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Registration of Persons Act - Mars Group Kenya

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Date <strong>of</strong> Birth....................................District..........................<br />

Location......................................Sub-Location....................................<br />

Declared National Status....................................................................<br />

Occupation.........................................................................................<br />

Date <strong>of</strong> <strong>Registration</strong>...............................<strong>of</strong>fice <strong>of</strong> Issue..........................<br />

Signature <strong>of</strong> Issuing Officer............................Valid to............................<br />

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LIFT IMPRESSIONS-LEFT HAND<br />

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