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l.D. No. 9612270578084


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' S.A.CIT1ZEN
NOTICE OF PERSONAL PARTICULARS
SURNAMe
1. Any changes to the personal particulars
in your ID Book must be communicated
KGOETE
to all relevant parties. FORENAMES

THELMA
NOTICE OF CHANGE OF ADDRESS
COUNTRY OF BIRTH
1. Keep the NOTICE OF CHANGE OF
ADDRESS form in this pocket to SOUTH AFRICA
DATE OF BIRTH
report a change of address or a*
change in particular of your present
1996-12-27
DATE ISSUED
address e.g. name of street and/or
• 2014-01-16
street number etc. •
2. Hand in at or post to-the nearest
SUED BY AUTHORITY OF
regional/district office of the DIRECTOR-GENERAL
DEPARTMENT OF HOME AFFAIRS HOME AFFAIRS

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