TMI BlogFORMAT OF IDENTITY CARDX X X X Extracts X X X X X X X X Extracts X X X X ..... (To be filled by the licensing authority) Photograph 1. Name of the person : ............ ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... ......................................... Signature ______________________ Name and address of issuing authority ________________________ ________________________ ..... X X X X Extracts X X X X X X X X Extracts X X X X
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