profession

Retired

When and from where immigrated to this city(county)

XXX

When and from where moved in current residential address

Moved from XXX on May 27, 2004

Item

Address after Modification

Date

Official

Name

XXX

Householder or Relationship with Householder

Wife

Former Name

Sex

Female

Place of Birth

XXX

Ethnic Group

Han

Native Place

XXX

Date of Birth

XXX

Other Residences

Religion

ID No.

XXX

Height

Blood Group

Education

Junior high school Graduate

Marital Status

Married

Military Service

Employer

XXX

Profession

Retired

When and from where immigrated to this city(county)

XXX

When and from where moved in current residential address

Moved from XXX on Sep 21, 2006

Item

Address after Modification

Date

Official

Name

XXX

Householder or Relationship with Householder

Daughter

Former Name

Sex

Female

Place of Birth

XXX

Ethnic Group

Han

Native Place

XXX

Date of Birth

XXX

Other Residences

Religion

ID No.

XXX

Height

Blood Group

Education

High School Graduate

Marital Status

Married

Military Service

Employer

XXX

Profession

XXX

When and from where immigrated to this city(county)

XXX

When and from where moved in current residential address

Moved from XXX on Sep 21, 2006

Item

Address after Modification

Date

Official

Name

XXX

Householder or Relationship with Householder

Granddaughter

Former Name

Sex

Female

Place of Birth

Beijing

Ethnic Group

Han

Native Place

XXX

Date of Birth

XXX

Other Residences

Religion

ID No.

XXX

Height

Blood Group

Education

University Graduated

Marital Status

Single

Military Service

Employer

XXX University

Profession

Student

When and from where immigrated to this city(county)

When and from where moved in current residential address

Moved from XXX on Sep 21, 2006

Item

Address after Modification

Date

Official

Name

XXX

Householder or Relationship with Householder

Householder

Former Name

Sex

Male

Place of Birth

XXX

Ethnic Group

Han

Native Place

XXX

Date of Birth

XXX

Other Residences

Religion

ID No.

XXX

Height

172

Blood Group

Education

High School Graduate

Marital Status

Married

Military Service

Employer

XXX

Profession

Retired

When and from where immigrated to this city(county)

XXX

When and from where moved in current residential address

Moved from XXX on May 27, 2004

Item

Address after Modification

Date

Official

Name

XXX

Householder or Relationship with Householder

XXX

Former Name

Sex

Male

Place of Birth

XXX

Ethnic Group

Han

Native Place

XXX

Date of Birth

XXX

Other Residences

Religion

ID No.

XXX

Height

Blood Group

Education

Junior High School Graduated

Marital Status

Married

Military Service

Employer

XXX

Profession

Driver

When and from where immigrated to this city(county)

XXX

When and from where moved in current residential address

Moved from XXX on Sep 21, 2006