Social Security No.: [Area Number] [Group Number] [Serial Number]
Name of the card holder: _____________________________________
Sex: Male / Female
Date of Birth: –/–/—- [dd / mm / yyyy]
Date of issuance of the card: –/–/—- [dd / mm / yyyy]
(Signature of the card holder)
Rules and Regulations:
- The usage of this card is subjected to the social security laws laid down by the government of United States of America.
- An individual can possess only one Social Security Number and an effort to obtain a duplicate one is an illegal activity.