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5cm x 3. 5cm Headshot above shoulders Color or B/W No hats nor graduation uniform Taken within 3 months Please smile Country Citizenship Full Name Family Name ENG Current Address J/C/K Emergency Contact Name Given Name Birthdate mm/dd/yy City State/Prefecture Country of Birth Male English Nickname as written on passport J/C/K Female Married ENG if any Age Single Email Phone Mobile Email Skype ID LINE/WeChat ID J/C/K ENG Relationship ALLEX Program Rank your choices in the boxes below....
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