Annex II 93 ANNEX II: NATIONAL VERIFICATION CARD APPLICATION FORM UNOFFICIAL TRANSLATION Application Form for the applicants to get decision to get verified whether or not eligible for Citizen/ Associate Citizen/ Naturalized Citizen Through Township Officer __________ Office of the Township Immigration and National Registration __________ Township To Central Committee Subject: Application for the determination verification whether or not eligible for (Full) Citizenship/ Associate Citizenship/ Naturalized Citizenship 1. I ________________submitted the following bio-data/ information to apply for the determination and verification whether or not I am eligible for Citizenship/ Associate Citizenship/ Naturalized Citizenship in accordance with Section 65 of Myanmar Citizenship Law. (A) Bio-data/ Information of the applicant (1) Full name _______________________________________________________ (2) Other name (if any) _______________________________________________ (3) Date of birth ____________________________________________________ (4) Place of birth ____________________________________________________ (5) Male/Female (Gender) _____________________________________________ (6) Race (ethnicity) and citizenship (nationality) ___________________________ (7) Religion ________________________________________________________ (8) (ID) number of the (current) ID card and (issued) date __________________ (9) Educational qualification ___________________________________________ (10) Occupation _____________________________________________________ (11) Address _______________________________________________________ (12) Date and place of arrival in Myanmar ________________________________ (13) Type of vehicles and route taken (to Myanmar)________________________