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APPLICATION FORM

Life Member Identity Card

Applicant's Details
Date of Birth
Expiring Date
Upload Copy of your International passport or National ID Card Valid ID Card of the person on whose name Life Member ID card is to be issued) (This photo is for scanning do not cross sign)
Second Citizenship Update Form
Upload Passport photograph Photograph of the person applying for the certificate with cross signature
Non Refundable Application Fee of $USD10
Self Undertaking

verify that the above content is correct to the best of my knowledge and believe that nothing has been concealed therein. I swear that in case the information furnished above is found to be incorrect, I shall be liable for prosecution and immediate cancellation of this application.

Signature (Full name)
Signature Date

Without cross signature (half on paper and half on photograph) and signature on undertaking the application will be rejected

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