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3. First name(s) (as in passport) 4. Date of birth (year-month-day) 5. ID-number (optional) 7. Place of birth City : . .. 6. Sex F Male F Female 8. Marital status: F Single F Married F Separated F Divorced F Widowed F Other FOR OFFICIAL USE ONLY Country 9. Current citizenship 10. Citizenship at birth Date of application: 11. Father s full name 12. Mother s full name 13. Type of passport F Ordinary Passport F Diplomatic Pa.

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