FAMILY CENSUS REGISTER

Place of Register :
This register was compiled due to the report of family headship succession on Feb. 15, 1979
and re-compiled 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 :

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-ik Kim
Youngdogu, Pusan-City