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EFTA00296106
enuine. current photograph of me; and 5) I have read and understood the warning on page one of the instructions to the application form. Applicant's Legg Signature FOR ISSUING OFFICE ONLY El PPT BK CM 0 PPT BK SM 0 PPT CD C/R 0 PPT CD Sal O Marriage Certificate Date of MarriagelPlace Issued: o Court Ord
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