NAME

X XX

USER NO.

X XXX XXX XX

Citizen Identify Number

510725X XXX XXX XX

SEX

Male

Date of Birth

February 7, X XX

Ethnicity

HAN

Address

X XXX XXX XXX XX Caolu County

Degree of Education

a student of college

Company

University level(Four years’ time) of Class 5 majoring in from year 2010

Occupation

Marital status

Unmarried

Another name

X XXX 

Native place

X XX Province

Place of birth

X XX, Sichuan Province

The Items to Be Certificated

Household of a corporate

The student collective permanent population registration from Colleges and Universities (valid for 30 days)