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. Non-agricultural family household Name of Householder Address Total members in household: 3 Special Seal for Household of Public Security Bureau at Provincial Level Special Seal for Household of Inner Mongolia Autonomous Region Public Security Department (Sealed) Special Seal for Household of Household Registration Authority Special Seal for Household of Hailar District Public Security Bureau Xianghua Police Station (Sealed) Signature or Seal of Registrar: Issued on: 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 Hailar District, Inner Mongolia Hinggan League, Inner Mongolia Height Married Householder or Relation with Householder Gender Ethnic Group Date of Birth Religion 164cm Military Service Profession Blood Group Wife Female Inner Mongolia Signature or Seal of Registrar: Date of Registration: Xianghua Police Station 1 (Sealed) 本文来源：https://www.wddqw.com/doc/f5a62aacfd00bed5b9f3f90f76c66137ef064f62.html