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Page 1 of 47/9/2015PLEASE RETURN THIS APPLICATION FORM TO NLGNYCCUBADELEGATION×GMAIL. Could Name (as on passport):First×M.I.×Ashore Address:street×city×state×birth Date: Birth PlacePassport
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Please return this application is a form that needs to be completed and submitted back to the sender.
The individual or entity specified by the sender is required to file and return this application.
Please follow the instructions provided on the form and fill out all the required fields accurately.
The purpose of please return this application is to gather specific information or data from the recipient.
The information required to be reported on please return this application will vary depending on the specific form and its purpose.
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