Name, gender, date of birth, ID number, domicile of marriage with residents of provinces (autonomous regions, cities), cities (districts, counties), townships (towns, streets) on date of year, and my marriage and childbearing situation belongs to the following items:

① First marriage, childless and adopted children.

② Married for the first time, and gave birth to a son/daughter on, name:; (3) remarriage, childless and adopted children;

④ Other information:

I solemnly promise that the above information is true and valid, and I am willing to bear relevant legal responsibilities if it is inconsistent with the facts.

my signature:

year month day

description: this letter of commitment needs to be signed by myself, and it is invalid if someone else signs it. Personal Commitment on Marriage and Childbearing

I hereby promise (declare):

I hereby promise (declare) that I have given birth to and survived children, and I have legally adopted and survived children. The details of marriage and childbearing are as follows:

I guarantee that the above situation is true, and I am willing to bear the corresponding legal consequences if it is not true.

Commitment (declaration) person (signature):

ID number:

Household address: current residence address: telephone number:

Year, month and day

Note: 1. Please fill in the number of children with .123456789.

2. The adopted children are only those whose adoption relationship still exists, except those whose adoption relationship has been dissolved.

3. This commitment should be filled in with pen or signature pen.

4. The signature must be signed by the promisor (declarant).

5. this commitment is made in duplicate and kept by the handling authority.