SHANGHAI PUBLIC SECURITY BUREAU HOUSEHOLD REGISTRATION CERTIFICATE

No.20181244007713
NAME HOUSEHOLD No. 04000
SEX Male ETHICITY Han
OTHER NAMES ANCESTRAL NATIVE PLACE Xinghua City, Jiangsu Province
ID CARD No. 31022119460119
ADDRESS Suite , Building , Shui Qing San Cun, Minhang District, Shanghai
DATE OF BIRTH Jan. 19, 1946 PLACE OF BIRTH Xinghua City, Jiangsu Province
WORKING PLACE Xing Da Co., Ltd. OCCUPATION
USAGE
THE ITEMS TO BE CETIFIED Li Li (ID No. 310112197808070) is the daughter of Li Guitao (ID No. 31022119460119)
Shanghai Public Security Bureau
Issued by Xin Guang police station
DATE: Aug. 1, 2018
Household Registration Certificate is only available in China Domestic (available in Hong Kong, Macao, Taiwan)
This Certificate is only for the use of certifying Household registration status.

Translated and proofread by Landeservice Shanghai (China) Translation Company