Transcription of Embassy of Liberia.
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Embassy of Liberia.
Passport NumberDate IssuedExpiration DatePlace of Issue (City/Country)FOR Embassy USE ONLYRENEWAL BYI declare under penalty of perjury all of the following: 1) I am a citizen or non-citizen national of the Republic of liberia . The statements made on the application are true and correct; 2) I have not knowingly and willfully made false statements or included false documents in support of this application; and 3) the photograph submitted with this application is a genuine, current photograph of me. I fully understand that any misleading information given will immediately disqualify me from obtaining a of ApplicantSignature of Person Filling FormName (First/Middle Initial/Last)Street Address/Suite AddressDate Of BirthPlace of BirthProfession/OccupationHeightHair Colour5201 16th Street, NWWashington, DC 20011202 723 0437 / tel202 723 0436 / OF THEREPUBLIC OF LIBERIAPASSPORT RENEWALREQUIREMENTS FOR PASSPORT RENEWAL1.
Passport Number Date Issued Expiration Date Place of Issue (City/Country) FOR EMBASSY USE ONLY RENEWAL No. ISSUED EXPIRATION APPROVED BY I declare under penalty of perjury all of the following: 1) I am a citizen or non-citizen national of the Republic of Liberia.
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