BI-84
BI-84
BI-84
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To be completed only by passengers in tranaito anothsr counlry:<br />
date and port ol departure from the Republic to that destination "" " "<br />
'ntended<br />
Do vou hold a visa or permit tor temporary<br />
p€rmanenl residence in the country of your destination? (Prool<br />
musl oe suoflnlles]<br />
To be completed by peBons wishing to work in the R€publlc<br />
tr tr<br />
I SOLEMNLY DECLARE THAT THE ABOVE PABTICULARS PROVIDED BY ME ARE TRUE IN<br />
SUBSTANCE AND IN FACT AND THAT I FULLY UNDERSTAND THE MEANING THEREOF' I FURTHER<br />
oichnE runr r Do Nor coNTEMPLATE cHANGING THE PURPoSE oF l\'lY vlslr wHlLsr lN THE<br />
REPUBLIC,<br />
Signatute ot aPP cant<br />
Date<br />
FOR OFFICIAL USE ONLY<br />
r ype ur vrsa...
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