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2. NYS Dept. of Motor Vehicles Driver License or ID Number 4. Last name of applicant 5. Number and Street First name City, Town, Village 6. Area Code and Phone Number 6a.Home: 3. Date of Birth M/D/Y Middle initial State 6b. Cell: ZIP County 6c. E-mail: 7. Physical characteristics a. Height: ft. in. b. Weight: lbs. c. Hair color: d. Eye color:.

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