Type of

Household:

Non-agricultural family (Non-agricultural

corporate)

Name of

Householder:

XXX

XXX

Household

Number:

xxxxxxxx

Current

residential

address:

No.xxx xxx xxxRoad East,xxxDistrict,Guangzhou.

Authorized

supervisor:

Public Security

Department Of GuangDong (sealed)

Authorized

Administrator:

Public Security Sub-Bureau of Guang xxxRoad Police Station (sealed)

Registrar:

XXX中文名

(sealed)

Date of Issue:

20Th June 2006

New Address

Date of registration update

Registrar

Name

Xxx

xxx

Householder

him/herself or

Relation to the

householder

Householder himself

Former name

(if available)

Sex

Female

Place of birth

xxxxx

Ethnicity

Han

Ancestral

native place

xx

Date of birth

xx^th April xxxx

Other

residential

address in this

city (county)

Religious

belief

Nil

Citizen ID

card number

xxxxxxxxxxxxxxx

Stature

xx cm

Blood group

B

Educational

degree

Undergraduate

Marital

status

Never

married

Military

service status

Nil

Employer

xx

Occupation

Commercial personnel

When and from where

immigrated to this city (county)

Xx Oct  xxxx xxxxxDistrict, xx City, xx Province

When and from where moved

in current residential address

xx Jun   xxx xxxxxxxx

Registrar:

Xxx

xxx

Date of register:

20th Jun 2006

Authorized

Administrator:

Public Security Sub

-Bureau of Guangzhou

xxx Road

Police Station (sealed)