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application form to exchange guilder banknotesWesteinde 1 amsterdamopening hours workingdays 0900 1600 hoursTel 0800 0201068 free of charge 31 20 524 9111Info wwwdnbnl Signed for dnbSig. Signature Date Signed Request will not be processed without the signature and ID of the applicant full fees and established eligibility If Child less than 2 yrs Name of Hospital or Midwife Division of Vital Records Phone 1000 NE 10 th Street PO B When sending foreign mail and you need a retur n receipt to verify receipt of the package or envelope you will need to s end the package or envelope Registered To send a package or letter Registered you will need to follow the instructions below Add Call Sign Type How many Location or area of operation Base Mobile Handheld c How will the radio be used in applicants business or personal activities PART III EQUIPMENT Provide information on each individual unit Use continuation sheet if necessary APPLICANT Completed by applicant Name Date of Birth Last First MI Los Rio s ID if known Age Grade Level Phone Current School Attending 4 Applicant Email Information for Birth Certificate Search 5 Child Name 6 Date Of Birth 7 Fathers Name 8 Mothers Name 9 Citizen Service Centre BRUHAT BANGALORE MAHANAGARA PALIKE BIRTH CERTIFICATE REQUEST APPLICATION FORM 4 4 4 4 4 4 4 4 4 4 Single Entry - $0.00 Multiple Entries - $0.00 Single Entry (Rush) - $0.00 0.00 (Paw bw monew order. Birth Place Married Place Death Place Birth Place Death Place Birth Death Birth Place Married Place Death Place Birth Place Married Place Death Place Birth Place Death Place Birth Birth Birth Place De 295 Madison Avenue, 34th Floor New York, New York 10017 Phone: (212) 994-2200 Fax: (212) 994-2250RENTAL APPLICATION Building Address:_________________________________________________________________ A Name Date of Birth// Place of Birth Sex Male Female Language Spoken at Home Name of Mother Address Name of Father Address Occupation of Mother Occupation of Father FAMILY HISTORY Apartment HomesAPPLICATION FOR RESIDENCYApplicants InformationApplicants Full Name Date of BirthSS Drivers License StateHome Phone Cell Phone Email Spouses Full Name Date of BirthSS Drivers License S Underscored stricken and vetoed text may not be searchableIf you do not see text of the Act SCROLL DOWN765CHAPTER 583The people of the state of Wisconsin -represented in senate and assemblySECTION 1 2 Page 1of 18CAUTIONA passport is issued under the Passports Act 1967 It is an offence punishable with imprisonment or fine or both to furnishfalse information or suppress information which attracts pen APPLICA DA BIR TH IN SCHOOL RECORDS TIFICA TE OF QUALIFICA I) G.O(Rt) No. 853/2011/G.Edn. (G) Dt. 1.03.2011 (GEdn.) Dept. II) G.O. (Rt)No. 2281/2011/G. Edn. Dt. 18.06.11G.Edn. (G) Dept(To be r Mexican Birth Certificate PSD template. Fully customizable layered PSD files. Put any Name, DOB, Certificate No., etc. to make your personalized Mexican Id.