Form I-693, Report of Medical Examination and Vaccination ...
City or Town State. ZIP Code Gender. Male. FemaleD. Country of Birth A-Alien Registration Number (A-Number) (if any) Applicant's Statement. B. The interpreter named in . Part 3. read to me every question and instruction on this form and my answer to every question . in , a language in which I am fluent, and I understood everything. ................
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