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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