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DO NOT FOLD. Please type or print legibly using …

DO NOT FOLD. Please type or print legibly using black or blue ink only. All pages must be legible or application will be voided. ITEMS 1 THROUGH 25 MUST BE COMPLETED IN THE PRESENCE OF THE AUTHORIZED SIGNATORY. WRITE N/A FOR ITEMS THAT DO NOT APPLY. 1. LAST NAME. 2. FIRST NAME 3. MIDDLE NAME. 4. LIST ALL ALIAS/MAIDEN NAMES. 5. HOME ADDRESS. 6. CITY 7. STATE 8. ZIP CODE. 9. COUNTRY OF ADDRESS 10. TELEPHONE #. 11. HEIGHT ft. in. 12. WEIGHT lbs. 13. GENDER 14. DATE OF BIRTH. 15. DRIVER'S LICENSE/STATE ID # 16.

The Department of Homeland Security (DHS) will use the biographic information to conduct a security threat assessment. Your fingerprints and associated information will be provided to the Federal Bureau of Investigation (FBI) for the purpose of comparing your fingerprints to other fingerprints in

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  Assessment, Security, Threats, Homeland, Homeland security, Security threat assessment

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