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Get USCIS I-693 2022-2024

E - Type or print in black ink. Part 1. Information About You (To be completed by the person requesting a medical examination, NOT the civil surgeon) 1. 2. Your Full Name Family Name (Last Name) Given Name (First Name) Middle Name Physical Address Street Number and Name Apt. Ste. Flr. Number City or Town State ZIP Code (USPS ZIP Code Lookup) 3. Other Information A. Gender Male B. Date of Birth (mm/dd/yyyy) C. City/Town/Village of Birth Female D. Country of Birth E. Alien Registr.

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