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Write the appropriate information in the Derived, Parents, Certification, Number Alien, Registration, No United, States United, States Date, of, Entry Port, of, Entry WEIGHT, HEIGHT, Inches Pounds, HAIR, COLOR, Check, one EYE, COLOR, Check, one Blond, White, Brown, Black, and Gray field.
Record all particulars you are required within the box WORK, HOURS OTHER, WORKDAYS, Have, you, ever, been, convicted, of, a, Felony YES, NO Initial, and PRIOR, FELONY, CONVICTIONS
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