GOVERNMENT OF KIRIBATI MINISTRY OF JUSTICE PHOTO P.O. Box 62 Telegram: MOJ Telephone: (686) 75022801, 75022802, 75022809 Email: [email protected] FB 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) Comments