Type of Household Household No. Collective household Name of Householder Address Special Seal for Household of Public Security Bureau at Provincial Level Special Seal for Household of Department of Public Security of Hebei Province (Sealed) Special Seal for Household of Household Registration Authority Special Seal for Household of Pingquan City Public Security Bureau South Wushijiazi Police Station (Sealed) Signature or Seal of Registrar: Issued on: Household Registrar: Hu Yanjiang (Sealed) 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 Registration Card of Regular Household Member Pingquan County, Hebei Province Pingquan County, Chengde City, Hebei Province Height Unmarried Householder or Relation with Householder Gender Ethnic Group Date of Birth Religion 160 Military Service Profession Blood Group Female Mongolian Signature or Seal of Registrar: Date of Registration: Household Registrar: Hu Yanjiang (Sealed) Special Seal for Household of Pingquan City Public Security Bureau South Wushijiazi Police Station (Sealed) 本文来源：https://www.wddqw.com/doc/65f3b112a01614791711cc7931b765ce05087a9c.html