RESIDENCY REGISTRATION
ACT OF STATE ASSEMBLY: BILL 00125
PROOF OF ADDRESS
Ref. No
CODE:
{{VERIFICATION ID}}
Date of Registration:
{{DATE}}
House No. Street
{{ADDRESS}}
Area - City
{{ADDRESS}}
PERSON HEREIN REGISTERED
FAMILY/SURNAME
{{SURNAME}}
FIRSTNAME, OTHERNAMES
{{FIRSTNAME_OTHERNAMES}}
DATE STAMP: {{DATE}}
AUTHORIZED SIGNATURE