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E Country Re: Name: (Applicant Name) USMLE/ECFMG ID No. (if known): Date of Birth: Day/Month/Year Date of Graduation: Month/Year Dear Sir or Madam: I am currently applying to the Federation Credentials Verification Service ( FCVS ). To facilitate this process, I hereby request: An official, final medical school transcript that bears your institution s seal and the signature of an authorized representative; and Certification of the enclosed final medical diploma, by affi.

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