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Click ‘Get Form’ to open it in the editor.
Begin by entering your full name and current residential address in the designated fields. Ensure that you provide a valid address, as a post office box is not acceptable.
Fill in your date of birth and place of birth accurately. This information is crucial for identification purposes.
Indicate your relationship status by selecting the appropriate option from the list provided.
Provide your contact numbers, including country codes, for both office hours and after hours.
Complete the details from your passport, including passport number and country of issue. If applicable, include any identity card numbers.
List any changes in circumstances affecting your application. Clearly state what information is no longer current and provide the new correct details.
Finally, review all entries for accuracy before signing and dating the declaration at the end of the form.
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12 CFR Appendix C to Part 1022 - Model Forms for Opt - LII
Model forms in this appendix (as applicable) complies with the requirement in section 624 of the Act for clear, conspicuous, and concise notices.Read more
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