Appendix-4A
- Document type
- Procedure
- Dated
- Category
- Forms & Appendix (upto 31/03/2001)
Format of Identity Card
(To be filled by the licensing authority)
Non Official
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Photograph
1. Name of the person : ....................................
2. Designation : ....................................
3. Name and address of the firm : ....................................
4. Period of validity : ....................................
Signature .....................
Name and address of issuing authority
.....................
....................
Date of issuance ....................