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Get National Identification Number Enrolment Form

Miss/ Ms): * SURNAME: * FIRST NAME: MIDDLE NAME: MAIDEN NAME: OTHER NAMES: B HAVE YOU CHANGED YOUR NAME BEFORE? Previous Surname: Previous First Name: Previous Middle Name: Maiden Name (if any): C WHERE DO YOU LIVE? * ADDRESS OF RESIDENCE: * TOWN/CITY OF RESIDENCE: POSTAL CODE * LOCAL GOVERNMENT AREA OF RESIDENCE: * STATE OF RESIDENCE: REGISTRATION NATURALIZATION BIRTH * RESIDENCE STATUS: D WHEN AND WHERE WERE YOU BORN? * DATE OF BIRTH: D D * DATE OF BIRTH VERIFICATION: * COUNTRY O.

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