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1
No. 9/r0lr19 0727 086
NOTICE OF PERSONAL PABTICULARS
S.A.CITIZEN

1. Any changes to the personal particulars SUBNAME

in your ID Book must be communicated MOLEFE
to all relevant parties.
FORENAMES

NOTICE OF CFIANGE OF ADDBESS LEBOGANG DOROTFIY

l. Keep the NOTICE OF CFIANGE OF COUNTBY OF BIRTH
ADDBESS form in ihis pocket to SOUTI.I AFRICA
report a change of address or a
change in particr"rlar of your present 19
address e.g. name of street and/or
street number etc. DATE ISSUED
2012-05-t5
2. Fland in at or post to the nearest
regional/district office of the
DEPAI]TMENT OF FIOME AFFAIBS

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I
I
 .1
LD. No. 940/179 0727 086
NOTICE OF PERSONAL PAI]TICULABS I ll]ll flil iltil ililt ]ilt tilt llil flilt flil illil ilil ilil tilfi il ilt
S.A,CITIZEN

1 . Any changes to the personal particulars SURNAME

in your ID Book must be communicated MOLEFE
to all relevant parties.
FOBENAMES

NOTICE OF CFIANGE OF ADDBESS LEBOGANG DOROTFIY

l. Keep the NOTICE OF CFIANGE OF
COUNTBY OF BIBTH
ADDBESS form in this pocket to
SOUTFI AFRICA
report a change of address or a
change in particr"rlar of your present 1991r-0/r-19
address e.g. name of sireet and/or
street number etc. DATE ISSUED
2012-05-15
2. Fland in at or post to the nearest
regional/district office of the
DEPARTMENT OF FIOME AFFAIRS ISSUED BY AUTHOBIry OF:
IHE DIBECTOR-GENERAL
HOME AFFAIBS
 .1
I.D. No. 940479 0727 086
NOTICE OF PEBSONAL PAIITICULAI]S I flilt ffi tilt ilil ilil ilil ilil ilil ilfl ililt ilil ilil t]ll lilt tilt
S.A.CITIZEN

1. Any changes to the personal particulars SUHNAME

in your lD Book must be communicated MOLEFE
to all relevant parties.
FOBENAMES

NOTICE OF CFIANGE
CFlr OF ADDIIESS LEBOGANG DOROTFIY
l. Keep the NOTICE OF CFIANGE OF C
COUNTRY OF BIRIH
ADDIIESS form in this pocket
pocket to
SOUTI-I AFRICA
report a change of address or a
change in particular of your present 19
address e.g. name of street and/or
street number etc. DATE ISSUED
2012-05-15
2. Fland in at or post to the nearest
regional/district office of the
DEPARTMENT OF FIOME AFFAIBS BY AUTHORIry OF
DIRECTOB-GENEBAL
FIOME AFFAIBS
t, (