APPENDIX -2W

FORMAT OF IDENTITY CARD

(To be filled by the licensing authority)

Non Official

1. Name of the card holder : ...............................................................

2. Designation : ...............................................................

3. Aadhaar Card No. :………………………………………………

4. Name and address of the firm/ company: ...............................................................

5. Period of validity : ...............................................................

Signature ______________________
Name and address of issuing authority
________________________
________________________
Date of issue ________________