北海道札幌市赤池区黒井通7丁目北77-77
所有権保存
（所有権以外の権利に関する事項）
＊ 下線のあるものは抹消事項であることを示す。
登記官
個人事項証明書
本籍
氏名
戸籍事項
戸籍編集
編製日
戸籍に記録されている者
名
生年月日
配偶者区分
父
母
続柄
次男
身分事項
出生
婚姻
出生日
出生地 （山口県下関市）
届出日
届出人
婚姻日
配偶者氏名
従前戸籍
以下余白
発行番号
これは、戸籍中の一部の者について記録されている事項の全部を証明した書面である。
北海道札幌市中央区局長
（白石区発行）
Rating
57
Translation / English
- Posted at 06 Jul 2015 at 13:56
North 77-77, 7-chome, Kuroi-dori, Akaike-ku, Sapporo, Hokkaido
Save ownership
(Matters related to rights other than non-ownership)
* The underlined parts are deleted matters.
Registrar
Certificate of personal matters
Domicile
Name
Family register matters
Family register edit
Knitting Date
Persons in the family register
Given name
Birthday
Spouse classification
Father
Mother
Relationship
Second son
Identification matters
Birth
Marriage
Date of birth
Birthplace (Shimonoseki, Yamaguchi Prefecture)
Notification Date
Notifier
Marriage date
Spouse name
Previous family register
Remainder of page intentionally left blank
Issue number
This is a writing proving all the matters recorded for persons in the family register.
Chief of Chuo-ward office, Sapporo, Hokkaido
(Issued by Shiraishi Ward)
Save ownership
(Matters related to rights other than non-ownership)
* The underlined parts are deleted matters.
Registrar
Certificate of personal matters
Domicile
Name
Family register matters
Family register edit
Knitting Date
Persons in the family register
Given name
Birthday
Spouse classification
Father
Mother
Relationship
Second son
Identification matters
Birth
Marriage
Date of birth
Birthplace (Shimonoseki, Yamaguchi Prefecture)
Notification Date
Notifier
Marriage date
Spouse name
Previous family register
Remainder of page intentionally left blank
Issue number
This is a writing proving all the matters recorded for persons in the family register.
Chief of Chuo-ward office, Sapporo, Hokkaido
(Issued by Shiraishi Ward)
Rating
43
Translation / English
- Posted at 06 Jul 2015 at 13:30
Sapporo, Hokkaido Prefecture Akaike District Kuroi through 7-chome North 77-77
Ownership Preservation
(Matters related to non-ownership rights)
* Some of the underlined indicates that it is a peripheral matter.
Registrar
Personal matter certificate
Domicile
Name
Family register matters
Family register edit
Establishing Date
Who are recorded in the family register
Given name
Birthday
Spouse classification
Father
Mother
Relationship
Second son
Identification matters
Birth
Marriage
Date of birth
Birthplace (Shimonoseki, Yamaguchi Prefecture)
Notification Date
Notification people
Marriage date
Spouse name
Previous family register
Margin below
Issue number
This is a writing proved all the matters recorded for persons of some in the family register.
Sapporo, Hokkaido Chuo Director
(Issued by Shiraishi Ward)
Ownership Preservation
(Matters related to non-ownership rights)
* Some of the underlined indicates that it is a peripheral matter.
Registrar
Personal matter certificate
Domicile
Name
Family register matters
Family register edit
Establishing Date
Who are recorded in the family register
Given name
Birthday
Spouse classification
Father
Mother
Relationship
Second son
Identification matters
Birth
Marriage
Date of birth
Birthplace (Shimonoseki, Yamaguchi Prefecture)
Notification Date
Notification people
Marriage date
Spouse name
Previous family register
Margin below
Issue number
This is a writing proved all the matters recorded for persons of some in the family register.
Sapporo, Hokkaido Chuo Director
(Issued by Shiraishi Ward)
Rating
53
Translation / English
- Posted at 06 Jul 2015 at 14:20
77－77 Kita Kuroidori, Akaike-Ku, Sapporo City, Hokkaido Prefecture
Preservation of Ownership
（Matters other than Preservation of Ownership）
＊ Matters with underlines indicate deleted matters.
Registry Officer
Certificate of Items for Individuals
Domicile of origin
Name
Registered items
Revision
Date of Revision
Registered person
Name
Date of Birth
Spouse classification
Father
Mother
Relationship to the Registered Person
Second Son
Matters of Identification
Birth
Marriage
Date of Birth
Place of Birth （Shimonoseki City, Yamaguchi Prefecture）
Notification Date
Notifier
Date of Marriage
Name of Spouse
Domicile of Origin before Marriage
The reminder of this page is intentionally left blank.
Issue number
This is a certfied document of a whole of the permanent family register record of a part of the family members.
Chief of the Office, Chuo-Kum Sapporo City, Hokkaido Prefecture
（Issued by Shiraishi-Ku）
Preservation of Ownership
（Matters other than Preservation of Ownership）
＊ Matters with underlines indicate deleted matters.
Registry Officer
Certificate of Items for Individuals
Domicile of origin
Name
Registered items
Revision
Date of Revision
Registered person
Name
Date of Birth
Spouse classification
Father
Mother
Relationship to the Registered Person
Second Son
Matters of Identification
Birth
Marriage
Date of Birth
Place of Birth （Shimonoseki City, Yamaguchi Prefecture）
Notification Date
Notifier
Date of Marriage
Name of Spouse
Domicile of Origin before Marriage
The reminder of this page is intentionally left blank.
Issue number
This is a certfied document of a whole of the permanent family register record of a part of the family members.
Chief of the Office, Chuo-Kum Sapporo City, Hokkaido Prefecture
（Issued by Shiraishi-Ku）
