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...Application for certificate of character act october ref dist dd mm yyyy serial no part to be filled by applicant in block letters receipt name surname other names alias maiden if applicable date birth born the district identity card passport foreigners home address phone mobile office marital status single married divorced legal husband previous have you ever been convicted a court law any crime or misdemeanour yes please indicate place and nature offence issued with when required english french signature authorised representative ii employer on behalf i mr mrs miss from company apply iii acknowledgement acknowledge having received my documents...