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Name i. Surname ii. First name iii. Middle name 2. Relationship 3. Sex M/F 4. Date of Birth DD/MM/YYYY 5. Place of Birth with country 6. Father s/ Guardian s 7. Mother s 8. Country of present citizenship i. Date of acquisition ii. Passport No* iii. Date of issue iv* Place of issue 9. Profession or occupation 10. Address of Employer 11. Passport held before present citizenship 12. Visible distinguishing marks APPLICANT SELF SPOUSE MINOR CHILD 13. Present Residential Address Telephone No* Mobile ...

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