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Registration of changed items and record of change
| Address after change |
Date of change |
Seal of the undertaker |
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Registration Card for Resident Population
| Name |
*** |
Householder or Relation with the householder |
Householder |
| Used Name |
|
Sex |
Male |
| Place of birth |
Laishui County, Hebei Province |
Nationality |
Han |
| Place of origin |
Laishui County, Hebei Province |
Date of birth |
May 15, 1955 |
| Other addresses in this city |
|
Religious belief |
|
| ID card No. |
000000000000000 |
Height |
172cm |
Blood type |
A |
| Educational background |
Undergraduate |
Marital status |
Married |
Military service status |
|
| Unit of Service |
The Ministry of Agriculture |
Profession |
Worker |
| When and from where moved to this City (County) |
August 11, 1986 |
| When and from where moved to this address |
Moved from the Ministry of Agriculture, Animal Husbandry and Fishery, Dongcheng District on August 27, 1986 |
Seal of undertaker: Date of registration: July 1, 1998 |
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