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19. c 35 and c 36 Eligibility Category a. I certify under penalty of perjury that the foregoing is true and correct. 2 f Denied PL E Eligibility under a or c Approved A Applicant is filing under section 274a.12 START HERE - Type or print in black ink. Application For Employment Authorization USCIS Form I-765 Department of Homeland Security U.S. Citizenship and Immigration Services Action Block Fee Stamp For Use Only OMB No. 1615-0040 Expires 02/28/2018 Initial Receipt Resubmitted Relocated...
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