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Get USCIS I-693 2017

At any immigration benefit I derived from this medical examination may be revoked, that I may be removed from the United States, and that I may be subject to civil or criminal penalties. Applicant's Signature NOTE: Do not sign or date Form I-693 until instructed to do so by the civil surgeon. 5. Applicant's Signature Date of Signature (mm/dd/yyyy) NOTE TO ALL APPLICANTS AND CIVIL SURGEONS: If you or the civil surgeon do not completely fill out this form according to the instructions USCIS ma.

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