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Nguage in which I am fluent and I understood everything. 2. Date Departed the United States (mm/dd/yyyy) M 3. Date of Intended Travel to the United States (mm/dd/yyyy) 05/01/2017 Are you NOW, or were you EVER, in exclusion, deportation, removal, or rescission proceedings? Yes SA 4. If you answered "Yes" to Item Number 4., provide details in the space provided in Part 7. Additional Information. No If you answered "Yes" to Item Number 5.a., answer Item Numbers 5.b. and 5.c. for the last d.

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