Post on 24-Jul-2020
GOVERNMENT OF KIRIBATI MINISTRY OF JUSTICE PHOTO
P.O. Box 62 Telegram: MOJ Telephone: (686) 75022801, 75022802, 75022809 Email: nic@justice.gov.kiFB Page: Ministry of Justice
Bairiki, Tarawa, Republic of Kiribati
NATIONAL ID CARD REGISTRATION APPLICATION
New ID Card (3yrs validity) Renewal of ID Card ($10.00 - Expired,lost,damaged)
Male Female(DD-MM-YY)
(Ward/District)
7. Gender:
9. Place of Birth:
11. Citizenship type:
13. Phone no:
(Prior Statutory declaration , Marriage or Adoption)
The Confidentiality and Nondisclosure of Applicant Information is protected under The National Identity Registration Act 2018 (Section 24)
8. Abode of Resident:(AM TABO NI MAEKA)
10. Home Island:
12. Email Address:
1. Purpose of Application
2. Given name:
3. Surname/Father’s name:
4. Mother's names:
5. Other name(s):
6. Date of Birth:
(ARAM)
(AM KAUOUA N ARA/TAMAM)
(ARAN TINAM)
(ARAM RIKI TABEUA)
(AM BONG NI BUNG)
KC NC RCC RCL(ABAM)
(BUKIN KANOAKIN TE FORM)
I declare that the foregoing information I have provided on this application is true and correct to the best of my knowledge.
Applicant's Signature (Taiaoka Tiaaina inanon te baoki)
_____________________ Today's date
(DD/MM/YY)
OFFICIAL USE ONLY
______/________/_______ (DD/MM/YY)
Date:
PIN:
NID no:(Naturalization ID number, for Naturalized & Registered Citizens only applying for I-Kiribati citizenship)
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