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answer all questions, writing “none” or “not applicable” where appropriate. If you need additional space, please attach other sheets. (Note: This confidential information is used only in preparing your immigration paperwork.) All “dates” should be listed as “month/day/year,” unless otherwise specified as “month/year.” A. PERSONAL DATA (Applicant) Name of Applicant Last First Other Names Used (including maiden name) Last First Date of Birth: Place of Birth: City: Province: Co.

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