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Applin. for Renewal of Certificate of Recognition

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					                               FORM C


FORM OF APPLlCATION FOR RENEWAL OF CERTIFICATE OF
RECOGNITION


1.     Full name of the applicant or Association   :

1.     Religion

2.     Full Address

3.     Name of the insbitution

4.     Certificate Number

5.     Any other particulars


Signature/Signatures

				
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