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Hereby apply for the renewal of the certificate of registration which is attached, the particulars of which are as follows: (a) Registered number (b) Date of issue (C) Date of expiry (d) Registering authority by which the certificate was issued / last renewed My present address is PIN The renewal of the certificate has not been refused by any registering authority. I hereby declare that the certificate of registration has not been cancelled or suspended by any registering authrotiy. The partic.

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