(1) Application form for replacement of teacher qualification certificate in duplicate;

(2) A copy of the Application Form for Teacher Qualification that I filled out when I applied for teacher qualification at that time (a copy can be found in my personal file and stamped with the official seal of the archives department);

(3) a copy of my ID card;

(4) The original certificate loss statement published in domestic public newspapers (optional for Xuzhou Daily) that has been published for one month;

(5) My recent one-inch bareheaded color photo (red background and blue background are acceptable).