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Signature Date Revised 04/01/2012 PERMANENT RESIDENT BIODATA INFORMATION FORM REVISED 04 01 2012. docx. Office of International Affairs Biodata Information Form Permanent Resident Section I Visitor Information LAST/FAMILY NAME First/Given Name Middle Date of Birth MM/DD/YYYY Email Address U.S. Residential Address Street City State Zip Code Telephone Number Home Gender Male Cell Marital Status Female Work Single Fax Married Other please indicate C.

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