booklet

HouholdRegister

UnderSupervisionoftheMinistryofPublicSecurityofforAttention

nceBooklethaslegaleffecttoproveacitizen'sidentity

statusandmutualrelationsamongfamilymembers,andisthemainbasisforresidence

registrationauthoritytoinvestigateandconfirmhis/

sodoing,thehouholdownerormembersofthishouholdshall,ofhis/herownfreewill,

showthebooklet.

holdownershallwellkeepthebooklet,andisprohibited

tomodify,aris,suchshallbeimmediatelyreportedtothe

residenceregistrationauthority.

istrationrightofthebookletbelongstoresidenceregistrationauthority,and

anyotherorganizationorindividualshallnotmakeanyrecordonit.

embersareincreadordecread,orregistrationitemschangeinthis

houhold,registrationshallbedeclaredtoresidenceregistrationauthoritybyholdingthe

booklet.

ewholehouholdmovesoutofresidencejurisdictionalarea,theresidence

bookletshallbereturnedtoresidenceregistrationauthorityforcancellation.

BasicInformationofHouhold

Typeof

Houhold:Non-agriculturalfamily

Nameof

Houholder:

Houhold

Number:

Currentreside

ntialaddress:

Authorized

supervisor:

PublicSecurityBureau

ofHENAN(aled)

AuthorizedAdmi

nistrator:

PublicSecurityBureauof

ZHENGZHOU

xxxRoadPoliceStation(aled)

Registrar:DateofIssue:

RegisterofResideneeChange

NewAddress

Dateofregistrationupdate

Registrar

InformationofMember

HouholdNumber:PeopleNumber:

NameHouholder

him/herlforRelati

ontothehouholder

Houholder

Formern

ame(if

available)

SexMale

Placeof

birth

EthnicityHan

Ancestral

native

place

Dateofbirth

Otherreside

ntialaddress

inthiscity(co

unty)

Religiousbelief

CitizenID

cardnu

mber

StatureBloodgroup

Educational

degree

Marital

status

Militaryrvice

status

EmployerOccupation

Whenandfromwhere

immigratedtothiscity(co

unty)

Whenandfromwhere

movedincurrentreside

ntialaddress

Registrar:xxx(aled)Dateofregister:

UpdatesofMember'sInformation

JpdateditemJpdatedcontentDateofUpdateRegistrar

InformationofMember

UpdatesofMember'sInformation

NameHouholder

him/herlforRelati

ontothehouholder

Formern

ame(if

available)

Sex

Placeof

birth

EthnicityHan

Ancestral

native

place

Dateofbirth

Otherreside

ntialaddress

inthiscity(co

unty)

Religiousbelief

CitizenID

cardnu

mber

StatureBloodgroup

Educational

degree

Marital

status

Militaryrvice

status

EmployerOccupation

Whenandfromwhere

immigratedtothiscity(co

unty)

Whenandfromwhere

movedincurrentreside

ntialaddress

Registrar:Xxx(aled)Dateofregister:

HouholdNumber:PeopleNumber:

UpdateditemUpdatedcontentDateofUpdateRegistrar

InformationofMember

HouholdNumber:PeopleNumber:

NameHouholder

him/herlforRelati

ontothehouholder

Formername

(ifavailable)

Sex

Placeof

birth

Ethnicity

Ancestral

nativeplace

Dateofbirth

Otherreside

ntialaddress

inthiscity(co

unty)

Religiousbelief

CitizenID

cardnumber

StatureBloodgroup

Educational

degree

Marital

status

Militaryrvice

status

EmployerOccupation

Whenandfromwhere

immigratedtothiscity(co

unty)

Whenandfromwhere

movedincurrentreside

ntialaddress

Registrar:Dateofregister:

UpdatesofMember'sInformation

JpdateditemJpdatedcontentDateofUpdateRegistrar

Declaration

Iherebyconfirmthistranslationof‘HouholdRegister'istrue

itablefortheapplicationofvisa.

Translator:

Date:

E-mail: