No.: 00000000
| Name | *** | Householder or Relation with the householder: | Collectivity registration | |||
| Used Name | Sex | Female | ||||
| Place of birth | Ningxia Hui Autonomous Region | Nationality | Han | |||
| Place of origin | Shaanxi Province | Date of birth | March 24, 1984 | |||
| Other addresses in this city | Religious belief | |||||
| ID card No. | 000000000000000000 | Height | 166cm | Blood type | A | |
| Educational background | Undergraduate | Marital status | Military service status | Others | ||
| Unit of Service | Class 3 of International Trade Major, Grade 2002 of China Agricultural University | Profession | Student | |||
| When and from where moved to this City (County) | Moved from 44-6-1-302 Jinning North Street, Jiefang West Street Police Station, Yinchuan City, Ningxia Hui Autonomous Region on January 2, 2003 | |||||
| When and from where moved to this address | ||||||
Seal of undertaker: Date of registration: January 7, 2003