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I SOLEMNLY SWEAR that the foregoing statements are true to the best of my knowledge and belief. Signature of Applicant SUBSCRIBED AND SWORN to before me on in the city of The Hague The Netherlands. Signature of Consular Officer/ Notary Public PHOTO Visa No. granted on until As Non-immigrant under section Fee O. Embassy of the Republic of the Philippines The Hague THE Netherlands F.A. Form No. 2-A Revised 2016 Application for Non-Immigrant Visa NAME Last Name First Name/s Date of Birth...
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