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N Registration Number by the Department of Homeland Security? Yes No Alien Registration Number: _______________________ Provide information on your last five U.S. visits. Date Arrived (1): _______________________ Length of Stay: _______________________ Date Arrived (2): _______________________ Length of Stay: _______________________ Date Arrived (3): _______________________ Length of Stay: _______________________ Date Arrived (4): _______________________ Length of Stay: _______________________ D.

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