RESIDENT REGISTER RESIDENT REGISTER Name of householder Relationship to the Family Head Hong, Gil Dong Him self No. Address Remarks ○ ○ Dong, ○ City, ○ Do Nov ○, ○ ○ ○ Dong, ○ City, ○ Do Apr ○, ○ No. Relationship Name in full ROK ID Number Remarks ○ Himself ○ ○ ○ Wife ○ Daughter ○ Son This is to certify that this is an authentic and true copy. Date : Jan, ○, ○. /S/Official Seal Affixed The Head of Yeoksam dong Kang Nam gu District Office
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