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Get USCIS I-765 2018

If you answered “Yes” to Item Numbers 14. - 15., provide the information requested in Item Numbers 16.a. - 17.b. Provide your father's birth name. 7.a. Street Number and Name Apt. Consent for Disclosure: I authorize disclosure of information from this application to the SSA as required for the purpose of assigning me an SSN and issuing me a Social Security card. Yes No Father's Name U.S. Physical Address 7.b. No Male Female List all countries where you are currently a citizen or n.

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