APPENDIX 20 A FORM OF APPLICATION OF IDENTITY CARD Photogra ph duly attested by Proprieto r/ Partner/

1) Name of the person (in whose favour Identity Card is to be issued) 2) Designation of the person 3) I C Number !) Detai"s of #ee :

:.............................

:............................. :.............................

$an% re&eipt' .............. DD No.( date )mount *s. ... Name of the $an% $ran&h of issue DECLARATION i) ii) iii) I am the +roprietor'+artner'Dire&tor of the firm'&ompany. I hereby de&"are that ,hri .................... in whose favour identity authorised emp"oyee of the firm. &ard is to be issued is the

I further underta%e that the do&ument(s) '-i&en&e(s) may be handed over to the Identity Card ho"der at the so"e ris% and responsibi"ity of the firm.

,ignature of the proprietor' partner' dire&tor Name Designation .ffi&ia" )ddress /e"e.No *esidentia" )ddress: .0ai" )ddress +"a&e Date Documents to be enclosed wit t e !""lic!tion #o$m 1. 2. $an% *e&eipt (in dup"i&ate)'Demand Draft eviden&ing payment of app"i&ation fee in terms of )ppendi1223. /wo passport si4e photographs of the person in whose favour identity &ard is to be issued.