常住人口登记卡Registration of Resident
姓名Name
非农户Non-agricultural
户主或与户主关系Householder or Relationship with Householder
曾用名 Other Names Used
性别 Sex 男Male
出生地Place of Birth
民族Nationality
籍贯Native Place
出生日期Date of Birth
本市(县)其它住址Other Dwelling Address in the City (County)
宗教信仰Religion
公民身份证件号码Identity Card No.
身高Height 血型Blood Group
文化程度Highest Education Received
婚姻状况Marital Status
兵役状况Military Service
服务处所Place of Work
职业Occupation
工程师Engineer
何时由何地迁来本市(县)When and from Where Migrated to This City (County)
何时由何地迁来本址When and from Where Migrated to This Dwelling Address
承办人签章Seal of Registrar:
登记日期: 年 月 日Date of Registration
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