Annex II
98
22. (a) Children
Name
Date of
Birth
Symbol
and
identity
No.
Remark Name Date of
Birth
Symbol
and
identity
No.
Remark
23. Identified mark
24. Signature of those who applied for identity except less than 12 years
25. Thumb finger prints of those who applied
(a) Right-hand
Thumb
Second
Middle
Second Little
Little
(b) Left-hand
Thumb
Second
Middle
Second Little
Little
26. Date of applied
I hereby identify and sign that the above information, signature and thumb finger prints are
real.
Identified Person _____________________
Address ____________________________
Date _______________________________
Date of identity card issued as
submitted to relevant official____________
Date _______________________________
Recipient
------------Collector
Regional Officer/Township Officer
--------------------------------------------(Assistant Officer)
Transfer
Serial
1
2
3
4
5
6
7
Address
Occupation
Health
Education
Marital
Clerk’s name
and date
Other
information
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