arm Coos (rnfriddhvw) cz) Stratum (Aropown-lo-FiC) DOW Sir; Writ and ttia ft ------ DOB (rimiddirrlY) Passport • faroton Date (mmybOtyyyy) Notatielltion/ Witness is squired for Attorney(s) (In Neu of notarization, this document may be signed before • IP. Margin attar, a U.B. diplomatic or consular official, •