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S I 1. Name(as in passport) Leaveone box blankafterercry partof the namefinitial S O M E N A M E 2. Sex (tick/appropriate box) 3. Nationality ,","f-'l,"."," f- U S A 4. Dateof Birth (DD/MM/Y0 5. Gountry of Residence 2 2 1 0 1 9 8 3 U S A 6. NRUPIO/OCI Status (ticky'appropdate boxl I**, 7. PIO/OCICard No., if any l-l*on" Dr,o Io", 9. Dateof lssue (DDnrlilfYY) 8. PassportNumber 1 8 0 5 2 0 1 1 1 2 3 4 5 6 7 8 10. Flight Number 11. Port of Boardlng K L 8 7 1 A M S T.

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