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申请人： ，性别 ，出生日期 ，身份证号码 ：现住： 。

因本人 ，

故特此申请将 之户口迁入至 ，请予办理为谢！

特此申请

申请人：

年 月 日

所需材料：

1、本人申请；

2、居、村委会同意接收证明；

3、投靠人户籍证明（或户口簿）、居民身份证（原件和复印件）；

4、被投靠人户口簿、居民身份证（原件和复印件）；

5、结婚证（原件和复印件）。