MLM 0 00 0000
'2023100964390743710
Sus BH BLAM Signature & Declaration
91 RASS For Applicant
ART Declaration
2.08, AOL EER, FURS aan RR RE
eB.
‘ere y dare that T have read and understood the questions in his application and stall ear a he legal onsequenas or fe theniy of the
‘glgmrngnaninsest
es
eee TERR. UPL, SERRA, CAT, REET TEE RCE ARIE,
+a
"anders at wheter oes, he te of en, umber of en, ly and anno ech ty wie ee
‘natant mitigate sem nyc ate halo ator Getlofenty ia Chin
RaW, SUPRDABSASOOERED, SORBET.
Lundersond et exresand wantin aplaonstet ape of coma fdas andetaeemay 9p.
Ree RioaGe, wAAe eA Saeeor Tene be.
Toners taco Chines amps ay De fade noha ve
AnREERRREAT
yap wil submited — EMBASSY OF PR GHD 1 Meza
SHARE : ee
Aontcnrssmare: ALO” SOP — datowrnmane 2023-10- OF
Ss AW UNFHAVSAREREREPARE, Nok a parator nardan shold sen on bebaforambor under ine aseof 18
2. RAEI For person fiinginthe application onthe applican’sbekall
TAN EAI Name: 326 BAH RAT Ren ons wi ie appa
ined by consular ofa, and
avis isgranted
Cae) soem.
(City tothe Chins vin suing author.
TIC HET TD ST Tlegioae
TIES BDedaton
REREA RAE PAAS TIA, EPA BARE PRR ORA TR,
1 decare hat have asisedin the completion of his format the request of die apa and thatthe aplicant understand and agrees that the nfrmation
providedistracand core
AMA BE Siqnature: 5 Ae/Dateoynymmld
mW