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ShanghaiMunicipalBureauofPublicSecurityHouseholdCertificateSMBPS()CNo.XXXXXXXNameHouseholdNo.IDCardNo.SexDOBEthnicityAddressEducationalDegreeEmployerOccupationMaritalStatusAliasAncestralNativePlacePlaceofBirthItemShanghaiMunicipalBureauofPublicSecurity,XXXPoliceStation(householdregisterseal)日期HouseholdNo.XXXXXXTypeofhouseholdInformationofMemberHouseholderhim/herselfRelationtothehouseholderNameSexFormername(ifavailable)EthnicityDateofbirthGuardianPlaceofbirthGuardianshipBirthCertificateIssuingDateResidentialaddressOtherresidentialaddressinthiscity(county)AncestralnativeplaceReligiousbeliefCitizenIDcardnumberResidentIDCardIssuingDateEducationaldegreeMaritalstatusMilitaryservicestatusStatureBloodgroupOccupationEmployerWhen,whyandfromwhereimmigratedtothiscity(county)When,whyandfromwheremovedincurrentresidentialaddressWhen,whyandtowheremovedWhenandwherewasthehouseholdannulledRegistrar:Dateofregister:(HouseholdregistersealofShanghaiMunicipalBureauofPublicSecurity,XXXPoliceStation)