PUBLIC SECURITY BUREAU RESIDENCE REGISTRATION CERTIFICATE
SHANGHAI CERTIFICATE No.
| NAME |
| HOUSEHOLD No. |
|
| ID CARD No. |
| SEX |
|
| DATE OF BIRTH |
| ETHICITY |
|
| ADDRESS |
| EDUCATION |
|
| WORKING PLACE |
| OCCUPATION |
|
| MARITAL STATUS |
| OTHER NAMES |
|
| ANCESTRAL NATIVE PLACE |
| PLACE OF BIRTH |
|
| THE ITEMS TO BE CETIFIED | HOUSEHOLD OF A CORPORATE RESIDENCE REGISTRATION CERTIFICATE FOR DOMESTIC USE ONLY(EXCLUDING HONGKONG, MACAU AND TAIWAN REGIONS) VALID FOR 30 DAYS | ||
LOCAL POLICE STATION ISSUED
DATE: xx-xx-xxxx
I hereby certify that, to the best of my knowledge, this is an accurate translation of the original document.
Translator’s full name: Signature:
Date of the translation: Tel:
