Annex II 95 (D) Information about Spouse (First- wife) (Second-wife) (Third-wife) (1) Full name ______________________________________________________ (2) Other name (if any) _______________________________________________ (3) Names of parents of the father_______________________________________ (4) Date of birth _____________________________________________________ (5) Place of birth ____________________________________________________ (6) Race (ethnicity) and citizenship (nationality) ___________________________ (7) Religion ________________________________________________________ (8) (ID) number of the (current) ID card and (issued) date ___________________ (9) Date of Marriage _________________________________________________ (10) Educational qualification __________________________________________ (11) Occupation _____________________________________________________ (12) Address _______________________________________________________ (E) Children Sr. Name Date of Birth Place of birth Father’s name

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