Under Supervision of the Ministry of Public Security of P.R.C
Points for Attention
I. Residence Booklet has legal effect to prove a citizen’s identity status and mutual relations among family members, and is the main basis for residence registration authority to investigate and confirm his/her registered permanent residence. In so doing, the household owner or members of this household shall, of his/her own free will, show the booklet.
II. The household owner shall well keep the booklet, and is prohibited to modify, transfer or lend it. If loss arises, such shall be immediately reported to the residence registration authority.
III. The registration right of the booklet belongs to residence registration authority, and any other organization or individual shall not make any record on it.
IV. If the members are increased or decreased, or registration items change in this household, registration shall be declared to residence registration authority by holding the booklet.
V. When the whole household moves out of residence jurisdictional area, the residence booklet shall be returned to residence registration authority for cancellation.
No. XXX
| Type of Household | Non-agricultural Household | Name of Householder | XXX |
| Household No. | XXX | Address | XXX |
| Provincial-level Public Security Authority’s Seal Special for Residence: Public Security Bureau of Beijing (seal) Household Registration Body’s Seal Special for Residence: Public Security Bureau of Beijing XXXX Police Station (seal) Seal of Undertaker: XX Issued on DD MM YY | |||
| Item | Address after Change | Date of Change | Seal of the Undertaker |
| Name | XXX | Relation with Householder | Householder | ||||
| Other Used Names | Gender | Male | |||||
| Place of Birth | XXX | Ethnicity | Han Chinese | ||||
| Place of Origin | Date of Birth | DD MM YY | |||||
| Other Addresses if Have | Religion | ||||||
| Identity Card Number | XXXX | Height | XXX cm | Blood Type | |||
| Education | XXX | Marital Status | Married | Military Service Status | |||
| Work Place | XXX | Occupation | XXX | ||||
| When and from Where Moved to This City (County) | XXX | ||||||
| When and from Where Moved to This Address | XXX | ||||||
Registration of Changed Items and Record of Change
| Item | Address after Change | Date of Change | Seal of the Undertaker |
| Name | XXX | Relation with Householder | Wife | ||||
| Other Used Names | Gender | Female | |||||
| Place of Birth | XXX | Nationality | Man Chinese | ||||
| Place of Origin | XXX | Date of Birth | DD MM YY | ||||
| Other Addresses if Have | Religion | ||||||
| Identity Card Number | XXXX | Height | 160 cm | Blood Type | A | ||
| Education | High School | Marital Status | Married | Military Service Status | |||
| Work Place | XXX | Occupation | Deputy Chief | ||||
| When and from Where Moved to This City (County) | XXX | ||||||
| When and from Where Moved to This Address | Moved from XXX on 11th January 1981. | ||||||
Registration of Changed Items and Record of Change
| Item | Address after Change | Date of Change | Seal of the Undertaker |
| Name | XX | Relation with Householder | Daughter | ||||
| Other Used Names | Gender | Female | |||||
| Place of Birth | Beijing | Ethnicity | Man Chinese | ||||
| Place of Origin | XX | Date of Birth | |||||
| Other Addresses if Have | Religion | ||||||
| Identity Card Number | Height | 167 cm | Blood Type | A | |||
| Education | Graduate | Marital Status | Military Service Status | ||||
| Work Place | Occupation | Employee | |||||
| When and from Where Moved to This City (County) | |||||||
| When and from Where Moved to This Address | Moved from XXX, on 21th July 2003. | ||||||
Registration of Changed Items and Record of Change
| Item | Address after Change | Date of Change | Seal of the Undertaker |