户口本-河北

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Type of Household Household No.

Collective household Name of Householder



Address







Special Seal for Household of Public Security

Bureau at Provincial Level



Special Seal for Household of Department of Public Security of Hebei Province (Sealed)





Special Seal for Household of Household

Registration Authority



Special Seal for Household of Pingquan City Public Security Bureau South Wushijiazi Police Station

(Sealed)



Signature or Seal of Registrar: Issued on:

Household Registrar: Hu Yanjiang (Sealed)










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

Registration Card of Regular Household Member



Pingquan County, Hebei Province Pingquan County, Chengde City,

Hebei Province



Height Unmarried

Householder or Relation with Householder

Gender Ethnic Group Date of Birth

Religion 160 Military Service Profession

Blood Group

Female Mongolian







Signature or Seal of Registrar: Date of Registration: Household Registrar: Hu Yanjiang (Sealed)

Special Seal for Household of Pingquan City Public Security Bureau South Wushijiazi Police Station (Sealed)

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