Mr

Con,,,M-•*-**q:

Tih,s card has been issued by the

Department of Home Affairs in terms of the

ldent,f•cataon Act, Act 68 of 1997

no ptu •• n to ttt• O.partment of Home Aff•I,.

.-.r ~ or tcatlon purPG•• contact OIOO tO 11 IO Date of t~q, 1P:

17 JAN 2017

RSA

103711687

l1111111111111111111111111 II 111*********

• ••• •

.

REPUBLIC OF SOUTt, AFRICA

NATIONAL IDENTITY CARD

Surname:

NKOSI

Names:

NELSON THABO

Sex:

M

Nationality:

RSA

Identity Number:

991**********

Date of Birth:

130CT 1999

Country of Bir:th:

RSA

Status:

ClTlze'N

~

_ $jgnature:

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