更正居民身份证重错编号证明 模板

NAME

SEX

ADDRESS

DATE OF BIRTH

ORIGINAL I D CARD NO.

AMENDED I D CARD NO.

REASON:

ISSUED DEPARTMENT TEL.

       Public Security Department of xxxxxx

Public Security Bureau of xxxxxxxx

                          Certification Center

For special use of domiciliary register

Sealed by person in charge:                    Issued Date:2007.04