| Residence Type | Non Agricultural Residence | Name of House Owner |
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Certified Seal of Certified Seal of xxxxxxx Province Household Registration Office Public Security Bureau For xxxxx certificate only Baomin Local Police Station xxxxxx Public Security Bureau
Undertaker’s Stamped signature : Issue Date: 01 July 2000
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Permanent resident population's register
| Name |
| Householder r or Relation with TheHouseholder | Householder | ||||
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| Sex | Male | ||||
| Place of Birth |
| Nationality |
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| Date of Birth |
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| Other Dwelling Place in the City/Town |
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| Religious Belief |
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| Citizen ID Number |
| Height |
| Blood Group |
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| Highest Academic |
| Marital Status |
| Military Service |
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| Place of Work |
| Occupation |
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| Previous Dwelling Place Before Moving into the City/Town and Date of Moving |
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| Previous Dwelling Place in the City/Town and Date of Moving into Present Dwelling Place |
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| Seal of Registrar: | Issued Dart: | ||||||
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Permanent resident population's register
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| Householder r or Relation with TheHouseholder |
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| Former Name |
| Sex |
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| Place of Birth |
| Nationality |
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| Date of Birth |
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| Other Dwelling Place in the City/Town |
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| Religious Belief |
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| Citizen ID Number |
| Height |
| Blood Group |
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| Highest Academic |
| Marital Status |
| Military Service |
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| Place of Work |
| Occupation |
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| Previous Dwelling Place Before Moving into the City/Town and Date of Moving |
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| Previous Dwelling Place in the City/Town and Date of Moving into Present Dwelling Place |
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| Seal of Registrar: | Issued Dart: | |||||
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Permanent resident population's register
| Name |
| Householder r or Relation with TheHouseholder |
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| Former Name |
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| Place of Birth |
| Nationality |
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| Date of Birth |
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| Other Dwelling Place in the City/Town |
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| Religious Belief |
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| Citizen ID Number |
| Height |
| Blood Group |
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| Highest Academic |
| Marital Status |
| Military Service |
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| Place of Work |
| Occupation |
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| Previous Dwelling Place Before Moving into the City/Town and Date of Moving |
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| Previous Dwelling Place in the City/Town and Date of Moving into Present Dwelling Place |
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| Seal of Registrar: |
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| Issued Dart: |
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