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Procedure

APPENDIX - 4A

Document type
Procedure
Dated
Category
Forms & Appendix (01/04/2001 to 31/03/2002)

Format of Identity Card

APPENDIX - 4A
Format of Identity Card



(To be filled by the licensing authority) Non Official
 
Photograph 



 1. 	Name of the person   				: .................................... 

 2. 	Designation    					: .................................... 

 3. 	Name and address of the firm/company 		: .................................... 

 4. 	Period of validity   					: .................................... 


Signature ..................... 

Name and address of issuing authority

..................... 

..................... 

Date of issuance ....................

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