Front Number of Card ................................... Date of issue .................................... Eyes Hair Other distinguishing marks: ............................................................................. ............................................................................. ............................................................................. ............................................................................. ............................................................................. Height Signature of bearer or finger-prints or both 14:19 Surname .............................................................. First names.......................................................... Date of birth........................................................ Rank .................................................................... Army Number..................................................... The bearer of this card is protected by the Geneva Convention for the Amelioration of the Condition of the Wounded, Sick and Shipwrecked Members of Armed Forces at Sea of August 12, 1949, in his capacity as ............................................................................. Embosssed stamp of military authority issuing card Photo of bearer Reverse side 2.3.2009 for members of medical and religious personnel attached to the armed forces at sea IDENTITY CARD (Space reserved for the name of the country and military authority issuing this card) ANNEX 0031-0330 irl.qxd Page 83

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