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Marie Tan Chin Chin

City of Birth
State of Birth

Selangor

Selangor

Petaling Jaya

Petaling Jaya

Date of Arrival into US 25th July 2014


Length to stay(days)

Aaron Tan Chen Chen

25th July 2014

29 days

29 days

Do you join any tour?


If yes, please attached the
itinerary & tour confirmation

US contact person
Contact Number
Address
Monthly Income

2,000.00

Briefly describe your work Personal Assistant


Educational institution you
Segi College
attended at last

Course you took


Date Attended(DDMMYYYDDMMYYY)
Describe the course you
taking
other person who
travelling with you

Early Childhood Education


Jan-11

Name
Relationship

**Please a

Gan Day Yen

Tan Teck Lye

Kelly Tan Mae Mae


Selangor
Petaling Jaya

25th July 2014

25th July 2014

25th July 2014

29 days

29 days

29 days

2,000.00
Personal Assistant
Help University
Psychology
Jan-11

**Please attached your e-ticket & Hotel Voucher.

Gan Lay Main

Tee Jui Meng

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