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efta-efta00029692DOJ Data Set 8Correspondence

EFTA00029692

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DOJ Data Set 8
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efta-efta00029692
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
PRISM Scanned Document Page I of I r Ora Mere S U.S. Department o State APPUCATION FOR 0 U. ASSPORT 0 REGISTRATION 'TYPO a PNO1 all Carla. 14299•9 121 91110 bag Si al NNE. mum CRY BP c11o1S 4\to 22 ! M A Liej 1 I 1 HEIGHT roll 15 a Han COLOR 9 WE COLOR mrer Srtz, c irc iftCrp i w PHONE 3. SEX 4 /SAFE pc a!' t Zsl2eNN tb2DaanS r•••r-k•••.•,-r. ^rorce kola • KT n anti 21P CODE ne.1*/%Not <11:4111iF 0 e CITY 32 f l'AO Off ResO 5 RillOATE Morn ffC, IInn I) voo Ili 4f/C ) im SECURITY NUMBER BEL•I p2 OCCUPATION •--NOe5-04 rLI I- fATNER'S tavt 10 0•• DATE 00400 1L IS, NAVE YOU Fla .1 SUN ISSUED A U.S. PASSPORT , El ,....., a No M.COOPUPVIIIIET IAN AM MINT 21•41•1•OPIT/PANIAAIRS. 04P09100•4 NAME IN W14O165122O APPPOXIINTI15.549 DATE I C f a.C. J "ji 7 ITT Dr :I IPH El ::::".". 2 1re VC lasso a *Nano a•••••••• SOW 80•0440•01= . _mow, was • wean teat or pelanilert valiep•Syylialsil to pomOgibt TY Hisitiwill *MO eiry lall••• Ons001 1.00, lbw D•04 I ' It INEERGENCY comet 0 r -. -.n. +P).."...41,.. ea Wt.. Nam ad annanaanaR • wan an manna ono Nu ev to rota re a tai 0 amOrga, I MAT -a" 20 TRAWL NAM Ne4 eriona•WV man Oar M Top etre coaaacerpsc YISOLO. E.1••• 124.O 14•CISCSCSev• Is12-1c, I....car-3a a ZIP CODE TELEPHONE C" 21. STOP. V".2 NOT SKIN APPLIra TION Walt RECtUESTTO TO DO SO BY PERSON ADMINISTERING OATH. NIV• 1121. aria auerog Uolr4 Stag. C liaasIa.. nafpfuog soy of the 0. a, knot,. "xi., 'Acts 0, Commies/ w' I igatth= tartaftet.liapgi lam ria l"." :1r"ita"6"4" "a. t. 14 at Farhat's:Lapel Owiedian'a Signature newel μweal istiacai Guardian sspull viva 'MAL' I594•946 21 ono, taloa :6.2 le scampi Kajtoten, 3a. ApplIcaat'• at Fat/Ma emnityna Docurnent• 23b. 8.44eNEe• Identifying Documents 5 1 a 4O Ele... -. Lens CframaniLkno lower N4 4 .GIA..+. Ot7.-1...:org. Efratani a tte. }P.4. V; EN* 'Er L: I I I to r e'n LIL I -III 0 ;:itt AZ e 2 - 7 elitA iaw r .e .al - twit - 24. FOR ISSUING OFFICE US- 'J,...v lApalicam a evv/Ona•• of ClItt• . /it :7 7 -.;"( Lt s-'-15 gra CortIficao O L. [1: EA C . Pinisport gnaw a Nunn Report of Nan ---urniestion Caret - Cr. Ran 41 C --, 42 a t " S r I 1 , j .17 / 4 DOM:• Petard I I R -2 . L Amp:i d ca. a can aann r irlanooat A - , ran f ear.* O Nay Casa INA • Midentifelne fans, 25 DS 11 AIM I 657 IA Z.. $0.00 OAR No 1405000. Ea Pap 3 of 4 https://ccdi.state.osis.gov/p1s/PPT/rpt_passport_images.display_doc?p_hash—22EF4329... 2/24/2020 PROT0

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URLhttps://ccdi.state.osis.gov/p1s/PPT/rpt_passport_images.display_doc?p_hash—22EF4329

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