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Pds4e

Rezziener Laborada
Rezziener Laborada
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)* $+, )*5 4*# $ +.1 .0,/./4$ +) --/./4$ 4+ .$ +- 49* -+55+:/.0 7 </49/. 49* 49/)# #*0)** !-+) 4/+. 5 &+;*)."*.4 "25+$**1%7 22+/.4/.0 ,49+)/4$6 )* +""*.#/.0 ,49+)/4$6 9/*- +- +--/ * ,)* , #*2 )4"*.4 +) 2*)1+. :9+ 9 1 /""*#/ 4* 1,2*);/1/+. +;*) $+, /. 49* --/ *6 ',)* , +) *2 )4"*.4 :9*)* $+, :/55 * 22+/.4*#3 </49/. 49* -+,)49 #*0)** !-+) =+ 5 &+;*)."*.4 "25+$**1%7 22+/.4/.0 ,49+)/4$ +) )* +""*.#/.0 ,49+)/4$ :9*)* $+, :/55 * 22+/.4*#3 6 0/;* #*4 /517 8888888888888888888888888888888888888 8888888888888888888888888888888888888 8888888888888888888888888888888888888 6 0/;* #*4 /517 8888888888888888888888888888888888888 8888888888888888888888888888888888888 8888888888888888888888888888888888888 ;* $+, *;*) **. -+)" 55$ 9 )0*#3 If YES, give details: ________________________________ ________________________________ ;* $+, *;*) **. 0,/54$ +- .$ #"/./14) 4/;* +--*.1*3 If YES, give details: ________________________________ ________________________________ ;* $+, *;*) **. +.;/ 4*# +- .$ )/"* +) ;/+5 4/+. +- .$ 5 :6 #* )**6 +)#/. . * +) )*0,5 4/+. $ .$ +,)4 +) 4)/ ,. 53 If YES, give details: ________________________________ ________________________________ ;* $+, *;*) **. 1*2 ) 4*# -)+" 49* 1*);/ * /. .$ +- 49* -+55+:/.0 "+#*17 )*1/0. 4/+.6 )*4/)*"*.46 #)+22*# -)+" 49* )+5516 #/1"/11 56 4*)"/. 4/+.6 *.# +- 4*)"6 -/./19*# +.4) 46 < = +) 29 1*# +,46 /. 49* 2, 5/ +) 2)/; 4* 1* 4+)3 ;* $+, *;*) **. If YES, give details: ________________________________ ________________________________ .#/# 4* /. . 4/+. 5 +) 5+ 5 *5* 4/+. !*@ *24 ' ) .0 $ *5* 4/+.%3 If YES, give details: ________________________________ ________________________________ ,)1, .4 4+7 ! % .#/0*.+,1 *+25*A1 %B .# ! % +5+ )*.41 <*5- )* 4! 4 +- %B ! % ! 0. )4 -+) /1 5*# *)1+.1 ! %6 25* 1* .1:*) 49* -+55+:/.0 /4*"17 )* $+, "*" *) +- .$ /.#/0*.+,1 0)+,23 - 6 25* 1* 12* /-$7 88888888888888888888 - 6 25* 1* 12* /-$7 88888888888888888888 - )* $+, #/--*)*.45$ 6 25* 1* 12* /-$7 88888888888888888888 5*#3 )* $+, 1+5+ 2 )*.43 ! *)1+. .+4 )*5 4*# $ +.1 .0,/./4$ +) --/./4$ 4+ 225/ .4 22+/.4**% = ID picture taken within the last 6 months 3.5 cm. X 4.5 cm (passport size) #* 5 )* ,.#*) + 49 49 4 49/1 *)1+. 5 4 9**4 9 1 **. +"25/19*# $ "*6 .# /1 4),*6 +))* 4 .# +"25*4* 14 4*"*.4 2,)1, .4 4+ 49* 2)+;/1/+.1 +- 2*)4/.*.4 5 :16 ),5*1 .# )*0,5 4/+.1 +- 49* *2, 5/ +- 49* 9/5/22/.*1 51+ ,49+)/?* 49* 0*. $ 9* # ,49+)/?*# )*2)*1*.4 4/;* 4+ ;*)/-$ ; 5/# 4* 49* +.4*.41 14 4*# 9*)*/. 49 4 49/1 /.-+)" 4/+. 19 55 )*" /. +.-/#*.4/ 5 Computer generated or xerox copy of picture is not acceptable 4),14 & !"" ## $$$$% = & ! *;/1*# ' ( >%6 0* +-

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Pds4e

  • 1. )* $+, )*5 4*# $ +.1 .0,/./4$ +) --/./4$ 4+ .$ +- 49* -+55+:/.0 7 </49/. 49* 49/)# #*0)** !-+) 4/+. 5 &+;*)."*.4 "25+$**1%7 22+/.4/.0 ,49+)/4$6 )* +""*.#/.0 ,49+)/4$6 9/*- +- +--/ * ,)* , #*2 )4"*.4 +) 2*)1+. :9+ 9 1 /""*#/ 4* 1,2*);/1/+. +;*) $+, /. 49* --/ *6 ',)* , +) *2 )4"*.4 :9*)* $+, :/55 * 22+/.4*#3 </49/. 49* -+,)49 #*0)** !-+) =+ 5 &+;*)."*.4 "25+$**1%7 22+/.4/.0 ,49+)/4$ +) )* +""*.#/.0 ,49+)/4$ :9*)* $+, :/55 * 22+/.4*#3 6 0/;* #*4 /517 8888888888888888888888888888888888888 8888888888888888888888888888888888888 8888888888888888888888888888888888888 6 0/;* #*4 /517 8888888888888888888888888888888888888 8888888888888888888888888888888888888 8888888888888888888888888888888888888 ;* $+, *;*) **. -+)" 55$ 9 )0*#3 If YES, give details: ________________________________ ________________________________ ;* $+, *;*) **. 0,/54$ +- .$ #"/./14) 4/;* +--*.1*3 If YES, give details: ________________________________ ________________________________ ;* $+, *;*) **. +.;/ 4*# +- .$ )/"* +) ;/+5 4/+. +- .$ 5 :6 #* )**6 +)#/. . * +) )*0,5 4/+. $ .$ +,)4 +) 4)/ ,. 53 If YES, give details: ________________________________ ________________________________ ;* $+, *;*) **. 1*2 ) 4*# -)+" 49* 1*);/ * /. .$ +- 49* -+55+:/.0 "+#*17 )*1/0. 4/+.6 )*4/)*"*.46 #)+22*# -)+" 49* )+5516 #/1"/11 56 4*)"/. 4/+.6 *.# +- 4*)"6 -/./19*# +.4) 46 < = +) 29 1*# +,46 /. 49* 2, 5/ +) 2)/; 4* 1* 4+)3 ;* $+, *;*) **. If YES, give details: ________________________________ ________________________________ .#/# 4* /. . 4/+. 5 +) 5+ 5 *5* 4/+. !*@ *24 ' ) .0 $ *5* 4/+.%3 If YES, give details: ________________________________ ________________________________ ,)1, .4 4+7 ! % .#/0*.+,1 *+25*A1 %B .# ! % +5+ )*.41 <*5- )* 4! 4 +- %B ! % ! 0. )4 -+) /1 5*# *)1+.1 ! %6 25* 1* .1:*) 49* -+55+:/.0 /4*"17 )* $+, "*" *) +- .$ /.#/0*.+,1 0)+,23 - 6 25* 1* 12* /-$7 88888888888888888888 - 6 25* 1* 12* /-$7 88888888888888888888 - )* $+, #/--*)*.45$ 6 25* 1* 12* /-$7 88888888888888888888 5*#3 )* $+, 1+5+ 2 )*.43 ! *)1+. .+4 )*5 4*# $ +.1 .0,/./4$ +) --/./4$ 4+ 225/ .4 22+/.4**% = ID picture taken within the last 6 months 3.5 cm. X 4.5 cm (passport size) #* 5 )* ,.#*) + 49 49 4 49/1 *)1+. 5 4 9**4 9 1 **. +"25/19*# $ "*6 .# /1 4),*6 +))* 4 .# +"25*4* 14 4*"*.4 2,)1, .4 4+ 49* 2)+;/1/+.1 +- 2*)4/.*.4 5 :16 ),5*1 .# )*0,5 4/+.1 +- 49* *2, 5/ +- 49* 9/5/22/.*1 51+ ,49+)/?* 49* 0*. $ 9* # ,49+)/?*# )*2)*1*.4 4/;* 4+ ;*)/-$ ; 5/# 4* 49* +.4*.41 14 4*# 9*)*/. 49 4 49/1 /.-+)" 4/+. 19 55 )*" /. +.-/#*.4/ 5 Computer generated or xerox copy of picture is not acceptable 4),14 & !"" ## $$$$% = & ! *;/1*# ' ( >%6 0* +-