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EFTA01263124
out You A. Social Stonily Number B. Dale of Birth allonth/DaWY ar) D. Country of Birth France Mut your INS "A. number haw: C. Dale You Became a Pennanent 'dent (Month/Day/Yea') 0 2 /0 5/1 9 9 — — E Country of Nationality France I firs. 'Ann ol your parents II S. citizens? (tf:vrt. A e hisuntrt
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