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FAMILY CENSUS REGISTER

This is to certify that the above family census register is an authentic and true copy of the original one filed in this office.

July, 01, 2000

/S/ Official Seal Affixed
Head Official :Hong Kil Dong
Youngdogu, PusanCity

Place of Register :
This register was compiled due to the report of family headship succession on Feb. 15, 1979
and recompiled for protection reason (for data processing by computer) on Jan. 11, 1997

Family Head
FULL NAME :
RESIDENT ID NO. :
FATHER :
MOTHER :
DATE OF BIRTH :
REMARKS :

Wife of Family head
FULL NAME :
RESIDENT ID NO. :
FATHER :
MOTHER :
DATE OF BIRTH :
REMARKS :

Daughter of Family head
FULL NAME :
RESIDENT ID NO. :
FATHER :
MOTHER :
DATE OF BIRTH :
REMARKS :

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