Household Register

Under the Supervision of the Ministry of Public Security of PRC

Notices

I.                     The Household Register has a legal force to identify the status of a citizen and the relationship of family members. It is a main basis for the household registration office to make residence investigation and check. When the household registration office makes residence investigation and check, the householder or anyone of the family members shall bring forth on his/her own initiative the Household Register.

II.                    The Household Register shall be under proper keeping of the householder. No alter, transfer and lease is allowed. The loss of the Household Register must be reported to the household registration office promptly.

III.                  Only the household registration office has the power to make registration on the Household Register. No any other units and individuals are allowed to make any records on it.

IV.                 Any increase or decrease of family members in the household or any alteration of the registration items shall be registered on the Household Register by reporting to the household registration office.

V.                   If the whole family has moved out of the jurisdictional area of the residence, the Household Register shall be submitted to the household registration office for cancellation.

Household Type

Non-agricultural Family Household

Name of Householder

Lai Fengjun

Household №

113280092

Residential Address

8-1-4-2 Yushui Street, Ganjingzi District

Special Stamp of Xinzhaizi Police Station, Ganjingzi Branch, Dalian Municipal Public Security Bureau for Household Registration

Special Stamp of Liaoning Provincial Public Security Department for Household Registration

[Special Seal for Household of Provincial Public Security Authority]

[Special Seal for Household of the Registration Office]

Seal of Registrar: Police Officer Wang Haiyan

Date of Issue:14 Jul. 2004

Page 1

Registration of Address Alteration

Address after Alteration

Date of Alteration

Seal of Registrar

Page 2

Registration Card of Permanent Resident

                                                                    Non-agricultural Family Household

Name

XXX

Householder or Relationship with Householder

Householder

Former Name

Gender

Female

Place of Birth

Ganjingzi District, Dalian, Liaoning Province

Nationality

Han nationality

Native Place

Ganjingzi District, Dalian, Liaoning Province

Date of Birth

20 Feb. 1953

Other Address in the City (County)

Religion

Citizenship Card №

2102035302200XX

Height

155cm

Blood Type

Educational Level

Te Junior school

Marital Status

Married

Military Service

Service Place

Environmental Protection Division, Zhongshan District, Dalian

Occupation

Retired worker

When & Wherefrom Moved into This City (County)

Moved to this city from Xiwangtong Village, Jv County, Shandong Province on May 5, 1985

When & Wherefrom to This Address

Moved to this address from 51-3-1 Huazhong Street, Ganjingzi District, Dalian, Liaoningg Province on 14 Jul. 2004.

Seal of Registrar: Police Officer Wang Haiyan

Date of Issue:14 Jul. 2004