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Give my consent for to hold a passport. Signature of Parent or Legal Guardian D PARTICULARS OF MOST RECENT or otherwise unavailable Passport Number Date PASSPORT This information is required whether the passport is expired or current damaged lost Date of Issue Date of Loss Place of Issue Name in which stolen lost or unavailable passport was issued Place of Loss City Parish BRIEF STATEMENT OF CIRCUMSTANCES WHERE PASSPORT HAS BEEN DAMAGED E DECLARATION OF APPLICANT I the ...

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