Application for Central African Amazon Death Squad license
E-mail Address:
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Name （ALL CAPITAL LETTERS）
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Surname （ALL CAPITAL LETTERS）
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Sex
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Male
Female
Other
Attach a File: of your DOCUMENT PHOTO (Format are JPEG, GIF and PNG ONLY)
Date of Birth(MM/DD/YYYY)
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Place of Birth (Country, not city)
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Ethnic
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Current Nationality
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Posting Address
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Other Information
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Required