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Name Address Telephone No. e-mail address Fax No. 2. Name Address Telephone No. e-mail address Fax No. 15. Payment of fee: Amount : Mode of Payment Date Payments can be made through bank-transfer, bankgiro or internet. DECLARATION I hereby declare that the above statements are true to the best of my knowledge and belief. Place & Date: (Signature of applicant) Two specimen signatures of applicant (In BALL POINT PEN) Please sign only within the box Documents to be submitted: (Pl.

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