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APPLICATION FOR VISA - Lao Embassy

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PHOTOGRAPH 2 X 2 LAO PEOPLE'S DEMOCRATIC REPUBLIC PEACE INDEPENDENCE DEMOCRACY UNITY PROSPERITY Xxxxxxxxxxxxxxxxxxxxxxxx Embassy OF THE LAO PEOPLE S DEMOCRATIC REPUBLIC - - APPLICATION FOR VISA --- : ........................................ ................................ : ........................................ ............. FIRST NAME (IN BLOCK LETTER) FAMILY NAME -, , - : ........................................ ......... - - : ........................................ ........... DATE OF BIRTH PLACE OF BIRTH.

»ø® photograph . 2” x 2” lao people's democratic republic . peace independence democracy unity prosperity . xxxxxxxxxxxxxxxxxxxxxxxx . embassy of the lao people’s

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