Just send us the following 4 items, we must receive your order by October 25th, 1999.
1.One "Application Questionnaire" (This page) for each applicant, Print neat and clearly.
2.One signed "Entry Form" for each applicant. Must be original signature, not a copy. You must send "Entry form" overseas by mail or fax for applicant to sign. Applicant may return signed "Entry Form" to you by mail.
3.One recent Photograph of the applicant, B&W or Color. (Need not be passport or green style, just any photo that shows the applicant's face.), Photo must be cut to 37mm x 37mm (1-½ inches square). Print Applicant's name on back.
4.Check or money order to "Ghazali." $35 for one entry. Add $20 for each additional Entry included at the same time with your order. For Example, the fee for 2 entries is $55, For 3 Entries, it is $75. For 4 Entries, it is $95. To Prepare 5 Entries, it is $115. For 6 Entries, it is $135, etc.
Send all four Items to:
Ghazali
P.O. Box 56505
Hayward, CA 94540
Remember that we must receive your order no later than October 25th, 1999.
The U.S. Government will only accept "Entry Forms" that arrive between October 1 and October 31, 1999.
Send your order to us as early as possible to give us time to prepare your Entry Professionally.
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"Application Questionnaire" |
Application information. Please PRINT all information neatly to avoid errors.
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Applicant's Family Name |
First Name |
Middle Name |
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Date of Birth (day, month, year) |
City/Town of Birth |
State/Province/District of Birth |
Country of Birth |
Information about the Applicant's Spouse. Remember, a spouse may also file a separate "Entry Form".
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Spouse's Family Name |
First Name |
Middle Name |
|
Date of Birth (day, month, year) |
City/Town of Birth |
State/Province/District of Birth |
Country of Birth |
List all Unmarried Children under 21. Remember, a child with a high school education may also file a separate "Entry Form". Do not list children born in the United States. If more than two, list additional children on a separate page.
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Child's Family Name |
First Name |
Middle Name |
|
Date of Birth (day, month, year) |
City/Town of Birth |
State/Province/District of Birth |
Country of Birth |
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Child's Family Name |
First Name |
Middle Name |
|
Date of Birth (day, month, year) |
City/Town of Birth |
State/Province/District of Birth |
Country of Birth |
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We need the name of a U.S.A. mailing address of the person sending this order. This is whom we notify to confirm preparation and filing of the "Entry Form". And this is who we notify if the application wins. |
Name of U.S.A. Contact Person: |
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Street Address: |
Apt. |
City |
State |
Zip |
Phone: |
THIS FORM MAY BE COPIED
This "Application Questionnaire" is prepared for Exclusive Use by this Office.
Please be advised that we are NOT a Law Firm.