Annex II 96 NATIONAL VERIFICATION CARD TOWNSHIP LEVEL APPLICATION FORM - UNOFFICIAL TRANSLATION To Head of Township Labor Immigration and Civil Ministry Pauktaw Township Date: Subject: Applying for (NV Card) to be verified for citizenship I am a resident of ___ hamlet in ___ village tract, applying for an NV Card. Name: Father’s Name: Hamlet/Village Tract: Township: Stamp of Village Administration Office Village Tract Pauktaw Township, Rakhine State Date: Recommendation I approve that ____ the son of _____ a resident of hamlet in village tract, Pauktaw Township, who came to report and needs to hold an NV Card to be verified for citizenship. Signature Administrator Pauktaw Township