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居民户口簿
Household Register
中华人民共和国公安部制
Under
Supervision of The Ministry of Public Security of
P.R.C
Residence Type
Name of Householder
Residence
No.
Address
Certified Seal
for Hukou of
Certified Seal for Hukou of
Shandong Provincial
Jinan Municipal
Bureau of Public Security
Department of Public Security (Seal)
Yaojia Police Station
(Seal)
Undertaker’s
Stamped
Signature :
Issue Date:
Alteration of
Address
Address After alteration
Date of alteration
Seal and sign of person in
charge
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