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s 25. Arc removal. exclusion. rescission or deportation proceedings pending against you? :6. Have you EVER been removed. excluded. or deported from the United Stales? ' 7 I frive -Fly EVER Sinn, °Mitred in he retrovrii erri.ydrel or drpnyled rrdir the r'90 'd 2". 1 hr.,. you EVER applied for .1111, kind of relie
of America a3ainst all entail... foreign and domestic. ilun I will bear true faith and allegiance to the same. that l will bear dried on behalf of the United Slates when motored by the law; ion I will perform noncombatant Serviec nn the Armed Forces of the United States wham requucd b) the law: that I will perf
his application while in the United Slates if filing for a reentry permit or refugee travel dOCument. I certty under penalty of porter the laws of the United Slates dAmerica that this petition, and the evidence submitted with it, is all true and correct. I authorize the release d from my records which the immigration an
a 8. a. Have you EVER been a member of or associated with any organization. association, fund. foundation. party, club. society. or similar group in the United Slates or to any other place? K Yes No h. If you answered -Yes: list the name of each group below. If you need more space. wrack the names of the oilier
. Include copies or any documents you wish considered. (See instructions.) For how may Inge do you intend to use this document? O 1 WO II outside the U S . at right give the U.S. Consulate or INS office you wish nabbed if this application is approved. t) More than 1 trip Part 8. Signature. Read the
ation g while in the United States if filing for a reentry permit or refugee travel document. I certify under penalty of perjury under the laws of the United Slates of America that this potion, and the evidence submitted with it, is ail We and Correct. I authorize the release of from my records which the Immigration and
Number and Name Cary New York Gwen Name Chia Laing t Middle India State New York bp Cade 113O2.2- / 87) <:- 1 Date of But (rmithIciaa Camay of Birth France A i (if any) None Security 9 Deb of LaW Arrival (month/clay/year) 9/19/95 '4114. a 70051451304 Current INS Slake H-18 Vi
spective. Baud upon the residence of the account holder, account t)pe, or product type, some interest ancror dividend payments may not be subject to United Sties (VA ardor Puerto Rico (FR) income taxes The (tent monthly statement is not intended to be used and carrot be fele(' upan Ice tar purposes. Clients
erspective. Based upon the residence of the account holder, account type, or product two, some Interest anent deldend payments may not be subject to United Stites (UA arch Puerto Rico (PR) Income tares The (tent monthly statement is not Intended to be used and cannot be retied upon for tar purposes. Clients s
spective. Barbed upon the residence of the account holder, account type, or product type, some interest ender dvidend payments me) not be subject to United stags (UA ardor Puerto Ptc0 (PR) income fats The (tent months) statement is not intended to be used and cannot be read upon for tat purposes. Clients sho
of Duster IO, 2013 kited tote potty ordhon nut Osmium at at the mot duds padded fet Wes SI 9 milk" nme aggreitte fix all your stunts n a patent, Camay A-full opyof thepoay ~dog 6 !Matte Won rOOJeg The 5PC protection ada. supplemental prenatal both do not Sr:Tito • C ens Sax°, assets controlled b
lintion filed onCustom° behalf: (b) In preparing and submitting customs entries, expect declarations application. documentatien antler capon data to the United State( ald'Ot a third pony. the Company relict on the eCtreantel of all documentation. whether in written a electronic taut and all intonation furnished b
liable for maintmatcp all reads required under the Custom ands other Laws a RepLitioas of the United Sato unless otberoist agreed to m waiting. the Camay shot/ coly keep such reads that it is requited 'o twain by Samna) and'or Rcrulatittes). but not an as a Micordkeeper- or Moordkeeping am' for Custom
Entities connected to both United States and Camay

Jeffrey Epstein
PERSON
George W. Bush
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Ghislaine Maxwell
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Julie K. Brown
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Samantha Power
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Joe Biden
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Joi Ito
PERSONDoug Band
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U.S. Treasury
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David Rodgers
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Sarah Kellen
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Mao Zedong
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PERSONJEGE, Inc.
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Larry Page
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Kofi Annan
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