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ID:79037769
大小:9.65 KB
页数:2页
时间:2022-02-08
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1、TypeofResidenceFamilyHouseholdNameofHouseholderResidenceNumberAddressCertifiedSealofFushunPublicSecurityBureauJiangjunPoliceStationForHukoucertificateonlyCertifiedSealofLiaoningProvincePublicSecurityBureauForHukoucertificateonlyUndertaker’sStampedsignature:IssueDate:Permanentresiden
2、tregistrationcardNameRelationwithTheHouseholderFormerNameSexPlaceofBirthEthnicNativeplaceDateofBirthOtherDwellingPlaceintheCity/TownReligionCitizenIDNumberHeightBloodTypeDegreeofEducationMaritalStatusMarriedMilitaryServiceWorkUnitOccupationPreviousDwellingPlaceBeforeMovingintotheCit
3、y/TownandDateofMovingPreviousDwellingPlaceintheCity/PreviousDwellingPlaceintheCity/TownandDateofMovingintoPresentDwellingPlaceUndertaker’sStampedsignature:RegistrationDate:PermanentresidentregistrationcardNameRelationwithTheHouseholderFormerNameSexPlaceofBirthEthnicNativeplaceDateof
4、BirthOtherDwellingPlaceintheCity/TownReligionCitizenIDNumberHeightBloodTypeDegreeofEducationMaritalStatusMarriedMilitaryServiceWorkUnitOccupationPreviousDwellingPlaceBeforeMovingintotheCity/TownandDateofMovingPreviousDwellingPlaceintheCity/PreviousDwellingPlaceintheCity/TownandDateo
5、fMovingintoPresentDwellingPlaceUndertaker’sStampedsignature:RegistrationDate:PermanentresidentregistrationcardNameRelationwithTheHouseholderFormerNameSexPlaceofBirthEthnicNativeplaceDateofBirthOtherDwellingPlaceintheCity/TownReligionCitizenIDNumberHeightBloodTypeDegreeofEducationMar
6、italStatusMarriedMilitaryServiceWorkUnitOccupationPreviousDwellingPlaceBeforeMovingintotheCity/TownandDateofMovingPreviousDwellingPlaceintheCity/PreviousDwellingPlaceintheCity/TownandDateofMovingintoPresentDwellingPlaceUndertaker’sStampedsignature:RegistrationDate:
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