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Attentions
1. This household register serves as a legal proof of citizenship and family relations. It is an essential
documentation on which household surveys and data verification conducted by the household registration
authority are based. The householder and members of the household shall actively provide this register to
officers of the registration authority for examination when requested.
2. This register shall be kept in safe custody by the householder. It shall not be altered, transferred or lent to a
third party. In case of loss, instant notification must be made to the household registration authority.
3. This register can only be filled by registration authority. No entries shall be made thereon by any other units
or individuals.
4. In case of addition or reduction of members to the household, or of changes to any registered particulars, this
register must be presented to the household registration authority for registration of such changes.
5. In the event of household removal outside the jurisdiction of the registration authority, this register must be
submitted to the original household registration authority for cancellation.
Type of Household
Household No.
Resident family
household
Name of Householder
Address
Special Seal for Household of Household
Registration Authority
Special Seal for Household (5) of Chengdu
Municipal Public Security Bureau Wuhou
District Branch (Sealed)
Tiaosanta Police Station
Special Seal for Household of Public Security
Bureau at Provincial Level
Special Seal for Household of Sichuan Provincial
Public Security Department (Sealed)
Signature or Seal of Registrar: Issued on:
Household Registrar, YANG Xiujuan (Sealed)
Record of Changes to Registered Address
Address after Change
Date of Change
Signature or Seal of Registrar
Registration Card of Regular Household Member
Name
Used Name
Birth Place
Native Place
Other Address in
this City (County)
ID Card No.
Education
Service Location
From Where & When
Moved to this City (County)
From Where & When
Moved to Present Address
Chengdu City, Sichuan
Chengdu City, Sichuan
Marital
Status
Householder or Relation
with Householder
Gender
Ethnic Group
Date of Birth
Religion
Height
Married
158
Military
Service
Profession
Householder
Female
Han
Blood
Group
Signature or Seal of Registrar: Tiaosanta Police Station Date of Registration:
Household Registrar, YANG Xiujuan (Sealed)
Special Seal for Household (5) of Chengdu Municipal Public Security Bureau Wuhou District Branch (Sealed)
Alteration in Registration and Correction Records
Item
Contents after Alteration or Correction
Date of Change
Signature or Seal of
Registrar
Registration Card of Regular Household Member
Name
Used Name
Birth Place
Native Place
Other Address in
this City (County)
ID Card No.
Education
Service Location
From Where & When
Moved to this City (County)
From Where & When
Moved to Present Address
Marital
Status
Chengdu City, Sichuan
Urumqi City, Xinjiang
Height
Householder or Relation
with Householder
Gender
Ethnic Group
Date of Birth
Religion
Military
Service
Profession
Blood
Group
Daughter
Female
Han
Signature or Seal of Registrar: Tiaosanta Police Station Date of Registration:
Household Registrar, YUAN Jia (Sealed)
Special Seal for Household (5) of Chengdu Municipal Public Security Bureau Wuhou District Branch (Sealed)
Alteration in Registration and Correction Records
Item
Contents after Alteration or Correction
Date of Change
Signature or Seal of
Registrar
Registration Card of Regular Household Member
Name
Used Name
Birth Place
Native Place
Other Address in
this City (County)
ID Card No.
Education
Service Location
From Where & When
Moved to this City (County)
From Where & When
Moved to Present Address
Chengdu City, Sichuan
Chengdu City, Sichuan
Marital
Status
Householder or Relation
with Householder
Gender
Ethnic Group
Date of Birth
Religion
Height
Widowed
154
Military
Service
Profession
Mother
Female
Han
Blood
Group
Signature or Seal of Registrar: Tiaosanta Police Station Date of Registration:
Household Registrar, YANG Xiujuan (Sealed)
Special Seal for Household (5) of Chengdu Municipal Public Security Bureau Wuhou District Branch (Sealed)
Alteration in Registration and Correction Records
Item
Contents after Alteration or Correction
Date of Change
Signature or Seal of
Registrar
Registration Card of Regular Household Member
Name
Used Name
Birth Place
Native Place
Other Address in
this City (County)
ID Card No.
Education
Service Location
From Where & When
Moved to this City (County)
From Where & When
Moved to Present Address
Marital
Status
Chengdu City, Sichuan
Urumqi City, Xinjiang
Height
Householder or Relation
with Householder
Gender
Ethnic Group
Date of Birth
Religion
Military
Service
Profession
Blood
Group
Son
Male
Han
Signature or Seal of Registrar: Tiaosanta Police Station Date of Registration:
Household Registrar, YANG Xiujuan (Sealed)
Special Seal for Household (5) of Chengdu Municipal Public Security Bureau Wuhou District Branch (Sealed)
No. 4 Registration Office (Chengwu) for School-age Children Enrollment in Wuhou District, Chengdu City (Sealed)
Alteration in Registration and Correction Records
Item
Contents after Alteration or Correction
Date of Change
Signature or Seal of
Registrar
Registration Card of Regular Household Member
Name
Used Name
Birth Place
Native Place
Other Address in
this City (County)
ID Card No.
Education
Service Location
From Where & When
Moved to this City (County)
From Where & When
Moved to Present Address
Urumqi City, Xinjiang
Fugou County, Henan
Marital
Status
Householder or Relation
with Householder
Gender
Ethnic Group
Date of Birth
Religion
Height
Married
Military
Service
Profession
Husband
Male
Han
Blood
Group
Signature or Seal of Registrar: Tiaosanta Police Station Date of Registration:
Special Seal for Household (8) of Chengdu Municipal Public Security Bureau Wuhou District Branch (Sealed)
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