Form I-693, Report of Medical Examination and Vaccination Record
City/Town/Village of Birth. F. USCIS Online Account Number (if any) Part 2. Applicant's Statement, Contact Information, Certification, and Signature. NOTE: Read the . Penalties . section of the Form I-693 Instructions before completing this section. You must submit Form I-693 in a sealed envelope to USCIS as directed in the Form I-693 ... ................
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