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Address Immigrated from
Immigraed from Category of Death
Βιβλιοθήκη Baidu
Date of Death Father: , born on ID No. Mother: , born on , ID No.
SEALE D
(SEALED: Sealed by XX Branch Of XX Public Security Bureau, used Exclusively for Household Register)
City/County Immigrated from
Name Date of Birth Stature Education
Other Names Time of Birth Blood Type Ancestral Native Place Residential District Detailed Address Employer City/County of Birth Name of Father ID No. of Spouse Relation to Guardian Ⅰ Relation to Guardian Ⅱ Date of Migration
Detailed Address Migrated to Country
Photo
Religion Category of Occupation Occupation Country of Birth ID No. of Father Name of Mother ID No. of Guardian Ⅰ No. of ID Guardian Ⅱ Category of Migration City/Count y Migrated to of Date Immigratio n Detailed
Translator:
Tel:
Translation Qualification:
Date of Translation:
Basic Personal Information
Citizen ID No. Ethnicity Gender Marital Status Military Service Status Industry Engaged in Telephone Ancestral Native Country Detailed Place of Birth ID No. of Mother Name of Spouse Guardian Ⅰ Guardian Ⅱ Country Migrated to Reason of Immigration
XXX confirms this is the accurate translation of original document.
Signature:
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