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Me Surname Address Date of Birth / / Nationality PPS Number (See Note 2 on help sheet) If you have a PPS No. BUT cannot provide it, give: Your Birth Surname if different B. Residence Details Your mother s birth Surname (see note 3 on Help Sheet) If you lived outside the State during the last 24 months please state: Date you went abroad (if an Irish National) / Date of arrival/return to the State / Country of residence prior to arrival here / / Intended duration of your stay (i.

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Keywords relevant to Form 12a

  • Sligo
  • Leitrim
  • Wicklow
  • Laois
  • Westmeath
  • recommencing
  • Louth
  • Cavan
  • Meath
  • reliefs
  • 52nd
  • Offaly
  • entitlements
  • Monaghan
  • Tipperary
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