NAME	X XX		USER NO.	X XXX XXX XX
Citizen Identify Number	510725X XXX XXX XX		SEX	Male
Date of Birth	February 7, X XX		Ethnicity	HAN
Address	X XXX XXX XXX XX Caolu County		Degree of Education	a student of college
Company	University level(Four years’ time) of Class 5 majoring in from year 2010		Occupation
Marital status	Unmarried	Another name	X XXX
Native place	X XX Province	Place of birth	X XX, Sichuan Province
The Items to Be Certificated	Household of a corporate The student collective permanent population registration from Colleges and Universities (valid for 30 days)

X XX Police Station

Issued on 23^rd May, 2014.

Special Seal for household register of Gulu Police Station, Shanghai Public Security Bureau

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備案號：滬ICP備14046471號-5

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