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Write the appropriate information in the Passport No, Certification Number and Petition, Derived Parents Certification, Alien Registration No, United States, United States, OTHER APPROVED IDENTITY SOURCE, Date of Entry, Port of Entry, WEIGHT HEIGHT Inches, Pounds, HAIR COLOR Check one, EYE COLOR Check one, Blond, and White field.
Record all particulars you are required within the box SUPERVISOR NAME AND ADDRESS, SUPERVISOR PHONE Include Area Code, SECNAV APR, FOR OFFICIAL USE ONLY WHEN FILLED, and Page of.
For field Check the applicable box for WORK, WORK HOURS, OTHER, WORK DAYS, Have you ever been convicted of a, YES, Initial, PRIOR FELONY CONVICTIONS, REQUIREMENT TO RETURN LOCAL, I understand that I am required, AUTHORIZATION AND RELEASE AND, I hereby authorize the DODDON and, state agencies including but not, I have been notified of DON right, and I release any individual including, indicate the rights and obligations.
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