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PLEASE FILL IN THE RETURN SLIP/ TSWEE TSWEE TLATSA SEKGETHE SA<br />
PAMPIRI MME O SE ROMELE<br />
Applicant/ Moikopedi<br />
Name/ Leina<br />
___________________________<br />
Address/ Aterese ___________________________<br />
___________________________<br />
___________________________<br />
For Official Use Only/ Fa go tlatsa badiredi fela<br />
This is to acknowledge receipt of your application received on /Se ke sesupo sa kamogelo ya<br />
kopo ya gago e e amogetsweng ka: ______________________<br />
Your reference number is/ Nomore- seka- bosupi ya gago ke ______________________<br />
8
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