Name:##

Sex: Female    Nationality(Ethnic): Han

Date of Birth: July 28^th, 1957

Address: No. 481, Dongsi North Avenue, Dongcheng District, Beijing

Resident Identity Card: 12345678

(盖章)   The People`s Repubic of China

           Resident Identity Card

Issuing Authority: Beijing Public Security Bureau Dongcheng Branch

Valid Period: May 17^th, 2004-permanent