Permanent Population Registration Form - English Version

Residence Style: Permanent Residents Registration

Name of household: Li Si

Head of household or relation to the head: None-relative

Name: Zhang San

Sex: Male

Nationality: Han

Date of birth: 1983.04.01

Guardian: None

Birth place: Hejing County, Jiangsu

Relationship of Guardian: None

Issue time of Birth Licence: None

Living Address: No.107 Shanghai Rd., Zhongya North Police Station, Economic & Technology Development Zone Urumqi City

Other address in this city or county: None

Native Place: Xincai County, Henan Pro. China

Religion: None

I.D.NO: 10

Issue Time: None

Height: 175Cm

Blood: A

Vocation: Engineer Assistant

Education: University

Marital status: Single

Military service: No military service

Service place: Xinjiang Gold Wind Science and Technology Co., LTD

When and from where move to this city or country: From Lanzhou University, No.222 Tianmu South Road, Weiyuan Road Police Station, Chengguan Dist., Lanzhou City, Gansu pro., as the college graduation 2008.05.22

When and from where move to this address: From Lanzhou University, No.222 Tianmu South Road, Weiyuan Road Police Station, Chengguan Dist., Lanzhou City, Gansu pro., as the college graduation 2008.05.2


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