居民户口本（集体户口）翻译样式

Permanent Population Registration Table XXX Road Police Station Relation Name of Nature of with Household Household Household Head Head Non-agriculture Non Family XXX Relative Household Name XXX Gender Male Former Name Nationality Han thBirthday Sept 13, 1982 Jinan, Shandong Guardian Place of Birth Province Guardian Birth Certificate Relationship Issue Date Address No. 4-5 Section 2, North Jianshe Road, Chenghua District Chengdu Address of Other Residential Places in the City Native Place XXXXX, Shandong Religions Identification ID Card November XXXXXXXXXXXXXXXXXX thCard Issue Date 30, 2001 Situation of Marital Education Bachelor Military Status Service Stature cm Blood Type Career Student Working Place UESTC 210XXXXX-XX (Chengdu) When, Why thand Where November 15, 2001 25-4-204, Sorthern Part of Shunyu Move to This Residential Area, Qingdao, Shandong Province (College Admitting) City When, Why thand Where November 15, 2001 25-4-204, Sorthern Part of Shunyu Move to This Residential Area, Qingdao, Shandong Province (College Admitting) Address When and Why Moving to Where When and Why logout Signature of Undertaker thPeng Yi Date: November 15, 2001