DIPLOMATIC/OFFICIAL/REGULAR VISA
Name (First/Middle Initial/Last) Street Address/Suite No. Place Issued Date Issued Expiration Date Visa Type Requested Proposed Travel Date Length of Stay Purpose of …
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BIRTH AFFIDAVIT FEE - Embassy of Liberia
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www.liberianembassyus.orgPassport 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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